Mjör I A, Gordan V V
Department of Operative Dentistry, UFCD, Gainesville, FL 32610-0415, USA.
Int Dent J. 1999 Jun;49(3):127-31. doi: 10.1002/j.1875-595x.1999.tb00896.x.
The purpose of this paper was to critically analyse the results obtained with the Atraumatic Restorative Treatment (ART) technique. The ART approach involves the excavation of cavitated carious lesions with hand instruments and restoration of the cavities and associated pits and fissures with a glass ionomer restorative material. The clinical trial outcomes involving ART include retention rates, cost effectiveness, operative sensitivity, and the effect of personnel with different educational backgrounds involved in this alternative operative treatment. Comparative studies involving permanent and deciduous teeth using amalgam and glass ionomer sealants have also been included in the same projects. Specially defined clinical criteria have been used to evaluate the results. ART offers an opportunity for restorative dental treatment under field conditions where no electricity is available. Three-year data have been published, but long term studies using relevant comparison alternatives are lacking. ART has so far been largely employed on populations with a low DMFT. The technique should also be applied to high risk patients with rampant caries before the maximal benefit of the treatment can be ascertained.
本文的目的是批判性地分析非创伤性修复治疗（ART）技术所取得的结果。ART方法包括用手动器械去除龋洞病变，并使用玻璃离子修复材料修复龋洞及相关的窝沟。涉及ART的临床试验结果包括保留率、成本效益、操作敏感性，以及参与这种替代手术治疗的不同教育背景人员的影响。在这些相同的项目中还包括了使用汞合金和玻璃离子封闭剂对恒牙和乳牙进行的比较研究。已使用特别定义的临床标准来评估结果。ART为在没有电力供应的野外条件下进行牙齿修复治疗提供了机会。已经发表了三年的数据，但缺乏使用相关对照方法的长期研究。到目前为止，ART主要应用于DMFT较低的人群。在确定该治疗的最大益处之前，该技术也应应用于患有猖獗龋的高危患者。
