Dipalma Gianna, Inchingolo Angelo Michele, Casamassima Lucia, Nardelli Paola, Ciccarese Danilo, De Sena Paolo, Inchingolo Francesco, Palermo Andrea, Severino Marco, Maspero Cinzia Maria Norma, Inchingolo Alessio Danilo
Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.
Department of Experimental Medicine, University of Salento, 73100 Lecce, Italy.
Children (Basel). 2025 Apr 16;12(4):511. doi: 10.3390/children12040511.
This systematic review evaluates the effectiveness and clinical outcomes of Atraumatic Restorative Treatment (ART) in pediatric dentistry, comparing it with other restorative techniques, analyzing material performance, assessing cost-effectiveness, and exploring the long-term success in managing dental caries.
ART is a minimally invasive approach that removes decayed tissue using hand instruments and restores teeth with adhesive materials like glass ionomer cement (GIC). ART is particularly valuable in pediatric dentistry due to its simplicity, reduced discomfort, and suitability for resource-limited settings. It eliminates the need for anesthesia and expensive dental equipment, making it accessible in remote and underserved areas. Studies have shown its effectiveness in providing durable restorations while improving patient comfort.
This systematic review follows the PRISMA guidelines. PubMed, Web of Science, and Scopus were searched for studies published in the last ten years. The inclusion criteria included in vivo studies on children, randomized controlled trials, and case-control studies assessing ART's effectiveness. Quality and risk of bias were evaluated using the ROBINS-I tool.
Eighteen studies met the inclusion criteria. ART effectively managed dental caries, especially with high-viscosity GIC. Comparisons with the Hall Technique and Papacarie showed that ART remains a viable, cost-effective option.
ART is a reliable, minimally invasive technique for pediatric restorative dentistry. Its accessibility and cost-effectiveness make it suitable for low-resource settings. High-quality materials and technique modifications further enhance restoration longevity.
本系统评价评估非创伤性修复治疗（ART）在儿童牙科中的有效性和临床结果，将其与其他修复技术进行比较，分析材料性能，评估成本效益，并探讨其在管理龋齿方面的长期成功率。
ART是一种微创方法，使用手动器械去除龋坏组织，并用玻璃离子水门汀（GIC）等粘结材料修复牙齿。由于其操作简单、不适感小且适用于资源有限的环境，ART在儿童牙科中具有特别重要的价值。它无需麻醉和昂贵的牙科设备，在偏远和服务不足的地区也可使用。研究表明，它在提供持久修复的同时能提高患者舒适度。
本系统评价遵循PRISMA指南。在PubMed、科学网和Scopus上检索过去十年发表的研究。纳入标准包括关于儿童的体内研究、随机对照试验以及评估ART有效性的病例对照研究。使用ROBINS-I工具评估质量和偏倚风险。
18项研究符合纳入标准。ART能有效管理龋齿，尤其是使用高粘度GIC时。与霍尔技术和Papacarie的比较表明，ART仍然是一种可行的、具有成本效益的选择。
ART是儿童修复牙科中一种可靠的微创技术。其可及性和成本效益使其适用于资源匮乏地区。高质量材料和技术改进进一步提高了修复体的使用寿命。
