Factors affecting success rate of atraumatic restorative treatment (ART) restorations in children: A systematic review and meta-analysis

Jiang, Meng; Fan, Yanpin; Li, Kar Yan; Lo, Edward Chin Man; Chu, Chun Hung

doi:10.1016/j.jdent.2020.103526

Cited by 16 publications

(18 citation statements)

References 72 publications

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“…Their primary outcome was not the type of setting, the inclusion and exclusion criteria were different, and the ART premise was not considered. 23 We observed that most articles focussed on primary teeth, highlighting the higher acceptance of paediatric dentists for the benefits from ART, such as reduced chair time, less invasive treatment and low signs of anxiety and pain. 24,25 Regarding ART restorations performed in permanent teeth, nine studies were included in the metaanalysis.…”

Section: Discussionmentioning

confidence: 88%

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Atraumatic restorative treatment restorations performed in different settings: systematic review and meta‐analysis

Garbim

Laux

Tedesco

et al. 2021

Australian Dental Journal

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Background: There are potential barriers to using the atraumatic restorative treatment (ART) approach in conventional dental offices, as many professionals assume that it is only used for field conditions. This systematic review and metaanalysis evaluated the survival data of ART restorations in permanent and primary teeth when performed in and out of the conventional environment. Methods: Searches were performed on PubMed/MEDLINE, Scopus, Web of Science, and Open Grey databases up to April 2020. Studies that evaluated ART restorations were prospective and had survival rate data were included. The risk of bias was evaluated by Rob 2.0 and ROBINS-I tools. Meta-analyses were carried out considering as outcome the survival rate of primary and permanent teeth. Subgroups analysis was performed for setting and type of cavity (occlusal or multi-surface). Results: Thirty-four studies were included. For primary teeth, in general, the overall percentage of survival rate was not influenced by setting, ranging up to 71% in 12 months to 65% in 36 months. Similarly, for permanent teeth, the overall percentage of survival rate was not influenced by setting, ranging up to 96% in 12 months to 61% in 36 months. Conclusion: ART is a feasible approach for field settings as well as conventional dental offices. PROSPERO: CRD42020184680.

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Section: Discussionmentioning

confidence: 88%

“…However, this systematic review differs from ours in many aspects. Their primary outcome was not the type of setting, the inclusion and exclusion criteria were different, and the ART premise was not considered 23 …”

Section: Discussionmentioning

confidence: 99%

Atraumatic restorative treatment restorations performed in different settings: systematic review and meta‐analysis

Garbim

Laux

Tedesco

et al. 2021

Australian Dental Journal

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“…Associadas a essas vantagens inerentes à técnica, é importante ressaltar que o profissional que esteja lidando com crianças precisa estar habilitado à condução da consulta mediante técnicas de controle comportamental. Isso significa que, mesmo utilizando uma técnica do ART, considerada mais tolerável, faz-se necessário aplicar técnicas diversas de manejo durante o procedimento, dentre elas: falar-mostrar-fazer, distração, comunicação verbal e não-verbal, modelagem, controle de voz, entre outros, conforme for necessário de maneira individualizada (LIN et al, 2021;JIANG et al, 2020).…”

Section: Também Com Base Na Mínima Intervenção Tem-se O Surgimento Do...unclassified

Associação entre o tratamento restaurador atraumático (ART) e o manejo de comportamento em odontopediatria / Association between atraumatic restoration treatment (ART) and behavior management in pediatric dentistry

Santana¹,

Nunes²,

Sousa³

2022

Braz. J. Hea. Rev.

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“…Other operator-related factors include ensuring adequate moisture control, caries removal as recommended in the stages mentioned in the previous sections, and HVGIC handling relating to the material mixing and insertion [73]. Another aspect that has been frequently reported to have a significant impact on the success of ART restorations is the operator experience and training [74,75]. Even in the presence of conflicting literature reports regarding the significance of moisture control, caries removal and material handling [74], there seems to be a general consensus on the importance of ART specific training in increasing the procedure success rates [36,[74][75][76][77].…”

Section: Factors Affecting Success Of Artmentioning

confidence: 99%

Atraumatic Restorative Treatment: More than a Minimally Invasive Approach?

Ablal¹

2022

Dental Caries - The Selection of Restoration Methods and Restorative Materials

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Minimally invasive (MI) caries management has largely evolved over the years to include approaches that not only aimed to preserve as much tooth structure as possible but also to embrace prevention and risk management strategies. The atraumatic restorative treatment (ART) is a minimally invasive approach that was initially established to address the issue of increasing number of salvable teeth that kept being extracted in remote parts of the world where there was a limited access to the necessary equipment to enable preserving teeth in the primary and permanent dentitions. Managing carious lesions following ART is not as demanding as that in the conventional restorative methods, however, there are certain factors known to contribute to the failure of atraumatic restorative treatment that need to be considered to ensure success. However, and despite the advantages associated with using ART there seems to be a lack of awareness among dental practitioners regarding adopting this approach that can largely affect effective practice. Therefore, there is a need to spread the awareness and further educate practitioners particularly in this Covid-19 era where the virus and its variants have impacted the provision of routine dental treatment and will continue to do so for the foreseeable future.

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Factors affecting success rate of atraumatic restorative treatment (ART) restorations in children: A systematic review and meta-analysis

Cited by 16 publications

References 72 publications

Atraumatic restorative treatment restorations performed in different settings: systematic review and meta‐analysis

Atraumatic restorative treatment restorations performed in different settings: systematic review and meta‐analysis

Associação entre o tratamento restaurador atraumático (ART) e o manejo de comportamento em odontopediatria / Association between atraumatic restoration treatment (ART) and behavior management in pediatric dentistry

Atraumatic Restorative Treatment: More than a Minimally Invasive Approach?

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