Article

Class III atraumatic restorative treatment (ART) in adults living in West Africa--outcomes after 48 months.

Department of Propaedeutic Dentistry, Faculty of Health-Dentistry, Witten/Herdecke University, Alfred-Herrhausen-Strasse 50, Witten, Germany.
Community Dentistry And Oral Epidemiology (impact factor: 1.89). 10/2010; 39(2):164-70. DOI:10.1111/j.1600-0528.2010.00574.x pp.164-70
Source: PubMed

ABSTRACT This observational study assessed the effectiveness of class III restorations using the atraumatic restorative treatment (ART) approach in permanent anterior teeth over a 48-month period.
Dental auxiliaries placed a total of 117 class III ART restorations in 2004, using a cosmetically improved glass-ionomer (Ionofil® Plus; VOCO, Cuxhafen, Germany), in 67 patients with a mean age of 27.3 years in the rural Jahali Health Center, The Gambia. Independent examiners evaluated the restorations after 24 and 48 months using the clinical ART evaluation criteria.
Seventy-six of the restorations could be observed over 48 months in 51 patients. After 48 months, 53 of 76 restorations were classified as clinically acceptable (without or with minor intervention (repair) needed), and 23 restorations were classified as insufficient. There was no statistical difference in a clustered performance rating between restorations placed in central and lateral incisors (P=1.0).
The adoption of the ART approach to class III caries cavities made restorative dental care in anterior teeth available in a West African region. The long-term performance was comparable to other studies. Longitudinal clinical studies with greater populations are required to substantiate these results.

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Keywords

117 class III ART restorations
 
23 restorations
 
48 months
 
48-month period
 
67 patients
 
76 restorations
 
anterior teeth available
 
ART approach
 
atraumatic restorative treatment
 
class III caries cavities
 
class III restorations
 
clustered performance rating
 
cosmetically
 
Dental auxiliaries
 
lateral incisors
 
Longitudinal clinical studies
 
permanent anterior teeth
 
restorative dental care
 
rural Jahali Health Center
 
West African region