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Evaluation of Class I ART restorations in Brazilian schoolchildren: three-year results
Authors:Linda Wang D.D.S.,M.S.,Ph.D.,,Lawrence Gonzaga Lopes D.D.S.,M.S.,Ph.D.,,Eduardo Bresciani D.D.S.,M.S.,,José   Roberto Pereira Lauris D.D.S.,M.S.,Ph.D.,,Rafael Francisco Lia Mondelli D.D.S.,M.S.,Ph.D., Maria Fidela de Lima Navarro D.D.S.,Ph.D.
Affiliation:Department of Operative Dentistry, Endodontics and Dental Materials, Bauru Dental School, University of São Paulo, Bauru, São Paulo, Brazil.;Department of Pediatric Dentistry, Orthodontic and Collective Health, Bauru Dental School, University of São Paulo, Bauru, São Paulo, Brazil.;Professor Dean, Bauru Dental School, University of São Paulo, Bauru, São Paulo, Brazil.
Abstract:Atraumetic Restorative Treatment (ART) has been adopted around the world to avoid unnecessary extractions, especially in non-industrialized countries The development of specific glass ionomer cements marketed for the ART technique has contributed to the technical success rate. In this study. Ketac-Molara (3M ESPE. Dental Medzn Germany) was used to restore 150 Class I cavities in 118 Brazilian public school children, aged from 7–12 years. At baseline and at subsequent recalls. CPI probes with a ball-end of 0.5 millimeters (mm) were used to assess loss of restorative material, and photographic color transparencies of restorations were made. After six months. 83 patients returned for follow-up examinations, with 71.8% of their restorations designated as acceptable. After three years. 49 patients with 57 ART-restorations were evaluated, with 21.0% of these restorations graded as acceptable Another 29.8% of their restorations had been replaced by more permanent materials. The main objective of the ART technique is tooth retention; this was achieved for 94.7% of the restored teeth in a high caries risk population who returned for recalls.
Keywords:atraumatic restorative treatment    dental caries    glass ionomer
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