Mickenautsch S, Rudolph M J, Ogunbodede E O, Frencken J E
Department of Community Dentistry, University of the Witwatersrand, Johannesburg, Braamfontein, South Africa.
Int Dent J. 1999 Jun;49(3):132-8. doi: 10.1002/j.1875-595x.1999.tb00897.x.
The changing profile of oral care rendered through the Mobile Dental System (MDS), after the introduction of the Atraumatic Restorative Treatment (ART) approach is described. During the first year of introduction of ART, the percentages of amalgam restorations and tooth extractions decreased significantly (P < 0.0001). This is partly ascribed to a change in choice of treatment by dental operators in favour of ART and also due to an increase in acceptance by patients because of the reduced fear, and the patient-friendly nature of the ART approach. The reduction in amalgam restorations was 16.0 per cent for permanent and 1.4 per cent for primary posterior teeth. Extraction of posterior teeth was reduced by 17.4 per cent in the permanent and 35.7 per cent in the primary dentitions. The restorative component of oral care increased by 33.4 per cent in the permanent and 37.1 per cent in primary posterior teeth. The one-year survival of one-surface ART restorations using Fuji IX and KetacMolar was 93.6 per cent. Full and partial (more than 90 per cent) retention of the sealant part of the ART restoration was obtained in 75 per cent of the cases after one-year. During the one-year period, infection control was made more simple and this facilitated easier maintenance of mobile dental equipment. The introduction of the ART approach reduced extraction, restored more teeth and made oral care in the MDS more preventive, less threatening and thus more patient-friendly.
本文描述了在引入非创伤性修复治疗（ART）方法后，通过移动牙科系统（MDS）提供的口腔护理的变化情况。在引入ART的第一年，汞合金修复和拔牙的百分比显著下降（P < 0.0001）。这部分归因于牙科操作人员治疗选择的改变，倾向于ART，也归因于患者接受度的提高，因为恐惧减少以及ART方法对患者友好的性质。恒牙后牙的汞合金修复减少了16.0%，乳牙后牙减少了1.4%。恒牙列后牙的拔牙减少了17.4%，乳牙列减少了35.7%。口腔护理的修复部分在恒牙中增加了33.4%，在乳牙后牙中增加了37.1%。使用富士IX和KetacMolar的单面ART修复体的一年生存率为93.6%。一年后，75%的病例中ART修复体的封闭剂部分完全或部分（超过90%）保留。在这一年期间，感染控制变得更加简单，这便于更轻松地维护移动牙科设备。ART方法的引入减少了拔牙，修复了更多牙齿，并使MDS中的口腔护理更具预防性、威胁性更小，从而对患者更友好。
