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: 2.03). 10/2010; 39(2):164-70. DOI: 10.1111/j.1600-0528.2010.00574.x
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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    • "Um estudo publicado por Prakki et al., em 2008 9 avaliando restaurações de Classe III, após seis anos de acompanhamento mostrou um índice de 73,8% de sucesso. Outro estudo avaliando restaurações de Classe III após 48 meses em adultos foi publicado por Jordan et al., em 2011 10 obtendo sucesso em 70% das restaurações. Uma das prováveis causas da não utilização de restaurações de ART em dentes anteriores era a falta de estética dos ionômeros de vidro. "
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