Survival of atraumatic restorative treatment (ART) sealants and restorations: a meta-analysis

Abstract

The purpose of this study is to perform a systematic investigation plus meta-analysis into survival of atraumatic restorative treatment (ART) sealants and restorations using high-viscosity glass ionomers and to compare the results with those from the 2005 ART meta-analysis. Until February 2010, four databases were searched. Two hundred four publications were found, and 66 reported on ART restorations or sealant survival. Based on five exclusion criteria, two independent reviewers selected the 29 publications that accounted for the meta-analysis. Confidence intervals (CI) and or standard errors were calculated and the heterogeneity variance of the survival rates was estimated. Location (school/clinic) was an independent variable. The survival rates of single-surface and multiple-surface ART restorations in primary teeth over the first 2 years were 93% (CI, 91–94%) and 62% (CI, 51–73%), respectively; for single-surface ART restorations in permanent teeth over the first 3 and 5 years it was 85% (CI, 77–91%) and 80% (CI, 76–83%), respectively and for multiple-surface ART restorations in permanent teeth over 1 year it was 86% (CI, 59–98%). The mean annual dentine lesion incidence rate, in pits and fissures previously sealed using ART, over the first 3 years was 1%. No location effect and no differences between the 2005 and 2010 survival rates of ART restorations and sealants were observed. The short-term survival rates of single-surface ART restorations in primary and permanent teeth, and the caries-preventive effect of ART sealants were high. Clinical relevance: ART can safely be used in single-surface cavities in both primary and permanent teeth. ART sealants have a high caries preventive effect.

Atraumatic restorative treatment - glass ionomer sealants survival after a postgraduate training program in Ecuador: 2-year follow-up

“…They investigated ART sealants after six years and observed that cavitation due to caries occurred very rarely in ART sealed teeth even when the sealant was partially or totally missing. A recent meta-analysis concluded that although the survival rate of ART sealants with high viscosity glass ionomer after 3 years was 72%, the result for dentine lesion-free sealed pits and fissures was 97% after the same period (Amorim et al 2012). Accordingly, a preventive effect of high viscosity glass ionomer sealants was observed even in re-exposed pits and fissures surfaces.…”

Clinical aspects of Atraumatic Restorative Treatment

“…Dit type restauratiemateriaal schoot echter tekort voor meervlaksrestauraties in tijdelijke gebitselementen ( De Amorim et al, 2012). Dit leek te wijten aan het restauratiemateriaal zelf en mogelijk aan de vaardigheid en zorgvuldigheid van de mondzorgverleners.…”

“…3) ( De Amorim et al, 2012). Ontegenzeggelijke voordelen zijn dat het onder klinische omstandigheden eigenschappen heeft die vergelijkbaar zijn met die van dentine en dat het gunstig reageert op de heersende temperatuur en vochtige omstandigheden in de mond (McCabe et al, 2009).…”

Survival analysis of ART restorations in primary molars of preschool children: 1 year follow-up

“…Specially designed for ART, the high-viscosity GICs have a relatively slow curing and improved mechanical properties compared to low and medium viscosity cements, which has resulted in increased survival of restorations 13 . Recent systematic reviews have shown that the longevity of ART restorations with high-viscosity GICs is similar to the gold standard treatment with amalgam 12,[14][15][16] .…”