Atraumatic Restorative
Treatment (ART) for dental caries Atraumatic Restorative
Treatment (ART) for dental caries Bibliography Acknowledgement Preface Foreword
1. Dentinal caries, its progression and how best to stop it
- Chapter objectives
- Introduction
- What is dentinal caries?
- How does dentinal caries progress?
- Has dentinal caries the ability to heal?
- Should there be a cavity design?
- How to increase the life of a tooth that requires a restoration?
-What happens to outer caries dentine that is not removed?
- Should all discoloured dentine be removed?
- What kind of instrumentation is required to remove demineralized tooth tissues?
- Summary
2. Adhesive restorative materials for minimum intervention approaches
- Chapter objectives
- Introduction
- Glass-ionomers
- How do glass-ionomers bond to tooth tissues?
- What is the function of a surface conditioner?
- What is the role of water in glass-ionomers?
-What does fluoride do in glass-ionomers?
- What happens to the fluoride that is released from the glass-ionomers?
- Have glass-ionomers the potential to remineralize carious lesions in adjacent tooth surfaces?
- How pulpal-friendly are glass-ionomers?
- What can be said about the physical characteristics of glass-ionomers?
- Conclusions
- Resin-modified glass-ionomers
- Composite resins
- Compomers
- Concluding comments
- Summary
3. Equipment and materials required for the ART approach
- Chapter objectives
- Introduction
-Why is there a need for appropriate support for the patient and the operator?
- Patient support
- Operator support
- Instrument support
- Which dental instruments are required for ART?
-Which adhesive restorative materials are required for ART?
- What are the other materials required for ART?
-What type of operating light can be used?
- Positioning the operating light
- Maintenance of ART instruments
- Sterilization of instruments
- Sharpening of ART instruments
- Sharpening the dental hatchet and carver
4. The ART approach - Step-by-Step
- Chapter objectives
- Introduction
-What are the applications for ART ?
-A step-by-step guide to restoring single-surface cavities using ART
- Preparation of the ART instruments and materials prior to cavity preparation
- Isolation of the operating site
- Examining the cavitated tooth
- Gaining access to the carious lesion
- Removal of soft, completely demineralized, dentine
- Conditioning the cavity and adjacent pits and fissures
- Mixing the glass-ionomer
- Restoring the cavity and filling the pits and fissures
- Restoring multiple-surface cavities using ART
- ART based fissure sealants
- Introduction
- A step-by-step guide to the placement of glass-ionomer sealants
5. Survival of single-surface ART restorations and sealants placed as part of the ART approach
- Chapter objectives
- Introduction
-Which criteria have been used to evaluate ART restorations?
- How well do ART restorations perform?
- ART restorations in the permanent dentition
- Development of the ART approach
- Material considerations
- Operator considerations
-Applicability of ART
- Effectiveness of hand instruments currently recommended for ART
- Size of preparation
- Discomfort during treatment
- Post-operative sensitivity
- Acceptance by care receivers
- Future considerations
- How do ART restorations compare to conventional restorations in the permanent dentition?
- ART restorations in the deciduous dentition
- Summary
- ART related sealants
- Introduction
-Which criteria have been used to evaluate glass-ionomer sealants placed as part of the ART approach?
- How well do sealants placed as part of the ART approach perform?
- How do glass-ionomer sealants compare to composite resin sealants?
- Retention compared
- Caries prevention compared
- Summary
6. Failed ART restorations: Cause and management
- Chapter objectives
- Introduction
- Material-related reasons included
- Operator-related reasons included
-What were the perceived reasons for failure of ART restorations?
-What are the reasons for replacement of amalgam and composite resin restorations in general practice?
-What can be concluded about restoration failures?
- How to manage a failed or defective ART restoration?
- Cause and Management
- If the restoration has shown severe wear
- If there is a fracture within the restoration
- If the restoration is completely or partly missing
- If a carious lesion has developed in the adjacent fissure or surface
- What to do with failed ART related sealants?
7. ART as a practice builder
- Chapter objectives
- Introduction
-The use of ART in the dental clinic setting
-The use of ART in outreach situations
-The use of ART in other specific situations
-Advantages and limitations of ART
- Post-graduate courses on ART
8. Future directions for ART
- Chapter objectives
- Introduction
- Further developments and investigations of ART
-The application of ART
- ART as a means to caries control
- Development and evaluation of improved restorative materials
- Improved instrumentation using hand instruments
- Concluding statement
References