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Article: Volume 41 Number 3 Page 218 - April 2014

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  Dent Update 2014; 41: 218-224

Cariology:  The State-of-the-Art of ART Restorations

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Abstract: ART is less anxiety- and pain-provoking than traditional restorative treatments; administration of local anaesthesia is rarely required. Systematic reviews have provided evidence of the high level of effectiveness of high-viscosity glass-ionomer ART restoration in restoring single-surface cavities, both in primary and permanent posterior teeth, but its survival rates in restoring multiple-surface cavities in primary posterior teeth needs to be improved. Insufficient information is available regarding the survival rates of multiple-surface ART restorations in permanent teeth. Evidence from these reviews indicates no difference in the survival rates of single-surface high-viscosity glass-ionomer ART restorations and amalgam restorations in primary and permanent posterior teeth.

Clinical relevance: Where indicated, high-viscosity glass-ionomer ART restorations can be used alongside traditional restorations. ART provides a much more acceptable introduction to dental restorative care than the traditional ‘injection, drill and fill’.

Author notes: Jo E Frencken, DDS, MSc, PhD, Department of Global Oral Health, College of Dental Sciences, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, The Netherlands.

Objective: To understand the development that ART has undergone during the last decades and that it is now considered a suitable treatment protocol for restoring cavities.