title: The atraumatic restorative treatment (ART) approach for managing dental caries: a meta-analysis.
abstract: The number of publications reporting on the survival of ART sealants and ART restorations has increased considerably in recent years. A systematic investigation of their longevity is therefore warranted. Based on three exclusion criteria, a literature search in the electronic libraries Pubmed and Medline revealed 28 eligible publications for inclusion in a meta-analysis. High mean survival rates for single-surface ART restorations using high-viscosity glass-ionomer in primary dentitions over 3 years were found (95% after 1 year to 86% after 3 years). These rates were statistically significantly higher than for those of multiple-surface ART restorations in primary dentitions (p<0.0001). High mean survival rates for single-surface ART restorations using high-viscosity glass-ionomer in permanent dentitions over 6 years were found (97% after 1 year to 72% after 6 years). The mean annual failure rates for single-surface ART restorations using high-viscosity glass-ionomer in primary and permanent dentitions and for multiple-surface ART restorations in primary dentitions are 4.7%, 4.7% and 17%, respectively. The number of studies reporting on the retention and caries preventive effect of ART sealants was low. It is concluded that single-surface ART restorations using high-viscosity glass-ionomer in both primary and permanent dentitions show high survival rates. Medium-viscosity glass-ionomer should not be used for ART restorations.
authors.affiliation: WHO Collaborating Centre for Oral Health Care Planning and Future Scenarios, Radboud University Medical Centre, College of Dental Sciences.
authors.forename: Martin A
authors.initials: MA
authors.lastname: van 't Hof
authors.forename: Jo E
authors.initials: JE
authors.lastname: Frencken
authors.forename: Wim H
authors.initials: WH
authors.lastname: van Palenstein Helderman
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Holmgren
mesh_terms: D000180:Acrylic Resins / Q000737:chemistry*; D016001:Confidence Intervals; D003731:Dental Caries / Q000517:prevention & control / Q000628:therapy*; D003764:Dental Materials / Q000737:chemistry*; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent / Q000379:methods*; D019229:Dentition, Permanent; D006801:Humans; D012822:Silicon Dioxide / Q000737:chemistry*; D016019:Survival Analysis; D014094:Tooth, Deciduous
chemical_list: D000180:Acrylic Resins; D003764:Dental Materials; C015897:glass ionomer; D012822:Silicon Dioxide