title: Effectiveness of glass-ionomer (ART) and amalgam restorations in the deciduous dentition: results after 3 years.
abstract: This study compared the survival of restorations produced through the atraumatic restorative treatment (ART) approach using glass-ionomer with those produced through the traditional approach using amalgam (MTA) in deciduous dentitions over a period of 3 years. Using a parallel group design, 835 grade 1 children, aged 6-7 years, participated. A total of 482 children were treated through the ART and 353 children through the MTA approach. Eight dentists produced a total of 1891 single- and multiple-surface restorations. After 3 years, 22.1% of the restorations were lost for evaluation. There was a statistically significant difference in the combined survival of all single- and multiple-surface restorations between the two approaches in favour of the ART approach (p = 0.04). The study revealed a 3-year cumulative survival percentage of single-surface ART and MTA restorations of 86.1 and 79.6%, respectively. The difference was statistically significant (p = 0.03). The main reasons for both single-surface ART and MTA restorations to fail was 'restoration missing' followed by 'gross marginal defect'. The 3-year cumulative survival percentages of multiple-surface ART and MTA restorations were 48.7 and 42.9%, respectively. The difference was not statistically significant (p > 0.05). The 3-year survival percentages of single- and multiple- surface ART and MTA restorations varied widely amongst the 8 operators with an operator effect (p = 0.001) for multiple-surface MTA restorations. It can be concluded that the ART approach using glass-ionomer yielded better results in treating dentinal lesions in deciduous teeth than did the traditional approach using amalgam after 3 years. It is recommended to select the ART approach to complement the other activities of the school oral health programme.
authors.affiliation: Regional WHO Demonstration, Training and Research Centre for Oral Health, Damascus, Syria.
authors.forename: D
authors.initials: D
authors.lastname: Taifour
authors.forename: J E
authors.initials: JE
authors.lastname: Frencken
authors.forename: N
authors.initials: N
authors.lastname: Beiruti
authors.forename: M A
authors.initials: MA
authors.lastname: van 't Hof
authors.forename: G J
authors.initials: GJ
authors.lastname: Truin
mesh_terms: D002648:Child; D003723:Dental Amalgam; D019140:Dental Care for Children / Q000379:methods*; D003731:Dental Caries / Q000628:therapy*; D003737:Dental Cavity Preparation / Q000295:instrumentation / Q000379:methods; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent / Q000379:methods*; D003804:Dentin; D005899:Glass Ionomer Cements; D006801:Humans; D008963:Molar; D014094:Tooth, Deciduous
chemical_list: D005899:Glass Ionomer Cements; C110713:fuji IX; C110712:ketac-molar; D003723:Dental Amalgam