scholarly journals Reduction of dental fear and anxiety: the outlook of atraumatic restorative treatment

2016 ◽  
Vol 3 (4) ◽  
pp. 730
Author(s):  
Patricia Aleixo dos Santos Domingos ◽  
Livia Maria Prado Fonseca ◽  
Ana Luisa Botta Martins de Oliveira

AIM: This study aimed to report a case in which the technique used was the atraumatic Restorative Treatment (ART) in patients with fear of conventional treatment. MATERIAL AND METHODS: This procedure consisted in the treatment of carious lesions in the patient associated with the program of educational and preventive measures which the patient has undergone. The technique described here was performed on tooth 85, which presented atypical carious lesion cavity, through the removal of softened carious tissue with the use of hand instruments, without anesthesia and use of direct restorative material with fluoride release (glass ionomer cement). RESULTS: As a result of this technique, there was greater patient cooperation and decrease of anxiety initially revealed. CONCLUSION: Thus, it might be concluded that the Atraumatic Restorative Treatment is a technique already established that showed clinical effectiveness in controlling the evolution of the carious process and that being well indicated, was able to induce more cooperation from the patient, leading to the success of therapy restorer. The conventional glass ionomer cement showed excessive surface wear and therefore should not be used to restore atypical cavities.

2017 ◽  
Vol 25 (5) ◽  
pp. 541-550 ◽  
Author(s):  
Cristiane Duque ◽  
Kelly Limi Aida ◽  
Jesse Augusto Pereira ◽  
Gláucia Schuindt Teixeira ◽  
Angela Scarparo Caldo-Teixeira ◽  
...  

2018 ◽  
Vol 17 ◽  
pp. 1-9
Author(s):  
Silvio José Mauro ◽  
Adriana Beatriz Silveira Pinto Fernandes ◽  
Fernando Yamamoto Chiba ◽  
Renato Herman Sundfeld ◽  
Suzely Adas Saliba Moimaz ◽  
...  

Aim: This study evaluated the interface between glass ionomer cement (GIC) and dentin using the conventional and atraumatic restorative treatment (ART) techniques for removal of decayed tissue. Materials and Methods: After preparation of the cavities by the conventional (Group I – GI) and ART (Group II – GII) techniques, the specimens were divided into 3 subgroups according to the GIC used (n=10). The conventional GIC KETAC FILL (3M/ESPE) was used in the groups GI-1 and GII-1, the conventional GIC VIDRION R (SS WHITE) in the groups GI-2 and GII-2, and the modified GIC FUJI II LC (GC Corporation) in the groups GI-3 and GII-3. For the microscopic analysis, the teeth were decalcified in a solution containing equal portions of 50% formic acid and 20% sodium citrate, dehydrated and submitted to paraffin baths. The samples were sectioned (6mm in thickness), stained by the Brown and Brenn method, and evaluated in a light microscope. Results: The microscopic analysis revealed interaction between the material and dentin structure only with the FUJI II LC. In addition, the behavior was superior for the conventional technique in comparison to the ART technique. Conclusion: It was concluded that the technique used for carious dentin removal does not seem to be determinant for the bonding of ionomeric materials to the dental structure, except for the resin-modified GIC in which the formed hybrid layer was higher using the conventional technique.


2004 ◽  
Vol 12 (4) ◽  
pp. 344-348 ◽  
Author(s):  
Eduardo Bresciani ◽  
Terezinha de Jesus Esteves Barata ◽  
Ticiane Cestari Fagundes ◽  
Akimi Adachi ◽  
Marina Martins Terrin ◽  
...  

The aim of this study was to compare, in different periods of time, the compressive and diametral tensile strength of a traditional high viscous glass ionomer cement: Fuji IX (GC Corporation), with two new Brazilian GIC's: Vitro-Molar (DFL) and Bioglass R (Biodinamica), all indicated for the Atraumatic Restorative Treatment (ART) technique. Fifteen disk specimens (6.0mm diameter x 3.0mm height) for the diametral tensile strength (DTS) test and fifteen cylindrical specimens (6.0mm diameter x 12.0mm height) for the compressive strength (CS) test were made of each GIC. Specimens were stored in deionized water at 37º C and 100% of humidity in a stove until testing. Five specimens of each GIC were submitted to CS and DTS test in each period, namely 1 hour, 24 hours and 7 days. The specimens were tested in a testing machine (Emic) at a crosshead speed of 1.0mm/min for CS and 0.5mm/min for the DTS test until failure occurred. The data were submitted to two-way ANOVA and Tukey tests (alpha=0.05). The mean CS values ranged from 42.03 to 155.47MPa and means DTS from 5.54 to 13.72 MPa, with test periods from 1h to 7 days. The CS and DTS tests showed no statistically significant difference between Fuji IX and Vitro Molar, except for CS test at 1-hour period. Bioglass R had lowest mean value for CS of the cements tested. In DTS test Bioglass R presented no statistically significant differences when compared with all others tested GICs at 1-hour period and Bioglass R presented no difference at 24-hour and 7-day periods when compared to Vitro-Molar. Further studies to investigate other physical properties such as fracture toughness and wear resistance, as well as chemical composition and biocompatibility, are now needed to better understand the properties of these new Brazilian GIC's.


2007 ◽  
Vol 18 (3) ◽  
pp. 248-252 ◽  
Author(s):  
Karina Sanches ◽  
Fabrício Kitazono de Carvalho ◽  
Paulo Nelson-Filho ◽  
Sada Assed ◽  
Francisco Wanderley Garcia de Paula e Silva ◽  
...  

This article reports the cases of two young children aged 4 and 5 years, in whom biological restorations using tooth fragments were placed in primary molars with severely damaged crowns due to extensive carious lesions. After radiographic and clinical evaluation, tooth fragments obtained from extracted teeth in stock were autoclaved, adjusted to the prepared cavity and bonded to the remaining tooth structure with either adhesive system (Case 1) or dual-cure resin-based cement (Case 2) over a calcium hydroxide layer and a glass ionomer cement base. Occlusal adjustment was performed and topical sodium fluoride was applied to tooth surface. Periodical clinical and radiographic controls were carried out and the restored teeth were followed up for 4 and 3 years, respectively, until exfoliation. In these two reports, the technical aspects are described and the benefits and disadvantages of biological restorations as an alternative treatment for rehabilitation of severely destroyed primary molars are discussed.


2020 ◽  
pp. 168-172

The occurrence of external cervical root resorption (ECRR) is rare. Herein, we report a case of extensive ECRR in the coronal third of the distal root of a mandibular right molar with food impaction and periapical radiolucency. The distal root was perforated and damaged due to delayed treatment. The resorptive defect was debrided, and the defect was restored with conventionally setting restorative glass-ionomer cement. Postoperative follow-up revealed complete healing.


2020 ◽  
Author(s):  
Hanthao Thi Phan ◽  
John M. Powers ◽  
Franklin Garcia-Godoy ◽  
Timothy Brown ◽  
Lilliam Marie Pinzon

Abstract Background: Early Childhood Caries is the most prevalent chronic disease among children in the United States. Three common approaches for treatment of dental caries in general population include: amalgam, composite, and glass ionomer. The purpose of this study was to measure the treatment cost differences for amalgam, composite, and atraumatic restorative treatment (ART) restorations of primary teeth and evaluate possible factors that could influence the cost of treatment. Methods: This cross-sectional study randomly selected data of 120 restorations from a clinical observational study of the restoration of primary teeth in children aged 5 – 10 years old. The 120 selected restorations in primary teeth, half with two surfaces and half with three surfaces, were performed by two operators at the Asian Health Center and Centro American Resources Center in California. Data were analyzed using multivariable linear regression. Results: Performing ART was found to take 7.8 minutes less than amalgam (p<0.01) and 19.0 minutes less than composite. ART was found to be 6.4% (p=0.01) less costly than amalgam and 62.4% (p<0.01) less costly than composite. Conclusions: ART was found to be the least costly treatment compared to amalgam and composite restoration procedures. ART also required the shortest time during the clinical procedure. Trial Registration: UCSF CHR Number: H55840-32823-02


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