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?

Nonrestorative treatment basically consists of preventing, controlling and reversing the carious lesion and atraumatic restorative treatment (ART)

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