Survival of atraumatic restorative treatment (ART) sealants and restorations: a meta-analysis

The purpose of this study is to perform a systematic investigation plus meta-analysis into survival of atraumatic restorative treatment (ART) sealants and restorations using high-viscosity glass ionomers and to compare the results with those from the 2005 ART meta-analysis. Until February 2010, four databases were searched. Two hundred four publications were found, and 66 reported on ART restorations or sealant survival. Based on five exclusion criteria, two independent reviewers selected the 29 publications that accounted for the meta-analysis. Confidence intervals (CI) and or standard errors were calculated and the heterogeneity variance of the survival rates was estimated. Location (school/clinic) was an independent variable. The survival rates of single-surface and multiple-surface ART restorations in primary teeth over the first 2 years were 93% (CI, 91–94%) and 62% (CI, 51–73%), respectively; for single-surface ART restorations in permanent teeth over the first 3 and 5 years it was 85% (CI, 77–91%) and 80% (CI, 76–83%), respectively and for multiple-surface ART restorations in permanent teeth over 1 year it was 86% (CI, 59–98%). The mean annual dentine lesion incidence rate, in pits and fissures previously sealed using ART, over the first 3 years was 1%. No location effect and no differences between the 2005 and 2010 survival rates of ART restorations and sealants were observed. The short-term survival rates of single-surface ART restorations in primary and permanent teeth, and the caries-preventive effect of ART sealants were high. Clinical relevance: ART can safely be used in single-surface cavities in both primary and permanent teeth. ART sealants have a high caries preventive effect

Atraumatic restorative treatment with resin-modified glass ionomer material: Short-term results of a pilot study

Soyman, Mubin/0000-0001-5747-8783WOS: 000229921500015PubMed: 15961941Objectives: The aim of this study was to assess the feasibility of the resin-modified glass ionomer (RMGI) material in atraumatic restorative treatment (ART) approach and compare RMGI with the high-strength traditional glass ionomer cement (GIC) in permanent teeth with one or more surface-carious cavities. Materials and Methods: This study was conducted in a village school in rural southeastern Anatolia, Turkey. The RMGI and GIC restorations with the ART technique were placed randomly employing a split mouth design. In addition, the ART approach was used when necessary for both primary and/or permanent teeth with no pulpal involvement and no perceived pain before treatment. Ninety-one fillings were placed on contralateral molar pairs of 37 children. Baseline and 6-month evaluation of the fillings were made with the classic ART, modified Ryge and USPHS criteria. Results: Based on the ART criteria, 100% of RMGI and 92.4% of GIC restorations were classified as successful after 6 months, and the difference between the 2 groups was statistically significant (p = 0.009). While marginal discoloration was the commonest failure in the RMGI group according to both the modified Ryge and USPHS criteria, unsatisfactory surface texture and low anatomic form were the commonly seen failures in the ART technique. Conclusion: Generally, for each rating system, RMGI exhibited better clinical performance than GIC in all categories, except for marginal discoloration. Results based on the 6-month evaluation show that RMGI can be an alternative material to the GIC. Copyright (C) 2005 S. Karger AG, Basel

Prevention of caries in children by preventive and operative dental care for mothers in rural Anatolia, Turkey

yavuz, izzet/0000-0001-6953-747XWOS: 000226002600002PubMed: 15841811The aim of this study was to prevent or delay the transmission of cariogenic bacteria, and hence the early development of caries in children, by preventive methods targeted at the mother. This field study was carried out in rural southeastern Anatolia, Turkey, where access to dental care is limited. Twenty-seven mother-infant pairs were followed for 2 years. The infants were between 2 and 18 months old when the study began. Mothers in the control group (n = 12) received a simple care and advice program, and those in the test group (n = 15) followed a preventive and operative regimen. The occurrence and the incremental occurrence of caries in the mothers and children in both groups were determined annually. Using a commercial kit, levels of mutans streptococci and lactobacilli in saliva and plaque were measured in the children at 6-month intervals. The microbial data demonstrated that the children of mothers in the test group had significant reductions in mutans streptococci and lactobacilli in plaque (P 0.05). After 12 months, the occurrence of caries (dfs) was significantly lower in the test group than in the control group (0.13+/-0.35 vs 1.67+/-1.30, respectively; P < 0.001). A similar difference was observed after 24 months (0.2&PLUSMN;0.56 vs 3.17&PLUSMN;1.70, respectively; P < 0.001). The results of this 2-year study demonstrate that a preventive and operative regimen designed to reduce oral bacterial levels in mothers can be remarkably effective in reducing the incidence of caries in infants in rural southeastern Anatolia. Owing to the prevalence of a traditional lifestyle based on close-knit families and clans, this region is an advantageous environment for the reduction of bacterial transmission from mother to child, while largely excluding other sources of infection for the child