The Atraumatic Restorative Treatment (ART) approach for managing dental caries: a meta-analysis
Open accessAbstract
The number of publications reporting on the survival of ART sealants and ART restorations has increased considerably in recent years. A systematic investigation of their longevity is therefore warranted. Based on three exclusion criteria, a literature search in the electronic libraries Pubmed and Medline revealed 28 eligible publications for inclusion in a meta-analysis. High mean survival rates for single-surface ART restorations using high-viscosity glass-ionomer in primary dentitions over 3 years were found (95% after 1 year to 86% after 3 years). These rates were statistically significantly higher than for those of multiple-surface ART restorations in primary dentitions (p<0.0001). High mean survival rates for single-surface ART restorations using high-viscosity glass-ionomer in permanent dentitions over 6 years were found (97% after 1 year to 72% after 6 years). The mean annual failure rates for single-surface ART restorations using high-viscosity glass-ionomer in primary and permanent dentitions and for multiple-surface ART restorations in primary dentitions are 4.7%, 4.7% and 17%, respectively. The number of studies reporting on the retention and caries preventive effect of ART sealants was low. It is concluded that single-surface ART restorations using high-viscosity glass-ionomer in both primary and permanent dentitions show high survival rates. Medium-viscosity glass-ionomer should not be used for ART restorations.
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Atraumatic restorative treatment restorations in primary teeth exhibit survival rates ranging from 75% to 85% over a three-year period.
“A meta-analysis revealed that ART restorations in primary teeth exhibited survival rates ranging from 75% to 85% over a three-year period, underscoring their reliability as an alternative to amalgam or composite restorations [42].”
From Minimally Invasive Techniques for Managing Dental Caries in Children: Efficacy, Applications, and Future Directions (2025) · cites this paper as [42]
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Self-citationSurvival of atraumatic restorative treatment (ART) sealants and restorations: a meta-analysis
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“The approach's simplicity, efficacy, and cost-effectiveness make it an essential strategy in community and school oral health programs [42].”
- Authors
- van’t Hof, M. A., Frencken, J. E., Helderman, W. H. V. P., & Holmgren, C. J.
- Corresponding author
- Frencken, Jo E.
- Venue
- International Dental Journal
- Publisher
- Elsevier BV
- Published
- 2006-12
- Volume
- 56
- Issue
- 6
- Pages
- 345-351
- ISSN
- 0020-6539 (ISSN-L)
- OpenAlex
- W2150455776
- Cited by
- 207
- References
- 0
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 9 · 2023: 9 · 2022: 8 · 2021: 16 · 2020: 13 · 2019: 8 · 2018: 7 · 2017: 10 · 2016: 10 · 2015: 13 · 2014: 12 · 2013: 19 · 2012: 15
- FWCI
- 2.20
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- International Dental Journal (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Health Sciences › Dentistry › Oral Surgery › Endodontics and Root Canal Treatments
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Keywords
- atraumatic restorative treatment, dental caries, restoration longevity, glass ionomer restorations, high-viscosity glass ionomer, sealants, primary teeth, permanent teeth, restoration failure rate, dental caries prevention
- MeSH terms
- Acrylic Resins, Dental Caries, Dental Materials, Dental Restoration, Permanent, Humans, Silicon Dioxide, Tooth, Deciduous, Confidence Intervals, Survival Analysis, Dentition, Permanent, Dental Restoration Failure
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