scholarly journals Research proposal: evaluation of ART in adult patients

2006 ◽  
Vol 14 (spe) ◽  
pp. 25-29 ◽  
Author(s):  
Régia Luzia Zanata
Keyword(s):  
Low Income ◽  
Tooth Extraction ◽  
Clinical Performance ◽  
Low Cost ◽  
Adult Population ◽  
High Viscosity ◽  
Primary Objective ◽  
Atraumatic Restorative Treatment ◽  
Restorative Treatment ◽  
Effect Of Treatment

The primary objective of the Atraumatic RestorativeTreatment (ART) is to reduce the indication of tooth extraction by means of a low-cost technique. Considering the difficulties of Brazilian public services to meet the demand of care of the low-income population, with lack of care to the adult population, which usually receives only emergency care, the aim of this study is to assess the performance of high-viscosity glass ionomer cements accomplished by the modified atraumatic restorative treatment in one- and multiple-surface cavities, compared to the conventional restorative approach. It will be analyzed the clinical performance of the materials; cost (material and human resources); patient satisfaction with the treatment received; and preventive effect of treatment.

scholarly journals Atraumatic Restorative Treatment and Interim Therapeutic Restoration: A Review of the Literature

2019 ◽  
Vol 7 (1) ◽  
pp. 28 ◽  
Author(s):  
Afnan Saber ◽  
Azza El-Housseiny ◽  
Najlaa Alamoudi
Keyword(s):  
Dental Treatment ◽  
High Viscosity ◽  
Atraumatic Restorative Treatment ◽  
Glass Ionomer ◽  
Success Rates ◽  
Traditional Treatment ◽  
Restorative Treatment ◽  
Mechanical Approach ◽  
Better Than ◽  
The Ideal

This review discusses the techniques and uses of atraumatic restorative treatment (ART) and interim therapeutic restoration (ITR) and states the differences between these two approaches. ART and ITR are similar approaches and are performed using the same material, but they differ in the purpose of their use. ART is used in cases when there are obstacles to reaching dental care units and has been proven to have high success rates in primary and permanent dentitions. ITR is used as a temporary restoration that will be replaced with a more definitive one. ITR is used in cases when the ideal dental treatment cannot be performed. Conventional glass polyalkenoate (ionomer) restorative cement (GIC) is the material of choice that has been used for ART and ITR. This is because of its fluoride release properties, including its ability to bond to enamel and dentine, its pulpal biocompatibility, and its ease of manipulation. High-viscosity glass ionomer performed better than low and medium-viscosity glass ionomer in ART. Combining GIC with conditioner, as well as the use of a chemo-mechanical approach, improved the success rate of ART. Both ATR and ITR are acceptable strategies, with success rates comparable to the traditional treatment methods.

scholarly journals Atraumatic Restorative Treatment-Sealed versus Nonsealed First Permanent Molars: A 3-Year Split-Mouth Clinical Trial

2020 ◽  
Vol 55 (1) ◽  
pp. 12-20
Author(s):  
Daniela Hesse ◽  
Camila de Almeida Brandão Guglielmi ◽  
Daniela Prócida Raggio ◽  
Marcelo José Strazzeri Bönecker ◽  
Fausto Medeiros Mendes ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Low Income ◽  
Cox Regression ◽  
Caries Experience ◽  
Rank Test ◽  
Atraumatic Restorative Treatment ◽  
Restorative Treatment ◽  
Permanent Molars ◽  
Caries Lesions ◽  
First Permanent Molars

To investigate the efficacy of atraumatic restorative treatment (ART) sealants vs. no sealant in preventing the development of dentine caries lesions in first permanent molars over a period of 3 years. A total of 187 schoolchildren (aged 6–8 years) from a low-income population presenting the 4 first permanent molars without clinically detectable dentine caries lesions were selected to be part of a split-mouth clinical trial. All 4 first permanent molars were investigated in this trial and the children’s mouth was split vertically into left and right sides; therefore, 2 molars were randomly allocated to receive ART sealants, while the other 2 molars remained nonsealed. All children received toothbrushing instructions and dietary advice every 6 months for a period of 3 years. Clinical evaluations were performed after 3, 6, 12, 18, 24, and 36 months and both sealant retention and dental caries were scored. Kaplan-Meier survival analysis, log-rank test, and Cox regression with shared frailty analysis were performed. A cavitated dentine caries lesion was considered a failure. The cumulative survival rates of dentine cavity-free first permanent molars were 90% for ART-sealed molars and 90.8% for nonsealed molars, with no statistically significantly difference between sealed and nonsealed molars (<i>p</i> = 0.70). The retention of sealants was not associated with the development of cavitated dentine caries and children presenting a higher baseline caries experience had greater chances of developing dentine lesions. In conclusion, the application of ART sealants was not more efficacious than nonsealing in reducing the development of dentine cavitated lesions in first permanent molars.

Self–Report of Pain in Children Treated According to the Atraumatic Restorative Treatment and the Conventional Restorative Treatment – A Pilot Study

2009 ◽  
Vol 34 (2) ◽  
pp. 151-155 ◽  
Author(s):  
Danielle Matos de Menezes Abreu ◽  
Soraya Coelho Leal ◽  
Jo Frencken
Keyword(s):  
Rating Scale ◽  
Treatment Time ◽  
Glass Ionomer Cement ◽  
High Viscosity ◽  
Treatment Session ◽  
Self Report ◽  
Atraumatic Restorative Treatment ◽  
Restorative Treatment ◽  
Rotary Instruments ◽  
Children's Pain

Objective: To compare the level of pain among children treated according to the Atraumatic Restorative Treatment (ART) and the Conventional Restorative Treatment (CRT). Study design: Forty children of both genders, 4-to 7-years old, presenting Class I cavitated dentin lesions in primary molars were randomly allocated to 2 groups. One group (CRT) received conventional restorative treatment using rotary instruments,while in the other one (ART) hand instruments were used to perform the restorations. All children were treated by the same operator. A high-viscosity glass-ionomer cement (Fuji IX) was used to restore the teeth in both groups. Children's pain was measured at the end of the first restorative treatment session using the Wong-Baker FACES Pain Rating Scale (dependent variable). Age, gender, treatment time and treatment group were independent variables. ANOVA and ANCOVA tests were used to analyze the data. Results: The CRT procedure took longer than the ART procedure (p&lt;0.001). Children from the ART group reported less pain than those from the CRT group (p=0.0037). Four year olds reported more pain than 5-to 7-year olds(p&lt;0.0001) in both groups. Conclusions: Restorations placed using ART were less time consuming, children felt less pain when the ART approach was used, and younger children (4-years) reported more pain than the older ones for both restorative treatments.

scholarly journals Development and performance evaluation of a low-cost in-house rRT-PCR assay in Ecuador for the detection of SARS-CoV-2

2021 ◽  
Author(s):  
Marco Salinas ◽  
Diana Aguirre ◽  
David De la Torre ◽  
Jorge Pérez-Galarza ◽  
Ronny Pibaque ◽  
...  
Keyword(s):  
Internal Control ◽  
Low Income ◽  
Clinical Performance ◽  
Low Cost ◽  
Viral Envelope ◽  
Low Income Countries ◽  
Pcr Assay ◽  
Gene Target ◽  
P Gene ◽  
And Performance

Antecedents: Ecuador has had the greatest fatality rate from Coronavirus (COVID-19) in South America during the SARS-CoV-2 pandemic. To control the pandemic, it is necessary to test as much population as possible to prevent the spread of the SARS-CoV-2 infection. For the Ecuadorian population, accessing a PCR test is challenging, since commercial screening kits tend to be expensive. Objective: the objective of this study was to develop an in-house duplex rRT-PCR protocol for the detection of SARS-CoV-2 that contributes to the screening while keeping quality and low testing costs. Results: An in-house duplex rRT-PCR protocol based on the viral envelope (E) gene target of SARS-CoV-2 and a human ribonuclease P gene (RP) as an internal control is reported. The protocol was optimized to obtain primers E with an efficiency of up to 94.45% and detection of 100% of SARS-CoV-2 up to 15 copies per uL. The clinical performance was determined by a sensibility of 93.8% and specificity of 98.3%. Conclusion: we developed, standardized, and validated a low-cost, sensitive in-house duplex rRT-PCR assay that may be utilized in low-income countries.

scholarly journals Current status of atraumatic restorative treatment in restorative dentistry

2021 ◽  
Vol 1 ◽  
pp. 9-16
Author(s):  
Sumit Sharma ◽  
Ramya Raghu ◽  
Ashish Shetty
Keyword(s):  
Low Cost ◽  
Glass Ionomer Cement ◽  
Retention Rates ◽  
Current Status ◽  
Routine Practice ◽  
Atraumatic Restorative Treatment ◽  
Restorative Treatment ◽  
Aerosol Generation ◽  
Carious Lesions ◽  
Dental Profession

This review highlights the importance of atraumatic restorative treatment (ART) as a minimal intervention procedure for managing dental caries (pit and fissures caries) and restoring cavitated dentin carious lesions using restorative materials such as glass-ionomer cement. ART technique uses only hand instruments and requires no electricity. Its low cost and simplified protocol makes it more convenient and suitable for use in remote areas as well as underdeveloped nations with insufficient resources to provide the adequate restorative care. This technique can be used in all population groups including children, older people, and disabled. In the present scenario of the COVID-19 pandemic, the dental profession is facing a challenging task in managing restorative needs of the patients all over the world. ART technique is a safe and effective approach to manage the progression of carious lesions. As this technique involves no aerosol generation during the procedure, it should be well adopted in our routine practice by taking necessary precautions. The survival and retention rates of ART also appear to be fairly acceptable based on various studies.

scholarly journals Dawn of a New Age Fissure Sealant? A Study Evaluating the Clinical Performance of Embrace WetBond and ART Sealants: Results from a Randomized Controlled Clinical Trial

2019 ◽  
Vol 13 (04) ◽  
pp. 503-509
Author(s):  
Praveen Bhoopathi Haricharan ◽  
Naveen Barad ◽  
Chetan R. Patil ◽  
Sreenivas Voruganti ◽  
Durga Prasad Mudrakola ◽  
...  
Keyword(s):  
School Children ◽  
Clinical Performance ◽  
Controlled Clinical Trial ◽  
Atraumatic Restorative Treatment ◽  
Fissure Sealant ◽  
Restorative Treatment ◽  
Kappa Test ◽  
Chi Squared ◽  
Indian State ◽  
Resin Sealant

Abstract Objectives The main purpose of this article is to evaluate the clinical performance of atraumatic restorative treatment (ART) sealant versus Embrace WetBond sealant in terms of retention and fissure caries prevention among a section of school children in the southern Indian state of Karnataka (ClinicalTrials.gov NCT02716558). Materials and Methods After obtaining consent from the parents and screening the children against the inclusion cum exclusion criteria, 90 school children whose mandibular first molars were caries free and with a well-defined pit and fissure system were recruited for this spilt mouth trial. The respective molars were allocated either to the ART sealant or the embrace group after the randomization process. The sealants were applied according to the manufacturer’s instructions and followed up at the end of 3rd, 6th, and 12th month, respectively. The outcome measures assessed were the retention and the caries preventive effects of the materials. Results At the end of the 6th month, about one-fourth of the sealants in either group remained totally intact, without evidence of caries. No significant differences were seen between the sealants either in terms of retention or caries preventive benefits at the end of 12 months. Statistical Analysis The chi-squared test was used to check differences in proportions. The significance value was set at <0.05. Kappa test was performed to assess the intraexaminer reproducibility with respect to retention and caries status. Conclusion The moisture-tolerant resin sealant could not replicate the physical properties usually associated with conventional resin sealants. The usage of ART sealants was deemed to be less cumbersome in an outreach setting as observed in this trial.

scholarly journals Remote monitoring of marginalised populations affected by COVID-19: a retrospective review

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e042647
Author(s):  
Stephanie Q Ko ◽  
Benjamin M Y Hooi ◽  
Chieh-Yang Koo ◽  
Daniel W P Chor ◽  
Zheng Jye Ling ◽  
...  
Keyword(s):  
Low Income ◽  
Retrospective Review ◽  
Emergency Services ◽  
Migrant Worker ◽  
Low Cost ◽  
Vital Signs ◽  
Primary Outcome Measure ◽  
Primary Objective ◽  
Self Report ◽  
Secondary Outcome

ObjectivesThe COVID-19 outbreak in Singapore has largely centred around migrant worker dormitories, comprising over 90% of all cases in the country. Dormitories are home to a culturally and linguistically distinct, low-income population, without on-site healthcare after-hours. The primary objective of this study was to assess the engagement and utilisation of a simple, low-cost, accessible, mobile health solution for remote self-reporting of vital parameters in dormitory residents with COVID-19.DesignRetrospective review of medical care.SettingTwo large migrant worker dormitories with a combined population of 31 546.ParticipantsAll COVID-19-affected residents housed in dormitories during the study period.InterventionAll residents were taught to use a chat assistant to self-report their temperature, heart rate and oxygen saturations. Results flowed into a dashboard, which alerted clinicians of abnormal results.OutcomesThe primary outcome measure was engagement rate. This was derived from the total number of residents who registered on the platform over the total number of COVID-19-affected residents in the dormitories during the study period. Secondary outcome measures included outcomes of the alerts and subsequent escalations of care.Results800 of the 931 COVID-19-affected residents (85.9%) engaged with the platform to log a total of 12 511 discrete episodes of vital signs. Among 372 abnormal readings, 96 teleconsultations were initiated, of which 7 (1.8%) were escalated to emergency services and 18 (4.9%) were triaged to earlier physical medical review on-site.ConclusionsA chat-assistant-based self-reporting platform is an effective and safe community-based intervention to monitor marginalised populations with distinct cultural and linguistic backgrounds, living communally and affected by COVID-19. Lessons learnt from this approach may be applied to develop safe and cost-effective telemedicine solutions across similar settings.

scholarly journals Atraumatic Restorative Treatment: A Short Review

2016 ◽  
Vol 3 (1) ◽  
pp. 41-42
Author(s):  
M Vijaya Raju ◽  
Vinay Darshan ◽  
A. P. Nirmal Raj ◽  
Sanajay Kumar ◽  
S. Revathi
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Rural Areas ◽  
Low Cost ◽  
Short Review ◽  
Atraumatic Restorative Treatment ◽  
Treatment Needs ◽  
Restorative Treatment ◽  
Care Workers ◽  
The Status

In certain patients for whom there is increased demand for the treatment needs such as rural areas, an attempt has been made to improve the status of the oral health by use of the procedures which arrest the destructive dental caries process and alter microorganisms to favorable condition. This is called as atraumatic restorative treatment. It consists of low-cost and simplified technique using only hand instruments for the removal of the carious lesion and to arrest the progression of the caries. Since its discovery it has becoming an important treatment modality for the oral health care workers in managing dental caries. The present article reviews the importance of the atraumatic restorative treatment.  

scholarly journals Comparative Effectiveness of Two Nonsurgical Treatments to Reduce Oral Health Disparities From Untreated Tooth Decay in Older Adults: Protocol for a Cluster Randomized Trial (Preprint)

2020 ◽  
Author(s):  
Suchitra Nelson ◽  
Jeffrey M Albert ◽  
Peter Milgrom
Keyword(s):  
Older Adults ◽  
Dental Caries ◽  
Low Income ◽  
Cluster Randomized Trial ◽  
Fluoride Varnish ◽  
Atraumatic Restorative Treatment ◽  
Silver Diamine Fluoride ◽  
Restorative Treatment ◽  
Cluster Randomized ◽  
Caries Lesions

BACKGROUND The majority of dental caries lesions in older adults are at the gumline, at the edges of failed fillings and crowns, and in the surfaces of roots after gum recession. These lesions are difficult to restore with conventional surgical treatments using a dental drill and restorations often fail. Clinical guidelines are general and apply treatments that were designed for younger individuals in the dental care of older adults. OBJECTIVE This study will compare the effectiveness of 2 evidence-based nonsurgical strategies to manage dental caries lesions in adults aged 62 or older: (1) biannual topical application of silver diamine fluoride versus (2) atraumatic restorative treatment + biannual fluoride varnish. METHODS A cluster randomized clinical trial is being conducted in 22 publicly subsidized and other low-income housing facilities/sites (Arm 1: 11 sites, 275 participants; Arm 2: 11 sites, 275 participants). At baseline, participants will be screened for caries lesions. Those with nonurgent lesions will be treated according to the treatment arm to which the housing site was randomly assigned. The primary outcomes are caries lesion arrest, tooth sensitivity, and tooth pain at 52 weeks after treatment. Analytic methods for the primary aim include a generalized estimating equation approach to determine noninferiority of silver diamine fluoride relative to atraumatic restorative treatment + fluoride varnish treatment. RESULTS The trial was funded in April 2019. Enrollment began in September 2019 and results are expected in June 2023. CONCLUSIONS This study will inform the standard of care for treating caries lesions in older adults. If effective, either of these interventions has broad applicability in clinical and community-based settings. CLINICALTRIAL ClinicalTrials.gov NCT03916926; https://clinicaltrials.gov/ct2/show/NCT03916926 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/17840

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