Class III Atraumatic Restorative Treatment (ART) in adults living in West Africa - outcomes after 48 months

Abstract

The adoption of the ART approach to class III caries cavities made restorative dental care in anterior teeth available in a West African region. The long-term performance was comparable to other studies. Longitudinal clinical studies with greater populations are required to substantiate these results.

Twelve-month evaluation of the atraumatic restorative treatment approach for class III restorations: An interventional study

“…Their results were promising, especially in the conditions in which the restorations were performed, wherein low-strength GIC was used, cavity preparation was not conditioned before fill material insertion, and interestingly, restorations were performed by dental nurses who were still learning to use the ART technique[ 18 ]. A similar study conducted in the Gambia showed 53 of 76 restorations were clinically acceptable and 26 of 76 were insufficient[ 13 ]. A previous study assessed anterior (class III and V) restorations after 3 years among 83 class III restorations, and 92% were successful[ 8 ].…”

“…In these cases, ART appears to be promising where there are limited oral health care services[ 10 , 12 ]. Based on evidence-based dentistry, ART showed a better performance in developing countries with only a 5% failure rate in class 1 restorations[ 13 ]. Considering the paucity of data regarding the ART approach in anterior permanent teeth and limited studies supporting the success rate of class III restorations, the aim of the present study was to evaluate the clinical performance of restoring class III cavities in anterior teeth of permanent dentition using the ART approach in primary health care (PHC) settings in Tumkur district, India.…”