title: ART is an alternative for restoring occlusoproximal cavities in primary teeth - evidence from an updated systematic review and meta-analysis.
abstract: BACKGROUND
  A previous systematic review showed that atraumatic restorative treatment (ART) can be an option to restore the occlusoproximal cavities in primary teeth; however, few studies fulfilled the criteria of inclusion to generate a high level of evidence.
  
  
  OBJECTIVE
  To update the existing systematic review and address questions regarding survival rate of ART restorations compared to the conventional approach in occlusoproximal cavities in primary molars.
  
  
  METHODS
  The search was extended beyond the original search through the PubMed/MEDLINE database up to February 2016. Furthermore, Web of Science and EMBASE were searched. The inclusion criteria were subjects related to the scope of the systematic review. After selection by title and abstract, potentially eligible articles were read in full and included in accordance with exclusion criteria. Meta-analysis was carried out with the outcome being the survival rate of restorations.
  
  
  RESULTS
  The search strategy identified 560 potentially relevant studies, in addition to 127 from the original systematic review. A total of four articles were included in the qualitative and quantitative analyses. Meta-analysis showed no statistically significant difference between ART and conventional approaches in survival rate of occlusoproximal cavities (OR = 0.887, 95% CI: 0.574-1.371).
  
  
  CONCLUSIONS
  ART restorations have similar survival rate compared to conventional treatment and can be considered an option to restore occlusoproximal cavities in primary molars.
authors.affiliation: Ibirapuera University, Sao Paulo, Brazil.|University of São Paulo, Sao Paulo, Brazil.
authors.forename: Tamara Kerber
authors.initials: TK
authors.lastname: Tedesco
authors.affiliation: University of São Paulo, Sao Paulo, Brazil.|Paulista University, Campinas, Brazil.
authors.forename: Ana Flavia Bissoto
authors.initials: AF
authors.lastname: Calvo
authors.affiliation: Federal University of Santa Maria, Santa Maria, Brazil.
authors.forename: Tathiane Larissa
authors.initials: TL
authors.lastname: Lenzi
authors.affiliation: University of São Paulo, Sao Paulo, Brazil.|Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.
authors.forename: Daniela
authors.initials: D
authors.lastname: Hesse
authors.affiliation: University of São Paulo, Sao Paulo, Brazil.
authors.forename: Camila Almeida Brandão
authors.initials: CA
authors.lastname: Guglielmi
authors.affiliation: Paulista University, Campinas, Brazil.
authors.forename: Lucila Basto
authors.initials: LB
authors.lastname: Camargo
authors.affiliation: University of São Paulo, Sao Paulo, Brazil.
authors.forename: Thais
authors.initials: T
authors.lastname: Gimenez
authors.affiliation: University of São Paulo, Sao Paulo, Brazil.
authors.forename: Mariana Minatel
authors.initials: MM
authors.lastname: Braga
authors.affiliation: University of São Paulo, Sao Paulo, Brazil.
authors.forename: Daniela Prócida
authors.initials: DP
authors.lastname: Raggio
mesh_terms: D002648:Child; D057087:Dental Atraumatic Restorative Treatment / Q000379:methods*; D003731:Dental Caries / Q000628:therapy*; D003766:Dental Occlusion; D019232:Dental Restoration Failure; D006801:Humans; D014094:Tooth, Deciduous