Ten-year survival of ART restorations in permanent posterior teeth.
This study evaluated the 10-year clinical performance of high-viscosity glass-ionomer cement placed in posterior permanent teeth by means of the Atraumatic Restorative Treatment (ART) approach. One operator placed 167 single- and 107 multiple-surface restorations in 43 high-risk caries pregnant women (mean decayed teeth = 9.8 ± 5.5). Examinations were performed at 1-, 2-, and 10-year intervals according to ART criteria. In the last evaluation, the US Public Health Service (USPHS) criteria were also used. After 10 years, 129 restorations (47.1%) were evaluated and achieved a cumulative survival rate of 49.0% (SE 7.2%). The 10-year survival of single- and multiple-surface ART restorations assessed using the ART criteria were 65.2% (SE 7.3%) and 30.6% (SE 9.9%), respectively. This difference was significant (jackknife SE of difference; p < 0.05). Using the USPHS criteria, the 10-year survival of single- and multiple-surface ART restorations were 86.5% and 57.6%, respectively. The primary causes of failure were total loss (9.3%) and marginal defects (5.4%). The survival rates observed, especially for the single-surface restorations, confirm the potential of the ART approach for restoring and saving posterior permanent teeth.
University Basic Health Care Centre (UBAS), Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
Regia Luzia
RL
Zanata
Ticiane Cestari
TC
Fagundes
Maria Cristina Carvalho de Almendra
MC
Freitas
José Roberto Pereira
JR
Lauris
Maria Fidela de Lima
MF
Navarro
D000206:Actuarial Analysis; D001641:Bicuspid; D057087:Dental Atraumatic Restorative Treatment; D003737:Dental Cavity Preparation / Q000145:classification; D019232:Dental Restoration Failure; D019229:Dentition, Permanent; D005260:Female; D005500:Follow-Up Studies; D005899:Glass Ionomer Cements; D006801:Humans; D059012:Lost to Follow-Up; D008952:Mobile Health Units; D008963:Molar; D015588:Observer Variation; D011247:Pregnancy; D055815:Young Adult
D005899:Glass Ionomer Cements; C110713:fuji IX