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ATRAUMATIC RESTORATIVE TREATMENT(ART )

ATRAUMATIC RESTORATIVE TREATMENT(ART ). Dr.Rai Tariq Masood. ”The Atraumatic Restorative Treatment (ART) is a procedure based on excavating the dental caries, using only hand instruments and restoring the cavity with an adhesive restorative material, usually glass ionomer .”

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ATRAUMATIC RESTORATIVE TREATMENT(ART )

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  1. ATRAUMATIC RESTORATIVE TREATMENT(ART) Dr.Rai Tariq Masood

  2. ”The Atraumatic Restorative Treatment (ART) is a procedure based on excavating the dental caries, using only hand instruments and restoring the cavity with an adhesive restorative material, usually glass ionomer.” • ART includes both prevention as well as treatment. • The technique is simple enough to train non-dental personnel or primary health care workers.

  3. Principles of ART • Removing carious tooth lesions using hand instruments only. • Restoring the cavity with an adhesive restorative material (glass ionomer).

  4. Advantages of ART • It makes restorative treatment accessible for all population groups. • The biological approach, which requires minimal cavity preparation that does not involve sound tooth tissues and causes less trauma to the dental tissues. • The low cost of instruments compared to electrical dental equipment. • Less of pain thus limiting the need for local anesthesia to a minimum and reduces discomfort and psychological trauma to patients. • Sterilization of hand instrument is very easy.

  5. Evidence on the effectiveness of ART • Trials in Thailand, Zimbabwe and Pakistan in 1991,1993and 1995 respectively • 71%(Thailand )and 85%(Zimbabwe) of restorations remained there after 3 years.

  6. Evidence • A study done by Smales & Yip (2002) shows that ART is effective both in primary and permanent teeth. Results show that in primary teeth, after 1 year, success rates have been approximately 80% to 95% for Class I cavities. In permanent teeth, after 2 to 3 years, success rates have been approximately 90% for Class I cavities.

  7. Why Glass ionomer????? • Chemically bind to the teeth so less tooth preparation is required. • Harmless to dentine and pulp tissues • Releases fluoride

  8. Instruments for ART (Mouth mirror, Tweezers, Explorer and Spoon Excavators)

  9. A mixing pad, spatula, cotton pellets/rolls, plastic strips, wedges etc for the restoration.

  10. Position of the Operator

  11. Indications for ART • Cavities involving Enamel and dentine • Cavities accessible to hand instruments

  12. Contra-indications for ART • Abscess • Exposed pulp • Access to cavity with hand instrument is not easy

  13. Procedure of ART • Proper Position of Operator and patient • Assistant • Light Source • Isolation • Proper Hand Hygiene and Sterilization of Instruments • Excavation of Caries • Mixing • Restoring the Cavity • Application of Petroleum Jelly • Check High Spots

  14. THANK YOU

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