Atraumatic restorative technique art a minimally invasive care approach in preventing dental caries and stopping its further progression 1 art restoration art sealant involves placing a glass ionomer gi in the pits and fissures using finger pressure involves removal of carious infected dentine with hand instruments and the use of gi to. Atraumatic restorative treatment art atraumatic restorative treatment art is a preventive and restorative approach for managing carious lesions of the teeth. Art and itr are similar approaches and are performed using the same material, but they differ in the purpose of their use 1. This educational video is for reference for those having. Although atraumatic restorative treatment art was developed to address this, its survival rate in occlusoproximal lesions is low. Basic techniques of costeffectiveness analysis cea, prat in government dental care facilities in panama, ecuador and uruguay, thus extending coverage of oral services to those without access to conventional amalgambased treatment. The purpose of this study was to assess the benefits of using elearning resources in a dental training course on atraumatic restorative treatment art. This technique, which is called atraumatic restorative treatment art, is based on removing decalcified tooth tissue using only hand instruments and restoring the cavity with an adhesive filling material. We evaluated the acceptability and effectiveness of atraumatic restorative treatment to prevent and treat caries in an underserved community in mexico. Since its discovery it has becoming an important treatment modality for the oral health care workers. Atraumatic restorative treatment art references acff. Policy on interim therapeutic restorations itr aapd. It consists of restoring teeth with glass ionomer restorative material, hand instruments and materials available in limited resource areas.
The purpose of this lecture is to explain the art approach. A significant property of glass ionomers is hydrophilicity, and, as a result, glass ionomers are ideal for the precooperative or uncooperative child patient. The participants were twentyfour dentists from the brazilian public health system. Despite longterm efforts to use appropriate dental equipment for treating dental caries in economically less developed countries, the predominant treatment remains extraction. It consists of lowcost and simplified technique using only hand instruments for the removal of the carious lesion and to arrest the progression of the caries. Preventing advanced carious lesions with caries atraumatic. The reasons for this failure to save teeth are given in this paper. However, there are a number of subtle points that have to be kept in mind when using the art technique on open lesions in primary molars.
Pdf the atraumatic restorative treatment art technique. An alternative, the hall technique ht has shown better relative outcomes for occlusoproximal lesions, but has not. In fact this is a technique that is specifically designed to remove teeth using specialized tools while causing minimal damage or trauma to the surrounding. Art atraumatic restorative treatment in dentistry free download as powerpoint presentation. Also referred to as caries control technique cct, intermediate restorative technique, and therapeutic sealants. Atraumatic restorative treatment versus amalgam restoration longevity.
These glass ionomers are particularly useful for atraumatic restorative treatment technique art. Glass ionomers have been used routinely for the atraumatic restorative technique art or the intermediateinterim restorative technique irt. Aim introduction of silver modified atraumatic restorative technique as an alternative caries prevention tool advances the existing dental armamentarium. A new method for treating dental caries that involves neither water nor electricity was presented. Atraumatic restorative treatment is one of the forms of treatment wherein only hand instruments are used in preparing the cavity and filling the cavity. We then evaluated the children 1 and 2 years later.
Berthold, atraumatic restorative treatment for prevention and treatment of caries in an underserved community. Dental caries tooth decay has been considered the most common global disease. The technique was developed over 10 years ago and has been proven to be an effective treatment option. Effectively treating the caries disease starts with a careful hard. Atraumatic restorative treatment hand instruments only. Itr may be used to restore and prevent the progression of dental caries in young patients, uncooperative patients, patients with special health care needs, and situations in which traditional cavity preparation andor placement of traditional dental restorations are. This ecourse was given in a dvd format, which presented the art technique and philosophy. In this clinical setting, dental hygienists perform atraumatic restorative technique art by placing glass ionomer temporary fillings. Survival rate of atraumatic restorative treatment art.
This video is about atraumatic restorative treatment art. Atraumatic restorative treatment art and interim therapeutic restoration itr have had increased interest in the past few years. Art is used in cases when there are obstacles to reaching dental care units 1,2 and has been proven to have high success rates in primary. Lo ec, holmgren cj, hu d, van palenstein helderman w. A standard part of the atraumatic restorative technique art is the use of hand instruments to remove caries and prepare a cavity. In many parts of the world, schoolage children have high dental treatment needs. Special needs unit, adelaide dental hospital, adelaide, south australia.
The art and science of minimal intervention dentistry and. The most common failures, due to these factors, are partial material loss. The clinical procedure stepbystep is outlined on a simulation tooth. Atraumatic restorative treatment for prevention and. This might almost sound as if it is a contradiction as many people find the thought of tooth loss quite a traumatic experience, even though the actual process is kept completely painfree. Although this case study is indicative for this specific patient, the preliminary diagnostic information is essential to collect from all patients prior to. Highviscosity gics were developed for the atraumatic restorative technique art. The highviscosity consistency of glass ionomer cement gic contributes to its inappropriate adaptation, while the materials premature exposure to humidity decreases its mechanical properties. Prior to receiving the dvd, the dentists answered a. These chemically cured gics have significantly better mechanical properties than the other materials. Atraumatic restorative treatment and interim therapeutic. Selected teeth for atraumatic restorative treatment technique were prepared by removing decay with hand instruments. The atraumatic restorative treatment art is a technique that may be an alternative approach in treating special care patients or those who suffer fear or anxiety. Procedures for atraumatic restorative treatment prat 2.
Art atraumatic restorative treatment in dentistry tooth. Selfreport of pain in children treated according to the atraumatic restorative treatment and the conventional restorative treatmenta pilot study. We placed 370 restorations and 193 sealants in 118 children aged 5 to 18. Summary caries management strategies have advanced far beyond simply drilling and filling teeth, which does nothing to halt the underlying causative disease process. Atraumatic restorative treatment is a validated patient friendly caries management technique which conserves tooth structure, preserves pulp health, and controls caries lesions economically and expeditiously. Art atraumatic restorative treatment is an minimally invasive method of treating caries in selected teeth which is being used in developed and developing countries throughout the world. The atraumatic restorative treatment art approach for. The art and science of minimal intervention dentistry and atraumatic restorative treatment jo e. The atraumatic restorative treatment art technique. Note the darkened margin on the facial silver modified atraumatic restorative technique smart. They do not command set as with the resinmodified glass ionomers, but they are fast setting. This article focuses on the evidencebased clinical protocol and material selection for successful art restorations. Atraumatic restorative treatment uses manual excavation of dental caries, which eliminates the need for anaesthesia and use of expensive equipment, and restores the cavity with glass ionomer, an adhesive material that bonds to the tooth structure and.
Atraumatic restorative treatment art linkedin slideshare. Atraumatic restorative treatment legal definition of. However, most of the published reports of the clinical performance of newer, moreviscous esthetic conventional glass ionomer restorative cements marketed for the. Frencken je, pilot t, songpaisan y, phantumvanit p 1996 atraumatic restorative treatment art. After more than 20 years of clinical use, art remains underutilized in early childhood caries ecc, adolescent and adult caries management in the us. Highviscosity glass ionomer cements were developed in the early 1990s following the introduction of the atraumatic restorative treatment art technique a minimal instrumentation technique designed for less industrialised communities p. Conventional methods drill and fill involve the use of electric. Atraumatic restorative treatment art on decayed teeth. The success of tooth restorations rendered according to principles of the atraumatic restorative treatment art approach is dependant on various clinical factors.
Although no gic yet has the ideal physical properties of a. Sixyear follow up atraumatic restorative treatment restorations placed in chinese school children. Atraumatic restorative techniques could reduce discomfort. Atraumatic restorative treatment compared to the hall. Atraumatic restorative treatment art or prat in spanish is a simple method to treat dental caries in situations where traditional cavity preparations are not feasible. This is an approach to placing a filling without initial removal of decayed tooth structure. Atraumatic restorative treatment art, caries treatment, clinical studiestrials, glass ionomer cements, pediatric dentistry, primary teeth, the hall technique background the occurrence of cavitated caries lesions is still a problem in developed and developing countries 1, with an increasing prevalence, particularly in developing. It constitutes of hand instruments only no electric drills used for widening cavity openings and for excavating soft decayed. Art and itr are similar approaches and are performed using the same material, but they differ in the purpose of their use. So what is meant by an atraumatic tooth extraction. Atraumatic restorative treatment uses manual excavation of dental caries, which eliminates the need for anaesthesia and use of expensive equipment, and restores the cavity with glass ionomer, an adhesive material that bonds to the tooth structure and releases fluoride as it stimulates remineralisation.