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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
Twelve-month evaluation of the atraumatic restorative treatment approach for class III restorations: An interventional study
Madhuniranjanswamy Mahalakshmamma Shivanna, Shabana Ganesh, Sanjeev Balappa Khanagar, Sachin Naik, Darshan Devang Divakar, Abdulaziz Abdullah Al-Kheraif, Chitra Jhugroo
Madhuniranjanswamy Mahalakshmamma Shivanna, Community Dentistry, Penang International Dental College, Jalan Bagan Luar 12000, Malaysia
Shabana Ganesh, Department of Public Health Dentistry, Sri Ventkateshwraa Dental College, Ariyu 605102, India
Sanjeev Balappa Khanagar, Preventive Dental Science Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
Sachin Naik, Darshan Devang Divakar, Abdulaziz Abdullah Al-Kheraif, Chitra Jhugroo, Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, P. O. Box: 10219, Riyadh 11433, Saudi Arabia
Author contributions: Shivanna MM contributed as the first author in designing and overall concept of the study; Ganesh S contributed in preparing material and methods; Khanagar SB reviewed the literature; Naik S wrote the discussion and comparison of studies; Divakar DD interpreted the results; Al Kheraif AA edited and wrote the manuscript; Jhugroo C drafted and revised the manuscript.
Supported by the deanship of Scientific Research, King Saud University for funding through Vice Deanship of Scientific Research Chairs.
Institutional review board statement: This study was reviewed and approved by the Ethical Committee of The Oxford Dental College and Hospital, Bangalore, India.
Conflict-of-interest statement: The author(s) declare(s) that there is no conflict of interest regarding the publication of this paper.
Data sharing statement: No additional data.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Sachin Naik, MDS, Associate Professor, Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, PO Box 7805, Riyadh 11433, Saudi Arabia. sachinnaiksln@gmail.com
Received: March 28, 2020
Peer-review started: March 28, 2020
First decision: April 24, 2020
Revised: April 30, 2020
Accepted: July 30, 2020
Article in press: July 30, 2020
Published online: September 26, 2020
ARTICLE HIGHLIGHTS
Research background
The atraumatic restorative treatment (ART) approach is the most appropriate for rural populations who lack access to health care. ART was first developed in 1980 in Tanzania.
Research motivation
Little research has been conducted to assess the success rate ART in permanent anterior teeth class III restoration.
Research objectives
The objective of the present study was to evaluate the clinical performance of restoring class III cavities in anterior teeth of permanent dentition using the ART approach.
Research methods
A longitudinal interventional field study was carried out. Evaluation of ART was performed using Frencken J criteria, the mean procedure time, patient acceptance and reported pain severity during the ART approach were evaluated using a visual analog scale. Calculation of the cost of ART was also performed.
Research results
The mean time taken to perform the ART procedure was 14.79 ± 5.8 min. At 6 mo follow-up, 72.2% remained in a good state; however, this reduced to 27% at 12 mo. The cumulative survival rate of the restorations was 94.4% at 6 mo and 80.9% at 12 mo follow-up.
Research conclusions
ART is a good approach for populations with poor access to dental health services.
Research perspectives
ART is a better alternative for class III anterior permanent teeth restorations and more studies need to be conducted in this field.
