n Journal of Minimum Intervention in Dentistry - Factors influencing atraumatic restorative treatment (ART) Implementation in public oral health services in Gauteng, Limpopo and North-West provinces : grey literature

Volume 6, Issue 2
  • ISSN : 1998-801X


[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 Examples of grey literature include e.g: patents, reports, working documents or unpublished manuscripts]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 World Health Organisation (WHO) endorsed Atraumatic Restorative Treatment (ART) for the treatment of early carious lesions in 1994. This procedure is now used in at least 25 countries, including South Africa. ART approach has been showed to be beneficial in improving the oral health status of people particularly in disadvantaged communities. The first field trials of ART in South Africa were conducted in 1997. Since ART's introduction to South Africa, the Department of Community Dentistry of the University of the Witwatersrand has offered courses on regular basis to dental operators in public service, in private practice and undergraduate students. The purpose of the study was to establish, from an operator's perspective, factors supporting and inhibiting the implementation of ART in the Public Oral Health Services in the three provinces of Gauteng, Limpopo and North-West. A convenient sample of 52 dental operators was selected. A self-administered questionnaire was used to collect data on demographics, work practice and experience related to ART. The average age of operators was 39.6 years with a range of 24 - 57, with 20 dentists and 14 dental therapists. The results showed that the operators' positive attitude towards ART and management support for ART were major factors enabling the implementation of ART. However the high work load, an inadequate supply of ART material and a lack of patient knowledge of ART, were major factors inhibiting the implementation of ART. More time was spent by operators doing dental extractions compared to other treatment types including restorations and scaling and polishing. This study showed that there are more inhibitory than enabling factors for the implementation of ART in the Public Oral Health Services in the three provinces of Gauteng, Limpopo and North-West ART's inclusion in the restorative treatment options used in public oral health services should be encouraged.

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