Self–Report of Pain in Children Treated According to the Atraumatic Restorative Treatment and the Conventional Restorative Treatment – A Pilot Study

Abreu, Danielle Matos de Menezes; Leal, Soraya Coelho; Frencken, Jo E.

doi:10.17796/jcpd.34.2.9k67p786l7126263

Cited by 28 publications

(18 citation statements)

References 17 publications

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“…Pain assessment is not easily performed in children, as they have difficulties in expressing their emotions and feelings 27 . This problem was described by Menezes Abreu, et al 12 (2009). Pain experience in a group of young children (4 to 7 years old) after they had been treated according to the ART approach was compared with that of a group treated in accordance with a conventional approach using rotary instruments with local anesthesia and rubber dam.…”

Section: Art Acceptability: Literature Evidencementioning

confidence: 91%

Dental anxiety and pain related to ART

2009

Self Cite

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Atraumatic Restorative Treatment (ART) is considered to be well accepted, both by children and by adult patients. The objective of this review is to present and discuss the evidence regarding the acceptability of ART, from the patient's perspective. Aspects related to dental anxiety/fear and pain/discomfort have been highlighted, to facilitate better understanding and use of the information available in the literature. Conclusions: The ART approach has been shown to cause less discomfort than other conventional approaches and is, therefore, considered a very promising “atraumatic” management approach for cavitated carious lesions in children, anxious adults and possibly, for dental-phobic patients.

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Section: Art Acceptability: Literature Evidencementioning

confidence: 91%

Dental anxiety and pain related to ART

2009

Self Cite

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“…Pain felt during treatment was lower in child populations treated restoratively with ART using high-viscosity glass-ionomers, than when traditional restorative procedures were used 15 , 21 , 25 , 26 . Moreover, ART provided without local anaesthesia was better accepted than traditional treatment with local anaesthesia 28 ;…”

Section: Achievementsmentioning

confidence: 99%

Evolution of the the ART approach: highlights and achievements

Frencken¹

2009

J. Appl. Oral Sci.

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Atraumatic Restorative Treatment (ART) was initiated in the mid-eighties in Tanzania in response to an inappropriately functioning community oral health programme that was based on western health care models and western technology. The approach has evolved to its present standing as an effective minimal intervention approach mainly because the originators anticipated the great potential of ART to alleviate inequality in oral health care, and because they recognised the need to carry out research to investigate its effectiveness and applicability. Twenty-five years later, ART was accepted by the World Health Organisation (1994) and the FDI World Dental Federation (2002). It is included in textbooks on cariology, restorative dentistry and minimal intervention dentistry. It is being systematically introduced into public oral health service systems in a number of low- and middle income countries. Private practitioners use it. Many publications related to aspects of ART have been published and many more will follow. To achieve quality results with ART one has to attend well-conducted and sufficiently long training courses, preferably in combination with other caries preventive strategies. ART should, therefore, not be considered in isolation and must be part of an evidence-based approach to oral health with a strong foundation based on prevention.

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“…Apresenta técnica relativamente fácil, material/equipamento simples e custo reduzido 40,41 . O gel de papaína pode ser utilizado como alternativa na remoção de dentina cariada durante o TRA.…”

Section: Técnica De Aplicação Do Gelunclassified

A utilização do gel de papaína na remoção de lesões cariosas dentinárias

2017

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RESUMOO objetivo deste estudo é realizar uma revisão de literatura sobre a aplicabilidade do gel de papaína na remoção de lesões cariosas dentinárias. Utilizando-se os descritores cárie dentária, papaína, tratamento restaurador atraumático e processo químico foram identificados artigos indexados nas bases de dados Bireme, Lilacs, Pubmed/Medline, Scielo e Cochrane. Os artigos selecionados foram publicados entre 2001 e 2011 nos idiomas português, inglês ou espanhol. Também foram consultados livros sobre o assunto. O método mecânico é, tradicionalmente, utilizado para remoção de dentina cariada. Possui inconvenientes como necessidade de anestesia local e emprego de brocas para remoção de tecido cariado, o que pode gerar medo, dor ou desconforto para o paciente. Visando atenuar essas dificuldades, foram desenvolvidos métodos para remoção químico-mecânica da lesão cariosa dentinária em que um gel amolece a dentina infectada, preservando o tecido dentário sadio. Em 2003, foi criado no Brasil um produto totalmente nacional à base de papaína, cloramina e azul de toluidina. Ele age quimicamente na dentina infectada, promovendo a desestruturação do colágeno parcialmente degradado presente no tecido carioso necrosado. Estudos científicos revelaram que a utilização do gel de papaína, como método alternativo para remoção de dentina cariada, é atraumático, reduz a necessidade de anestesia, sendo indicado para tratamento de pacientes com necessidades especiais, crianças, adultos fóbicos e remoção de lesões cariosas muito próximas à polpa. Apresenta biocompatibilidade, atividade antimicrobiana, preserva tecido dentinário, diminuindo o risco de exposição pulpar. DESCRITORES: Cárie Dentária • Papaína • Tratamento restaurador atraumático • Processo químico. ABSTRACTThe objective of this study is to realise a review of literature on the application of papain in the remotion of dental caries. Using the descriptors dental caries, papain, dental atraumatic restorative treatment and chemical process indexed articles have been identified in the data base Bireme, Lilacs, Pubmed/Medline, Scielo and Cochrane. The selected articles were published between 2001 and 2011 in Portuguese, English and Spanish. Book on the issue were also consulted. The mechanical method is, traditionally, used to remove injured dentine. It has inconvenients such as the need of local anesthetics and the use of drills to remove the injured dentine tissue, which might generate fear, pain or uncomfort for the patients. Aiming to lower such difficulties, there has been developed methods for the removal of the dentine by chemical-mechanical method in which gel is used to soften the harmed dentine, preserving healthy dental tissue. In 2003 it was created in Brazil a totally national product based on papain, chloramines and blue toluidine. It acts chemically upon the harmed dentine, promoting the destructuration of the collagen partially degraded present in the necrosed tissue. Scientific studies have revealed that the use of the papain gel as alternative method for the r...

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Self–Report of Pain in Children Treated According to the Atraumatic Restorative Treatment and the Conventional Restorative Treatment – A Pilot Study

Cited by 28 publications

References 17 publications

Dental anxiety and pain related to ART

Dental anxiety and pain related to ART

Evolution of the the ART approach: highlights and achievements

A utilização do gel de papaína na remoção de lesões cariosas dentinárias

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