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ATRAUMATIC RESTORATIVE TREATMENT (ART)
This document provides information on the ART (Atraumatic Restorative Treatment) procedure. It begins with an introduction stating that ART is a minimally invasive cavity preparation and restoration technique. The principles of ART are removing caries using only hand instruments and restoring the cavity with an adhesive material. Indications for ART include small, accessible cavities, while contraindications include exposed or inflamed pulps. Advantages include conserving tooth structure, reducing pain and trauma, and enabling the technique to be used in remote areas. The document describes the instruments, materials, procedures and concludes that ART focuses on providing dental care in developing countries.
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ART focuses on minimal intervention for tooth decay, using hand instruments and adhesive materials.
ART is suitable for small, accessible cavities; contraindications include swelling, pulp exposure.
ART conserves tooth structure, minimizes pain, cost-effective, and suitable for various patient needs.
Essential instruments and materials include hand tools and glass ionomer cement for cavity restoration.
Steps include preparing the environment, controlling saliva, and restoring cavities using specific techniques.
ART is aimed at developing countries for preventive and curative care, enhancing oral health education.
Reference to literature on preventive dentistry and expression of gratitude to the audience.
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ATRAUMATIC RESTORATIVE TREATMENT (ART)
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- 2. YASMIN MOIDIN 2008 BATCH ALAZHAR DENTAL COLLEGE THODUPUZHA
- 3. CONTENTS Introduction Principles Indications Contraindications Advantages Instruments for ART Materials for ART Procedure Conclusion
- 4. INTRODUCTION ART isbased on modern knowledge about minimal intervention, minimal invasion and minimal cavity preparation for carious lesions It is a procedure based on removing carious tooth tissues using hand instruments along and restoring the cavity with an adhesive material
- 5. PRINCIPLES Removing carious tooth tissues using hand instruments only Restoring the cavity with a restorative material that sticks to the tooth
- 6. INDICATIONS ART iscarried out Only in small cavities In those cavities that are accessible to hand instruments Public health programs
- 7. CONTRAINDICATIONS ART shouldnot be used when: There is presence of swelling or fistula near the carious tooth The pulp of tooth is exposed Teeth have been painful for a long time and there may be chronic inflammation of the pulp
- 8. There isan obvious carious cavity, but the opening is inaccessible to hand instruments There are clear signs of a cavity, eg: in a proximal surface, but the cavity cannot be entered from the proximal or the occlusal direction
- 9. ADVANTAGES ‘ART’ isa biological approach that requires minimal cavity preparation that conserves sound tooth tissues and causes less trauma to teeth As ART is painless, the need for local anesthetics are reduced and reduces the psychological trauma to the patients Simplifies infection control as hand instruments can easily be cleaned and sterilized
- 10. No electricallydriven and expensive dental equipment needed which enables ART to be practiced in remote areas and in the field This technique is simple enough to train non-dental personnel or primary healthcare workers ART approach is very cost effective Use -> Among children, fearful adults, physically and mentally handicapped
- 11. INSTRUMENTS Mouth Mirror Explorer Tweezers Spoon Excavator Dental hatchet Carver Mixing pad and spatula
- 12. MATERIALS Cotton woolrolls Cotton wool pellets Petroleum jelly Plastic Strip Wedges Glass Ionomer cement
- 13. PROCEDURES Arrange agood working environment Outside the mouth Operators – posture and position Assistance Patient position Operating light Inside the mouth Control of Saliva Hygiene and Control of Cross Infection Restoring the Cavity
- 14. • Caries removal • Conditioning theprepared cavity • Mixing • Restoring the cavity - press finger technique
- 15. CONCLUSION The ARTprocedure has been developed to focus on developing countries of people who are unable to obtain restorative dental care ART is a combined preventive and curative oral care procedure which must be administered along with health promoting messages about a prudent diet , good oral hygiene, use of fluoride toothpaste and sealant application
- 16. REFERENCES ESSENTIALS OFPREVENTIVE AND COMMUNITY DENTISTRY 4TH EDITION - SOBAN PETER
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