Three-Year Evaluation of the ART Approach in Class III and V Restorations in Permanent Anterior Teeth

Abstract

This study evaluated the survival of class III and V restorations using the atraumatic restorative treatment (ART) approach in permanent anterior teeth, after 3 years. A total of 151 restorations were performed in 60 patients. After 3 years, 107 restorations (47 patients) were evaluated. Data were analyzed using exact 95% confidence interval. A total of 97 restorations (91% with 95% CI = 83–99), 76 class III (92% with 95% CI = 82–100) and 21 class V (88% with 95% CI = 77–98) were classified as successful. The survival rate of the ART approach in class III and V restorations in permanent anterior teeth was considered high.

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

“…In deciduous teeth, class III and IV ART restorations presented failures in 86% because of partial or complete loss already within the first year (20) and longitudinal data in the permanent dentition are rare. Survival rates of 71% after 3 years (21) and of 68% after 6 years (2) in the same study cohort were reported from Brazil. It must be noted that this rate of clinical success was calculated with an adjusted cohort where restorations lost to follow‐up were excluded before calculation.…”

“…In areas without substantial infrastructure, light‐curing composites seem to be impracticable. Chemically activated anterior resin composite restorations might be used, but clinical studies did not show favourable performance with annual failure rates of 7.4% (28) when compared to glass‐ionomer cement class III ART restorations (2, 21). Different cavity dimensions were identified to be confounding factors in class I restorations with statistically significant higher survival rates in favour of a small cavity design (29).…”

Avaliação do desempenho clínico de restaurações ART (Tratamento Restaurador Atraumático)

“…É uma forma simplificada de atendimento, que dispensa o uso de anestesia e iso-Estudos suportam que as restaurações com ART são altamente efetivas em prevenir lesões de cárie e na manutenção de saúde bucal 2,19 . Para que as restaurações realizadas sejam verdadeiramente efetivas necessita-se de uma manutenção periódica para que questões como dieta e higiene sejam permanentemente reforçadas 13 .…”

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

“…The advantages of ART are that it costs less, it is easily available, restoration can be performed using only hand instruments instead of electrically motor-driven instruments, reduces healthy tooth tissue damage, less noise compared to motor-driven instruments, less sensitivity and pain, which minimizes the use of local anesthesia, and results in reduced patient anxiety[ 8 , 9 ]. ART was field-tested in south Asia and Africa and adopted by the WHO in 1994[ 10 ].…”

“…ART was field-tested in south Asia and Africa and adopted by the WHO in 1994[ 10 ]. Based on previous studies, results for the ART approach were very successful for posterior single surface restorations; however, the success rate is less for multiple posterior surfaces and anterior teeth restoration[ 8 , 11 ]. New treatment strategies such as a shortened dental arch with missing molars and anterior teeth including premolars are now available.…”