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Cited by 31Dental materials and restorationsEndodontics and Root Canal TreatmentsDental Health and Care Utilization

The ART approach: clinical aspects reviewed

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Molina, Gustavo Fabián, Cabral, Ricardo Juan, Frencken, Jo E.·2009·Journal of Applied Oral Science
DOI 10.1590/s1678-77572009000700016PMC PMC5467365
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Abstract

The success of ART as a caries management approach is supported by more than 20 years of scientific evidence. ART follows the contemporary concepts of modern cariology and restorative dentistry. It challenges treatment concepts such as step-wise excavation and the need for complete removal of affected dentine. The ART approach so far has mainly used high-viscosity glass-ionomer as the sealant and restorative material. Cariostatic and remineralization properties have been ascribed to this material which requires further research to establish its clinical relevance. The adhesion of high-viscosity glass-ionomer to enamel in pits and fissures is apparently strong, as its remnants, blocking the pits and fissures, have been considered a possible reason for the low prevalence of carious lesion development after the glass-ionomer has clinically disappeared from it. Encapsulated high-viscosity glass-ionomers may lead to higher restoration survival results than those of the hand-mixed version and should, therefore, not be neglected when using ART. Similarly, the use of resin-modified glass-ionomer with ART should be researched. The effectiveness of ART when compared to conventional caries management approaches has been shown in numerous studies. Proper case selection is an important factor for long-lasting ART restoration survival. This is based on the caries risk situation of the individual, the size of the cavity opening, the strategic position of the cavitated tooth and the presence of adequate caries control measures. As the operator is one of the main causes for failure of ART restorations, attending a well-conducted ART training course is mandatory for successful implementation of ART.

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  • Numerous dental programs in educational institutions and community environments have successfully implemented the atraumatic restorative treatment approach, improving access to restorative care for frequently underserved populations.

    “Numerous dental programs, both in educational institutions and community environments, have successfully implemented the ART approach, thereby improving access to restorative care for frequently underserved populations [46].”

    From Minimally Invasive Techniques for Managing Dental Caries in Children: Efficacy, Applications, and Future Directions (2025) · cites this paper as [46]

    The ART sealants section reports a study in a high-caries-risk community with a strong preventive effect, supporting successful community use of ART. The paper does not establish that numerous educational and community dental programs implemented ART or that implementation improved access to restorative care for underserved populations (searched: school, community, access, underserved). No page numbers were available in our copy. (LLM, conf=0.78)

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Authors
Molina, G. F., Cabral, R. J., & Frencken, J. E.
Affiliations
  • Universidad Católica de Córdoba (AR)
  • Universidad Nacional de Córdoba (AR)
  • Radboud University Medical Center (NL)
Corresponding author
Molina, Gustavo Fabián
ORCID
Molina, Gustavo Fabián
Venue
Journal of Applied Oral Science
Publisher
FapUNIFESP (SciELO)
Published
2009
Volume
17
Issue
spe
Pages
89-98
ISSN
1678-7757 (ISSN-L)
DOI
10.1590/s1678-77572009000700016
PMC
PMC5467365
OpenAlex
W1987987193
Cited by
31
References
0
Citations by year
2025: 3 · 2024: 3 · 2023: 1 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 4 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 5 · 2012: 2
FWCI
1.23
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Journal of Applied Oral Science (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
  • Americanae (AECID Library) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
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
caries management, high-viscosity glass ionomer, resin-modified glass ionomer cement, pit and fissure sealants, restoration longevity, caries risk, case selection, operator training, remineralization
MeSH terms
Dental Bonding, Composite Resins, Dental Caries, Dental Cavity Preparation, Dental Restoration, Permanent, Dentin, Glass Ionomer Cements, Humans, Dental Atraumatic Restorative Treatment

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