Atraumatic Restorative Treatment (ART) –
- Minimally Invasive:
These approaches aim to treat dental caries with minimal removal of healthy tooth structure, focusing on preserving the tooth’s natural integrity.
- Hand Instruments:
ART, a prominent example, uses hand instruments to remove decayed tissue, rather than relying on drills and other rotary instruments.
- Adhesive Materials:
Restorations are placed with adhesive materials that bond to the tooth, like glass-ionomer cements.
- Accessibility:ART was initially developed for underserved areas where access to traditional dental care is limited, but it can be used in various settings.
Did You Know?
- Atraumatic Restorative Treatment (ART): A technique that uses hand instruments to remove caries and restores the cavity with an adhesive material.
- Non-restorative cavity treatment: Focuses on making caries lesions self-cleansable, rather than removing them.
Minimally Invasive Dentistry
The phrase “minimal removal of healthy tooth structure” is key to understanding modern approaches to dental caries treatment. This philosophy is a significant shift from the traditional “drill and fill” method, which often involved removing more tooth structure than necessary. Here’s a breakdown of what this means and some related approaches:
Minimally Invasive Dentistry
RT was significantly less expensive (€16.86) than CT (€28.71).
Survival rates were 91.1% for ART and 97.7% for CT.
Cost-effectiveness ratios favored ART (0.18) over CT (0.29).
Using a hygienist for ART further improved the cost-effectiveness ratio (0.14).
Conclusion: ART is a more cost-effective alternative to CT for treating older adults, especially in out-of-surgery settings and when performed by hygienists.
Did You Know?
Non–restorative treatment basically consists of preventing, controlling and reversing the carious lesion and atraumatic restorative treatment (ART)