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Article: Volume 27 Number 3 Page 118 - April 2000

  Dent Update 2000; 27: 118-123  Read article

Paediatric dentistry:  The Atraumatic Restorative Treatment (ART) Technique: Does It have a Place in Everyday Practice?

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Abstract: The ART technique was introduced in the early 1990s. It involves the removal of carious tooth tissue with hand instruments followed by restoration with an adhesive material (glass-ionomer cement). Local anaesthetic is not always required for treatment and the technique has helped to bridge the gap in the provision of treatment to rural communities, senior citizens and dental phobic patients. This article looks at the development of the technique, its performance and potential areas of application.

Clinical relevance: Dental extraction is unfortunately still the most prevalent form of managing caries in the most vulnerable group of high-risk, caries-prone children in both developing and developed countries. Adoption of the ART technique may significantly reduce the number of children (and adults) requiring dental extraction.

Author notes: Ben O.I. Cole, MSc, FDS RCS (Edin.), Specialist Registrar, Paediatric Dentistry, and Richard R. Welbury, PhD, MB BS, FDS RCS (Eng.), Regional Consultant in Paediatr ic Dentistr y, Department of Child Dental Health, Dental School and Hospital, Newcastle upon Tyne.