Frencken J E, Pilot T, Songpaisan Y, Phantumvanit P
Ministry of Health and Child Welfare, Dental Department, Causeway, Harare, Zimbabwe.
J Public Health Dent. 1996;56(3 Spec No):135-40; discussion 161-3. doi: 10.1111/j.1752-7325.1996.tb02423.x.
Despite long-term efforts to use appropriate dental equipment for treating dental caries in economically less developed countries, the predominant treatment remains extraction. The reasons for this failure to save teeth are given in this paper. Supported by results of research undertaken in economically developed countries, a 15-step treatment module for dental caries is presented. This technique, which is called Atraumatic Restorative Treatment (ART), is based on removing decalcified tooth tissue using only hand instruments and restoring the cavity with an adhesive filling material. The technique does not require electricity. The advantages and limitations of the technique are discussed and its use in a school oral health program in Zimbabwe presented. We conclude that ART can make restorative oral care more available to a larger part of the world population than it is today.
尽管在经济欠发达国家长期努力使用合适的牙科设备治疗龋齿，但主要的治疗方式仍然是拔牙。本文阐述了未能保住牙齿的原因。在经济发达国家所做研究结果的支持下，提出了一个15步的龋齿治疗模块。这种技术称为非创伤性修复治疗（ART），其基础是仅使用手动器械去除脱钙的牙齿组织，并用粘结性填充材料修复龋洞。该技术不需要电力。讨论了该技术的优缺点，并介绍了其在津巴布韦学校口腔健康项目中的应用。我们得出结论，与目前相比，ART可以使世界上更多的人获得修复性口腔护理。
