scholarly journals Atraumatic Restorative Treatment and Interim Therapeutic Restoration: A Review of the Literature

2019 ◽  
Vol 7 (1) ◽  
pp. 28 ◽  
Author(s):  
Afnan Saber ◽  
Azza El-Housseiny ◽  
Najlaa Alamoudi
Keyword(s):  
Dental Treatment ◽  
High Viscosity ◽  
Atraumatic Restorative Treatment ◽  
Glass Ionomer ◽  
Success Rates ◽  
Traditional Treatment ◽  
Restorative Treatment ◽  
Mechanical Approach ◽  
Better Than ◽  
The Ideal

This review discusses the techniques and uses of atraumatic restorative treatment (ART) and interim therapeutic restoration (ITR) and states the differences between these two approaches. ART and ITR are similar approaches and are performed using the same material, but they differ in the purpose of their use. ART is used in cases when there are obstacles to reaching dental care units and has been proven to have high success rates in primary and permanent dentitions. 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. 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. High-viscosity glass ionomer performed better than low and medium-viscosity glass ionomer in ART. Combining GIC with conditioner, as well as the use of a chemo-mechanical approach, improved the success rate of ART. Both ATR and ITR are acceptable strategies, with success rates comparable to the traditional treatment methods.

Microshear Bond Strength of High-viscosity Glass-ionomer to Normal and Caries-affected Dentin Under Simulated Intrapulpal Pressure

2018 ◽  
Vol 43 (6) ◽  
pp. 665-673 ◽  
Author(s):  
HA El-Deeb ◽  
EH Mobarak
Keyword(s):  
Bond Strength ◽  
Repeated Measures ◽  
Failure Modes ◽  
Testing Machine ◽  
High Viscosity ◽  
Atraumatic Restorative Treatment ◽  
Glass Ionomer ◽  
Restorative Treatment ◽  
Dye Permeability ◽  
Microshear Bond Strength

SUMMARY Objectives: The use of high-viscosity glass-ionomer cements (HVGICs) for atraumatic restorative treatment (ART) restorations is widely practiced with the advent of various HVGICs. However, the bonding of the latter to caries-affected dentin (CAD) should be validated, especially because it is the common substrate left after conservative caries removal following the ART approach. Hence, this study was carried out to evaluate the microshear bond strength (μSBS) of three HVGICs to normal dentin (ND) and CAD under intrapulpal pressure (IPP) simulation. Methods and Materials: The occlusal enamel of 90 molars with mid-coronal caries was cut to expose flat dentin surfaces containing both ND and CAD. Dentin substrates (ND and CAD) were differentiated using visual, tactile, caries-detecting dye, and dye-permeability methods. Prepared crown segments were equally divided (n=30) according to the tested HVGICs into GC Fuji IX GP Fast, Fuji IX GP containing chlorhexidine, and zinc-reinforced ChemFil Rock HVGIC. Microcylinders of tested HVGICs were built up on both dentin substrates (n=30 for each tested HVGIC per each substrate) using starch tubes while the specimens were subjected to simulated IPP of 15 mm Hg. The μSBS test was conducted using a universal testing machine, and failure modes were determined using a scanning electron microscope. Data were statistically analyzed using two-way analysis of variance (ANOVA) with repeated measures, one-way ANOVA, and Bonferroni post hoc tests (α=0.05). Results: For both dentin substrates (ND and CAD), the μSBS values of ChemFil Rock were significantly higher than those recorded for the other HVGICs. The μSBS values of each tested HVGIC to ND and CAD were not statistically different. Failure modes were mainly mixed. Conclusions: Zinc-reinforced HVGIC ChemFil Rock showed superior bonding to ND and CAD compared to the GC Fuji IX GP Fast and Fuji IX with chlorhexidine. However, each of the tested HVGICs showed comparable bonding to both dentin substrates (ND and CAD).

scholarly journals Clinical evaluation of multisurface ART restorations

2005 ◽  
Vol 13 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Daniela Francisca Gigo Cefaly ◽  
Terezinha de Jesus Esteves Barata ◽  
Celiane Mary Carneiro Tapety ◽  
Eduardo Bresciani ◽  
Maria Fidela de Lima Navarro
Keyword(s):  
Success Rate ◽  
Permanent Teeth ◽  
Atraumatic Restorative Treatment ◽  
Treatment Technique ◽  
Glass Ionomer Cements ◽  
Glass Ionomer ◽  
Success Rates ◽  
Restorative Treatment ◽  
Significant Difference ◽  
Tooth Surfaces

The aim of this study was to evaluate the performance of two different glass-ionomer cements: a high-density (Ketac Molar - ESPE) and a resin-modified cement (Fuji VIII - GC) using the Atraumatic Restorative Treatment technique to restore multisurface cavities in permanent teeth. A total of 60 ART restorations (30 with each material) were placed in schoolchildren (9-16 years of age) by two operators. After a period of 6 months, two independent examiners evaluated 59 restorations according to the criteria used in previous ART studies. Data were submitted to McNemar and Fischer tests. The success rate of the treatment was 98.3%. One restoration (Ketac Molar) was replaced by another material and was recorded as failure. The success rates of the restorations were 100% and 96.6% for Fuji VIII and Ketac Molar, respectively. There was no statistically significant difference in the restorations success between baseline and 6 months (p>0.05). In the same way, no significant differences were found between materials, cavity types or operators (p>0.05). The ART approach was highly appropriate and effective in restorations involving two or more tooth surfaces, after 6 months. The results showed a promising performance of the ART technique with both materials.

Survival of ART and Amalgam Restorations in Permanent Teeth of Children after 6.3 Years

2006 ◽  
Vol 85 (7) ◽  
pp. 622-626 ◽  
Author(s):  
J.E. Frencken ◽  
D. Taifour ◽  
M.A. van ’t Hof
Keyword(s):  
Traditional Approach ◽  
High Viscosity ◽  
Permanent Teeth ◽  
Atraumatic Restorative Treatment ◽  
Glass Ionomer ◽  
Cumulative Survival ◽  
Restorative Treatment ◽  
Parallel Group Design ◽  
Parallel Group ◽  
Amalgam Restorations

The null hypothesis tested was that there is no difference in the survival percentages of all restorations placed through the Atraumatic Restorative Treatment (ART) approach, with high-viscosity glass ionomer, and those produced through the traditional approach, with amalgam (TA), in the permanent dentitions of children after 6.3 years. Using a parallel group design, we randomly assigned a total of 370 children, aged 6 to 9 years, to the ART group and 311 children, also aged 6 to 9 years, to the TA group. Eight dentists placed a total of 1117 single- and multiple-surface restorations. The cumulative survival percentages for ART glass-ionomer restorations were statistically significantly higher than those of amalgam restorations at all time intervals except the first (p ≤ 0.044). After 6.3 years, the cumulative survival percentages of ART and amalgam restorations were 66.1% (SE = 3.1%) and 57.0% (SE = 3.3%), respectively. We concluded that the restorations produced with the ART approach, with high-viscosity glass ionomer, survived longer than those produced with the traditional approach, with amalgam, in the permanent teeth of young children.

scholarly journals In vitro and in vivo evaluations of glass-ionomer cement containing chlorhexidine for Atraumatic Restorative Treatment

2017 ◽  
Vol 25 (5) ◽  
pp. 541-550 ◽  
Author(s):  
Cristiane Duque ◽  
Kelly Limi Aida ◽  
Jesse Augusto Pereira ◽  
Gláucia Schuindt Teixeira ◽  
Angela Scarparo Caldo-Teixeira ◽  
...  
Keyword(s):  
Glass Ionomer Cement ◽  
Atraumatic Restorative Treatment ◽  
Glass Ionomer ◽  
Restorative Treatment ◽  
Ionomer Cement

scholarly journals Compressive and diametral tensile strength of glass ionomer cements

2004 ◽  
Vol 12 (4) ◽  
pp. 344-348 ◽  
Author(s):  
Eduardo Bresciani ◽  
Terezinha de Jesus Esteves Barata ◽  
Ticiane Cestari Fagundes ◽  
Akimi Adachi ◽  
Marina Martins Terrin ◽  
...  
Keyword(s):  
Tensile Strength ◽  
Testing Machine ◽  
Glass Ionomer Cement ◽  
Mean Value ◽  
Atraumatic Restorative Treatment ◽  
Glass Ionomer ◽  
Restorative Treatment ◽  
Significant Difference ◽  
The Mean ◽  
Diametral Tensile Strength

The aim of this study was to compare, in different periods of time, the compressive and diametral tensile strength of a traditional high viscous glass ionomer cement: Fuji IX (GC Corporation), with two new Brazilian GIC's: Vitro-Molar (DFL) and Bioglass R (Biodinamica), all indicated for the Atraumatic Restorative Treatment (ART) technique. Fifteen disk specimens (6.0mm diameter x 3.0mm height) for the diametral tensile strength (DTS) test and fifteen cylindrical specimens (6.0mm diameter x 12.0mm height) for the compressive strength (CS) test were made of each GIC. Specimens were stored in deionized water at 37º C and 100% of humidity in a stove until testing. Five specimens of each GIC were submitted to CS and DTS test in each period, namely 1 hour, 24 hours and 7 days. The specimens were tested in a testing machine (Emic) at a crosshead speed of 1.0mm/min for CS and 0.5mm/min for the DTS test until failure occurred. The data were submitted to two-way ANOVA and Tukey tests (alpha=0.05). The mean CS values ranged from 42.03 to 155.47MPa and means DTS from 5.54 to 13.72 MPa, with test periods from 1h to 7 days. The CS and DTS tests showed no statistically significant difference between Fuji IX and Vitro Molar, except for CS test at 1-hour period. Bioglass R had lowest mean value for CS of the cements tested. In DTS test Bioglass R presented no statistically significant differences when compared with all others tested GICs at 1-hour period and Bioglass R presented no difference at 24-hour and 7-day periods when compared to Vitro-Molar. Further studies to investigate other physical properties such as fracture toughness and wear resistance, as well as chemical composition and biocompatibility, are now needed to better understand the properties of these new Brazilian GIC's.

scholarly journals Special Care Dentistry in a Patient with Prader–Willi Syndrome through the Use of Atraumatic Restorative Treatment under General Anesthesia

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Caio Vinícius Gonçalves Roman-Torres ◽  
Sérgio Takashi Kussaba ◽  
Yasmin Comoti Vita Bantim ◽  
Roberta de Barros Antunes Almeida de Oliveira
Keyword(s):  
General Anesthesia ◽  
Dental Treatment ◽  
Atraumatic Restorative Treatment ◽  
Prader Willi Syndrome ◽  
Genetic Origin ◽  
Restorative Treatment ◽  
Single Section ◽  
History Of ◽  
Grade Ii

Prader–Willi syndrome described in 1956 has a genetic origin, affecting both genders, varying in presence and intensity from individual to individual. A precocious diagnosis, before the manifestation of symptoms, has brought some improvement in the quality of life of the carriers in the last years. The objective of this case report was to describe the treatment realized in a 3-year-old boy who presented grade II obesity, difficulty of locomotion, hypotonia, and history of cardiopathy. A dental treatment under general anesthesia was defined, allowing an oral adequation in a single section, in which it was planned the extraction of the element 74 and atraumatic restorative treatment (ART) technique in the other teeth. The precocious intervention in this 3-year-old patient by the therapy realized with ART under general anesthesia was done with success, avoiding unnecessary extractions, preserving dental elements, and maintaining the oral cavity in adequate function.

Anxiety in Children during Occlusal ART Restorations in Primary Molars Placed in School Environment and Hospital Dental Setup

2012 ◽  
Vol 36 (4) ◽  
pp. 349-352 ◽  
Author(s):  
NM Roshan ◽  
B Sakeenabi
Keyword(s):  
Heart Rate ◽  
School Environment ◽  
Dental Treatment ◽  
Controlled Trial ◽  
Primary Molars ◽  
Atraumatic Restorative Treatment ◽  
Significant Relation ◽  
Restorative Treatment ◽  
Randomized Controlled ◽  
Significant Difference

Objective: To evaluate the anxiety in children during occlusal atraumatic restorative treatment (ART) in the primary molars of children; and compare the anxiety for ART procedure performed in school environment and in hospital dental setup. Study design: A randomized controlled trial where One dentist placed 120 ART restorations in 60 five- to seven year-olds who had bilateral matched pairs of occlusal carious primary molars. A split-mouth design was used to place restorations in school and in hospital dental setup, which were assigned randomly to contralateral sides. Anxiety was evaluated by Modified Venhem score and the heart rate of the children at five fixed moments during dental treatment. Results: At the entrance of the children into the treatment room, statistically significant difference between treatment in school environment and treatment in hospital dental setup for venham score and heart rate could be found (P=0.023 and P=0.037 respectively). At the start of the treatment procedure higher venham score and heart rate was observed in children treated in hospital dental setup in comparison with the children treated in school environment , finding was statistically significant (P=0.011 and P=0.029 respectively). During all other three points of treatment, the Venham scores of the children treated in school were lower than those of the children treated in hospital dental setup but statistically not significant (P>0.05). Positive co-relation between Venham scores and Heart rate was established. No statistically significant relation could be established between boys and girls. Conclusions: Overall anxiety in children for ART treatment was found to be less and the procedure was well accepted irrespective of environment where treatment was performed. Hospital dental setup by itself made children anxious during entrance and starting of the treatment when compared to children treated in school environment.

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