ATRAUMATIC RESTORATIVE TREATMENT (ART)

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PUBLIC HEALTH DENTISTRY

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ATRAUMATIC RESTORATIVE TREATMENT (ART)

  1. 1. GOOD MORNING
  2. 2. YASMIN MOIDIN 2008 BATCH AL AZHAR DENTAL COLLEGE THODUPUZHA
  3. 3. CONTENTS  Introduction  Principles  Indications  Contraindications  Advantages  Instruments for ART  Materials for ART  Procedure  Conclusion
  4. 4. INTRODUCTION  ART is based on modern knowledge about minimal intervention, minimal invasion and minimal cavity preparation for carious lesions  It is a procedure based on removing carious tooth tissues using hand instruments along and restoring the cavity with an adhesive material
  5. 5. PRINCIPLES  Removing carious tooth tissues using hand instruments only  Restoring the cavity with a restorative material that sticks to the tooth
  6. 6. INDICATIONS  ART is carried out  Only in small cavities  In those cavities that are accessible to hand instruments  Public health programs
  7. 7. CONTRAINDICATIONS  ART should not be used when:  There is presence of swelling or fistula near the carious tooth  The pulp of tooth is exposed  Teeth have been painful for a long time and there may be chronic inflammation of the pulp
  8. 8.  There is an obvious carious cavity, but the opening is inaccessible to hand instruments  There are clear signs of a cavity, eg: in a proximal surface, but the cavity cannot be entered from the proximal or the occlusal direction
  9. 9. ADVANTAGES  ‘ART’ is a biological approach that requires minimal cavity preparation that conserves sound tooth tissues and causes less trauma to teeth  As ART is painless, the need for local anesthetics are reduced and reduces the psychological trauma to the patients  Simplifies infection control as hand instruments can easily be cleaned and sterilized
  10. 10.  No electrically driven and expensive dental equipment needed which enables ART to be practiced in remote areas and in the field  This technique is simple enough to train non-dental personnel or primary healthcare workers  ART approach is very cost effective  Use -> Among children, fearful adults, physically and mentally handicapped
  11. 11. INSTRUMENTS  Mouth Mirror  Explorer  Tweezers  Spoon Excavator  Dental hatchet  Carver  Mixing pad and spatula
  12. 12. MATERIALS  Cotton wool rolls  Cotton wool pellets  Petroleum jelly  Plastic Strip  Wedges  Glass Ionomer cement
  13. 13. PROCEDURES  Arrange a good working environment  Outside the mouth     Operators – posture and position Assistance Patient position Operating light  Inside the mouth  Control of Saliva  Hygiene and Control of Cross Infection  Restoring the Cavity
  14. 14. • Caries removal • Conditioning the prepared cavity • Mixing • Restoring the cavity - press finger technique
  15. 15. CONCLUSION  The ART procedure has been developed to focus on developing countries of people who are unable to obtain restorative dental care  ART is a combined preventive and curative oral care procedure which must be administered along with health promoting messages about a prudent diet , good oral hygiene, use of fluoride toothpaste and sealant application
  16. 16. REFERENCES  ESSENTIALS OF PREVENTIVE AND COMMUNITY DENTISTRY 4TH EDITION - SOBAN PETER
  17. 17. THANK YOU !

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