Author: Dorri M, Sheiham A, Marinho VC.
Source: The Cochrane Library
Year: 2009
Comment:
The researchers note, "The ART approach seems to be an economic and effective method for improving the oral health not only of people in developing but also of those in industrialised countries (Frencken and Holmgren 2004). It may be considered as a safe and conservative alternative for conventional restorative dental treatment, particularly for Class I (occlusal) dental cavities. Because of the advantages claimed for ART, it is important to systematically review the evidence available."
Abstract / Excerpt:
“ART is a minimal intervention approach (Tyas 2000) and is recommended by the World Health Organization. The ’true’ ART technique involves removing soft, demineralized tooth tissue using only hand instruments followed by restoration with an adhesive dental restorative material. ART has been used in many countries. The advantages of this treatment compared with conventional restorative techniques using dental handpiece and burs include: provision of restorative dental treatment outside the dental surgery setting, a biologically friendly approach, minimal cavity preparations and low costs (Frencken 1999; Mjör 1999; Yip 2001; Yip 2002), reduced risk for subsequent endodontics and tooth extraction (Anusavice 1999) and lower dental anxiety in children and adults (more patient-friendly) (Mickenautsch 2007; Schriks 2003). These advantages are particularly important in developing countries, where electricity supplies are intermittent and people have difficulties accessing dental care. In addition, elderly, medically-compromised (e.g.HIV infected) and dental phobic patients who have problems accessing dental care would benefit from the ART approach (Cole 2000; Honkala 2002; Steele 2007).”
Citation:
Dorri M, Sheiham A, Marinho VC. Atraumatic restorative treatment versus conventional restorative treatment for the management of dental caries. The Cochrane Library. 2009.