n Journal of Minimum Intervention in Dentistry - Implementation of the Atraumatic Restorative Treatment (ART) approach in the Sedibeng district oral health service : 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 Examples of grey literature include e.g: patents, reports, working documents or unpublished manuscripts]

To determine the impact of operator knowledge and skills in the Atraumatic Restorative Treatment (ART) approach on the number of rendered tooth extractions and restorations in the Sedibeng district oral health service.

All dentists (3) and dental therapists (4) employed on fulltime basis in Sedibeng were trained in ART. The training followed standards recommended by the World Health Organisation. One year after training, the treatment ratio number of total restorations to number of tooth extractions was calculated per operator and compared with the one-year ratio before ART training.
One dentist had left the service after one year. The treatment ratios of the remaining operators were 0.03, 0.02, 0.01, 0.01, 0.01 and 0.02 for the primary dentition, as well as 0.03, 0.01, 0.01, 0.01, 0.01 and 0.02 for the permanent dentition before training. One year after ART training, the treatment ratios had increased by most operators to 0.08, 0.06, 0.03, 0.01, 0.04 and 0.01, respectively for the primary dentition and 0.04, 0.03, 0.02, 0.08, 0.02 and 0.01 for the permanent dentition. The differences were statistically significant (p<0.05) for 3 operators in the primary and 4 operators in the permanent dentition. The changes were ascribed to operators' increased choice of restorative treatment on basis of an increase in patients' acceptance of restorative treatment due to the more patient-friendly nature of ART.
The results suggest that operator ART skills and knowledge promote restorative care in Sedibeng.

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