Six-year evaluation of the atraumatic restorative treatment approach in permanent-tooth Class III restorations

The aim of this study was to assess the 6-year performance of the ART (atraumatic restorative treatment) approach in Class III restorations in permanent teeth. A total of 127 ART Class III restorations, using Ketac-Molar (3M ESPE) ionomer cement, was performed in 58 adult patients by one experienced...

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Published inThe journal of adhesive dentistry Vol. 10; no. 3; p. 233
Main Authors Prakki, Anuradha, Nunes, Margareth C P, Cefaly, Daniela F G, Lauris, José R P, Navarro, Maria F L
Format Journal Article
LanguageEnglish
Published Germany 01.06.2008
Subjects
Adolescent
Adult
Calcium Hydroxide
Dental Bonding
Dental Cavity Lining - methods
Dental Cavity Preparation - classification
Dental Cavity Preparation - standards
Dental Restoration Failure
Dental Restoration, Permanent - classification
Dental Restoration, Permanent - methods
Dental Restoration, Permanent - standards
Female
Follow-Up Studies
Glass Ionomer Cements
Humans
Male
Middle Aged
Resins, Plant
Retreatment
Surface Properties
Survival Analysis
Treatment Outcome
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Summary:The aim of this study was to assess the 6-year performance of the ART (atraumatic restorative treatment) approach in Class III restorations in permanent teeth. A total of 127 ART Class III restorations, using Ketac-Molar (3M ESPE) ionomer cement, was performed in 58 adult patients by one experienced operator in 1998. After a 6 years, 34 patients and 65 restorations were evaluated according to ART criteria. Two calibrated examiners carried out the evaluation. Data were analyzed by exact 95% Confidence Interval and Survival Analysis using the Jackknife method for standard error determination. Among assessed restorations, 73.8% (95% CI = 61.5% to 86.2%) were in good condition and classified as successful, with a 67.6% (95% CI = 54.4% to 80.7%) cumulative survival rate. Failed restorations included 13.9% completely or partially missing restorations, 9.2% restorations that had been replaced by other treatment, 1.5% restorations with a large defect at the margin, and 1.5% restorations that presented high wear on the surface. No caries was observed even in those teeth in which restorations were absent. The 6-year success rate of the ART approach in anterior permanent teeth (Class III) was considered high.
ISSN:1461-5185