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n Journal of Minimum Intervention in Dentistry - Education and Training Programme of the Atraumatic Restorative Treatment (ART) Approach - Annual Report 1999 : grey literature
[This document has been captured as part of the JMID-section for Grey- literature. Grey (or gray) literature refers to informally published written material that may be difficult to trace via conventional databases and/or journals as it is not formally published or is not widely accessible. However, Grey literature may still be an important source of information. Examples of grey literature include e.g.: patents, reports, working documents or unpublished manuscripts]
The Atraumatic Restorative Treatment (A.R.T.)? approach comprises the removal of carious tooth tissue using only hand instruments. The cleaned and conditioned cavity is permanently restored with a fluoride releasing restorative material, which adheres to enamel and dentine.The success rate of ART restoration after 1, 2 and 3 years are presently at 96%, 92% and 85% respectively (Frencken et al., 1998). Ongoing development of new enhanced filling materials has shown a 3-year survival rate of ART restorations as very comparable to traditional Amalgam 91,0% (Smales et al., 1991).
However, unlike amalgam, the application of ART restorations can be applied effectively without the use of electricity and sophisticated dental equipment. In the application of ART, dental operators remove only de-mineralised tooth tissue with hand instruments. The treatment is relatively painless and reduces the need for local anaesthesia. The progress of caries is arrested and dentine is re-mineralised due to the fluoride releasing and adhesive properties of the restorative material. In addition ART has the advantage of low cost equipment and minimal maintenance and offers a more simplified and appropriate intervention in dental outreach programmes. Infection control is easier and safer. In 1999 our Division as implemented the ART approach through its ART EDUCATION AND TRAINING PROGRAMME, also including clinical outreach services to disadvantaged communities and academic research.
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