Full Answer
What is Atraumatic Restorative Treatment (ART)?
Atraumatic restorative treatment (ART) is a minimally invasive treatment technique for restoring teeth by means of hand instrumentation for decay removal and fluoride-releasing adhesive materials (glass ionomer) for filling.1.
What is the best country to use Atraumatic Restorative Treatment?
Examples of use in different countries Brazil Atraumatic Restorative Treatment (ART) f ... South Africa Introducing the Atraumatic Restorative T ... Sri Lanka Atraumatic Restorative Treatment (ART) P ... Turkey Atraumatic Restorative Treatment (ART) P ...
What are the types of restorative treatment in dentistry?
Atraumatic Restorative Treatment 1 Restorative Dentistry. ... 2 Restoration of teeth (simple restorations) and preventative dentistry. ... 3 Definitive phase of treatment. ... 4 Vital pulp therapy. ... 5 Therapeutic applications of nanotechnology in dentistry
What is an RMGI restorative treatment?
RMGIs are also the restorative materials of choice for the atraumatic restorative treatment (ART) technique on both primary and permanent teeth. ART involves using hand instruments only to excavate and remove caries, followed by placement of an RMGI restoration.
What is meant by atraumatic restorative treatment?
Atraumatic restorative treatment (ART) is a method of managing dental caries based on 2 pillars: sealants for preventing carious lesions in pits and fissures, and restorations for cavitated dentine carious lesions. ART uses only hand instruments for opening/enlarging the cavity and for removing carious tissue.
How helpful is atraumatic restorative treatment?
The absence of caries in teeth with atraumatic restorative treatment restorations or sealants indicates that atraumatic restorative treatment is an effective preventive measure for caries even in the presence of other factors that may contribute to the development of caries.
What type of restorative material is used for the atraumatic?
Material and Methods: As filling materials, a HSGIC (Ketac Molar/3M ESPE) and a RMGIC (Vitremer/ 3M ESPE) were used with the Atraumatic Restorative Treatment (ART).
Where the atraumatic restorative treatment was first introduced?
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.
What is the best restorative material used in atraumatic restorative treatment ART?
Conventional glass polyalkenoate (ionomer) restorative cement (GIC) is the material of choice that has been used for ART and ITR. This is because of its fluoride release properties, including its ability to bond to enamel and dentine, its pulpal biocompatibility, and its ease of manipulation.
What is atraumatic extraction?
An atraumatic extraction causes the least amount of damage to the surrounding tissue. This procedure came about because of the need to preserve bone during an extraction, primarily the all-important buccal plate.
What is a dental restorative procedure?
What Is Restorative Dentistry? To put it simply, restorative dentistry involves any dental process which focuses on repairing or restoring damaged oral structures. This can include procedures such as fillings, bridges, and implants among many other services.
What does ART stand for dental?
Atraumatic Restorative Treatment (ART) is an alternative approach for managing dental decay, which involves removal of decayed tissue using hand instruments alone, usually without the use of anaesthesia (injected painkiller) and electrical equipment.
What is preventive resin restoration?
A Preventive Resin Restoration (PRR) is a thin, resin coating applied to the chewing surface of molars, premolars and any deep grooves (called pits and fissures) of teeth. More than 75% of dental decay begins in these deep grooves.
What is ART in pediatric dentistry?
The ART approach involves the use of hand instruments only to remove carious tooth substance and then restoring the cavity and sealing any adjacent enamel fissures with usually a conventional glass polyalkenoate (ionomer) restorative cement (GIC).
WHAT IS pit and fissure sealant?
Definition. A sealant is a clear or opaque plastic material that is applied to the pits and fissures of teeth where decay occurs most often. The purpose of the sealant is to provide a physical barrier to occlude pits and fissures and to protect them from bacteria and food.
What is dental hatchet?
Hatchets are restorative cutting instruments used for retentive areas, internal line angles and for removing hard caries and unsupported enamel from cavity preparations. These dental instruments have working ends that are on the same plane as the handle.
What is ART in dentistry?
Atraumatic Restorative Treatment (ART) is a method for cleaning out tooth decay (dental caries) from teeth using only hand instruments (dental hatchets and spoon-shape instruments) and placing a filling. It does not use rotary dental instruments (dental drills) to prepare the tooth and can be placed in settings with no access to dental equipment.
What is the advice to a patient during a tooth extraction?
Advice to patients include:#N#Cleaning the tooth will sound “scratchy” or “picky” during the procedures. #N#The patient is advised not to eat for the first hour after the treatment is finished.
What is ITR in dentistry?
ITR is used as a temporary restoration that will be replaced with a more definitive one. ITR is used in cases when the ideal dental treatment cannot be performed. Conventional glass polyalkenoate (ionomer) restorative cement (GIC) is the material of choice that has been used for ART and ITR.
How long does it take for ITR to be replaced?
Generally, ITR should be replaced with a more definitive restoration within six months of the placement to ensure maximum benefit to the patient and to reduce the risk of failure, as the levels of oral cariogenic bacteria might return to pre-treatment levels after six months of treatment [82]. 3.5.
What is ITR used for?
ITR, on the other hand, is used for treating patients in dental clinics in order to control the progression of caries or to manage certain health characteristics of the patient . A high-viscosity glass ionomer performed better than low and medium-viscosity glass ionomers in ART.
Why is art used in dentistry?
ART is used in cases when routine dental treatment cannot be performed because of a lack of facilities or accessibility to a dental clinic [17]. In addition, ART can be used in schools as a community measure to control caries in a large number of children [18]. ART can be used in both primary and permanent teeth [1].
What Are the Pros of ART?
1. It is incredibly affordable. The standard of treatment for dental health in treatment is typically amalgam-based cavity repair. Unfortunately in areas like the Caribbean or Central America, the costs are too much for families to bear.
What Are the Cons of ART?
1. It is an alternative treatment to the gold standard. Although ART is useful in areas where dental care may be difficult or lacking, it isn’t an alternative to the standard method of restoring cavities with modern supplies and techniques.
Overview
Atraumatic Restorative Treatment (ART) is a method for cleaning out tooth decay (dental caries) from teeth using only hand instruments (dental hatchet and spoon-excavator) and placing a filling. It does not use rotary dental instruments (dental drills) to prepare the tooth and can be placed in settings with no access to dental equipment. No drilling or local anaesthetic injections (LA) are required. ART is considered a conservative approach, not only because it removes the decayed t…
Background and History
ART makes restorative oral care more accessible
ART was firstly introduced by the dentist Jo Frencken in 1985, Tanzania (Frencken et al., 1996), where the management of decayed teeth in children living in a deprived area was challenging because access to dental treatments using drills was restricted by limited dentist availability and a lack of electricity and/or piped water. The pattern of disease/ care meant that children’s teeth …
Concept
There are two different ART procedures with different aims:
i) Preventive (ART fissure sealant for non-cavitated teeth); and
ii) Restorative (ART filling for decayed and cavitated teeth)
A. Preventive (ART fissure sealant)
The adult teeth that erupt behind the baby back teeth, have deep grooves (fissures) and are mor…
Effectiveness sealants
1. The retention rate of ART sealants using HVGIC has improved significantly compared to low and medium viscosity-viscosity glass-ionomers previously used
2. ART sealants appear to have a high caries preventive effect.
3. ART/HVGIC sealants are effective in controlling dentine-carious-lesion development in pits and fissures.
Indications
ART fillings can be used for:
1. Single surface cavities in primary (baby teeth) and permanent (adult) teeth;
2. Multiple-surface cavities in primary teeth, if no other option is available/suitable (e.g. Hall Technique);
3. Non-frankly cavitated lesion (presenting a shadow under the enamel) that are not suitable for sealing; and
Contraindications
ART fillings should not be used when there is:
1. Swelling or a fistula near the decayed tooth;
2. Pulpal exposure (the nerve of the tooth is visible);
3. History of pain from the teeth to be treated;
Instruments
1. Mouth Mirror;
2. Dental probe;
3. Pair of dental tweezers;
4. Dental Hatchet;
5. Spoon Excavator (small and medium);
Procedure
1. Ensure the patient understands the treatment to be carried out, has consented and knows what steps are involved. Advice to patients include:
2. Inspect the cavitated tooth
3. Isolation (avoiding moisture on the tooth)