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Atraumatic perspectives of ART: psychological and physiological aspects of treatment with and without rotary instruments
Abstract
Abstract – Atraumatic Restorative Treatment, ART, is a method of minimal caries intervention that uses only hand instruments. The aim of the present study was to explore a possible difference between the extent of discomfort experienced during dental treatment according to the ART approach and a method using rotary instruments. The study was performed in Indonesia. A total of 403 children were randomly divided in two groups. In each child, one class II restoration in a deciduous molar was made. One group received treatment using rotary instruments (750 r.p.m.). The other group was treated according to the ART approach. Glass ionomer cement was used for restoration in both groups. Discomfort scores were determined using both physiological measurements (heart rate) and behavioral observations (Venham) on specific moments during the treatment. Venham scores showed a marked difference between the two groups at most time points. Heart rate measurements were different at deep excavation. Also, a clear relation between Venham scores and heart rate measurements could be found at all time points. Confounding could be shown for operating dentist, gender of the patient and initial anxiety, not for age. No effect modification could be shown. It can be concluded that children treated according to the ART approach using hand instruments alone experience less discomfort than those treated using rotary instruments.
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Citations
Cited by
Early childhood caries update: A review of causes, diagnoses, and treatments
Dülgergil, Ç., Dalli, M., Hamidi, M., & Çolak, H. (2013) · Journal of Natural Science, Biology and Medicine · doi:10.4103/0976-9668.107257 · Cited by 734
Managing Carious Lesions: Consensus Recommendations on Carious Tissue Removal
Schwendicke, F., Frencken, J. E., Bjørndal, L., Maltz, M., Manton, D. J., Ricketts, D., Van Landuyt, K., Banerjee, A., Campus, G., Doméjean, S., et al. (2016) · Advances in Dental Research · doi:10.1177/0022034516639271 · Cited by 731
Innes, N. P., Evans, D. J., & Stirrups, D. R. (2007) · BMC Oral Health · doi:10.1186/1472-6831-7-18 · Cited by 292
Twenty-five-year atraumatic restorative treatment (ART) approach: a comprehensive overview
Frencken, J. E., Leal, S. C., & Navarro, M. F. (2012) · Clinical Oral Investigations · doi:10.1007/s00784-012-0783-4 · Cited by 237
The Atraumatic Restorative Treatment (ART) approach for managing dental caries: a meta-analysis
van’t Hof, M. A., Frencken, J. E., Helderman, W. H. V. P., & Holmgren, C. J. (2006) · International Dental Journal · doi:10.1111/j.1875-595x.2006.tb00339.x · Cited by 207
Metadata
- Authors
- Schriks, M. C. M., & Van Amerongen, W. E.
- Venue
- Community Dentistry and Oral Epidemiology
- Publisher
- Wiley
- Published
- 2003-01-24
- Volume
- 31
- Issue
- 1
- Pages
- 15-20
- ISSN
- 0301-5661 (ISSN-L)
- 1600-0528
- OpenAlex
- W1966604741
- Cited by
- 164
- References
- 0
- FWCI
- 5.67
- Type
- journal article
- Language
- en
- Open access
- closed
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- Schriks, M. C. M., & Van Amerongen, W. E. (2003). Atraumatic perspectives of ART: psychological and physiological aspects of treatment with and without rotary instruments. Community Dentistry and Oral Epidemiology. https://doi.org/10.1034/j.1600-0528.2003.00021.x
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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