Atraumatic restorative treatment (ART) consists of removing demineralised tooth tissues with hand instruments only, restoring the prepared cavity and sealing the adjacent pits and fissures with an adhesive filling material. This relatively painless, no-handpiece, minimal intervention approach to controlling dental caries is described. ART was applied in an oral health care programme in Zimbabwe that was carried out amongst secondary school students from 1994 to 1997. A new glass ionomer (Fuji IX) was used as the restorative and sealant material. Sealants were placed in high caries risk students using the 'press-finger' technique. A total of 297 one-surface ART restorations and 95 glass ionomer sealants were placed in 142 and 66 students, respectively. After 3 years, the lost-to-follow-up percentages for one-surface ART restorations and glass ionomer sealants were 30.6% and 30.5%, respectively. Actuarial (life table) analysis resulted in 3-year survival rates of one-surface ART restorations of 88.3% (95% CI: 92.4%-84.2%), ranging from 94.3% to 65.4% per operator. A total of 28 ART restorations placed in 25 students failed. Reasons for failure related to the material and the operator (11 restorations or 5.3% each), and to caries adjacent to the restoration (one restoration or 0.5%). Reasons for failure were not recorded for five restorations (2.3%). Sealants were placed on surfaces diagnosed as early enamel lesions. After 3 years, 71.4% (95% CI: 81.7%-61.1%) of the fully and partially retained sealants survived with a range of 100% to 55.6% per operator. Of the sealed surfaces 96.3% (95% CI: 100%-92.2%) survived 3 years without developing caries. Experienced operators placed better ART restorations than inexperienced operators. This study has demonstrated that ART with a glass ionomer restorative material and sealants provided high quality preventive and restorative dental care to this student population. ART has become one of the treatment modalities available to oral health workers in managing dental caries.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/j.1600-0528.1998.tb01975.x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A Preliminary Stability Assessment of Three State-of-the-Art CAD/CAM Materials Under Human Gingival Cell Culture.
Polymers (Basel)
January 2025
Plasma and Radiation Physics, National Institute for Laser, 077125 Magurele, Romania.
CAM/CAD composites are widely used as dental restoration materials due to their resistivity to wear. The purpose of this study was to determine the effect of human gingival fibroblast cells on three different computer-aided design/computer-aided manufacturing (CAD/CAM) hybrid materials with resin-based composites (RBC) and to assess their stability following cell growth. The CAM/CAD dental materials were investigated in different conditions as follows: (i) cells (human gingival fibroblasts, HFIB-Gs) incubated over the material for each sample, denoted as A; (ii) reference, the raw material, denoted as B; and (iii) materials incubated in DMEM medium, denoted as C.
View Article and Find Full Text PDFUnleashing the Potential of Pre-Trained Diffusion Models for Generalizable Person Re-Identification.
Sensors (Basel)
January 2025
College of Information Science and Electronic Engineering, Zhejiang University, Hangzhou 310027, China.
Domain-generalizable re-identification (DG Re-ID) aims to train a model on one or more source domains and evaluate its performance on unseen target domains, a task that has attracted growing attention due to its practical relevance. While numerous methods have been proposed, most rely on discriminative or contrastive learning frameworks to learn generalizable feature representations. However, these approaches often fail to mitigate shortcut learning, leading to suboptimal performance.
View Article and Find Full Text PDFEnhancing Low-Light Images with Kolmogorov-Arnold Networks in Transformer Attention.
Sensors (Basel)
January 2025
Faculty of Electronics, Telecommunications and Information Technologies, Polytechnic University Timisoara, 300223 Timisoara, Romania.
Low-light image enhancement (LLIE) techniques improve the performance of image sensors by enhancing visibility and details in poorly lit environments and have significantly benefited from recent research into Transformer models. This work presents a novel Transformer attention mechanism inspired by the Kolmogorov-Arnold representation theorem, incorporating learnable non-linearity and multivariate function decomposition. This innovative mechanism is the foundation of KAN-T, our proposed Transformer network.
View Article and Find Full Text PDFInteractions between environmental pollutants and gut microbiota: a review connecting the conventional heavy metals and the emerging microplastics.
Environ Res
January 2025
Department of Civil and Environmental Engineering, National University of Kaohsiung, Kaohsiung 81148, Taiwan, R.O.C. Electronic address:
Growing epidemiological evidence suggests that the diverse and functional gut microbiota plays a vital role in regulating the health and disease of organisms including human. However, organisms are inevitably exposed to widespread environmental pollutants, and the interactions between their gut microbiota and pollutants are relatively underreported. The present paper considers heavy metals (HMs) and microplastics (MPs) as representatives of traditional and emerging pollutants and systematically summarizes their effects on gut microbiota and the effects of gut microbiota on pollutants.
View Article and Find Full Text PDFPolycaprolactone for Hard Tissue Regeneration: Scaffold Design and In Vivo Implications.
Bioengineering (Basel)
January 2025
Tissue Bioengineering Laboratory, Division of Graduate Studies and Research, Faculty of Dentistry, National Autonomous University of Mexico, Circuito Exterior s/n, University City, Coyoacán, Mexico City 04510, Mexico.
In the last thirty years, tissue engineering (TI) has emerged as an alternative method to regenerate tissues and organs and restore their function by implanting specific lineage cells, growth factors, or biomolecules functionalizing a matrix scaffold. Recently, several pathologies have led to bone loss or damage, such as malformations, bone resorption associated with benign or malignant tumors, periodontal disease, traumas, and others in which a discontinuity in tissue integrity is observed. Bone tissue is characterized by different stiffness, mechanical traction, and compression resistance as a function of the different compartments, which can influence susceptibility to injury or destruction.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!