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Atraumatic restorative-treatment-(art)
1. Guided By:
Dr. Swagat Mahanta
HOD Of Public Health Dentistry
Presenter:
Manila Upreti
B.D.S Final Year
Phase I
2. It is the procedure based on removing
carious tooth tissue using hand
instruments alone and restoring the
cavity with adhesive restorative
materials.
3. It was first evaluated in Tanzania in the mid
1980s.
ART was introduced in south Africa by its
Dutch Inventor , Prof. Jo Frencken in 1996
4. Based on modern principle of:
Minimal intervention
Minimal invasion
Minimal cavity preparation
5. Removing carious tooth using hand
instruments
Restoring the cavity with an adhesive
restorative material
6. Removing carious tooth using hand
instruments
Restoring the cavity with an adhesive
restorative material
7. Use of biological approach which requires
minimal cavity preparation that conserves
sound teeth
Cost effective
Limitation of pain that reduces the need for
local anesthesia
Infection control
8. Bonds chemically to enamel and dentin
Release of flouride – Anticariogenic
Similar to hard tissue and non irritating
to oral soft tissue
9. Bonds chemically to enamel and dentin
Release of flouride – Anticariogenic
Similar to hard tissue and non irritating
to oral soft tissue
10. Bonds chemically to enamel and dentin
Release of flouride – Anticariogenic
Similar to hard tissue and non irritating
to oral soft tissue
11. Only in small cavities (involving dentin only)
Cavities accessible to hand instruments
Public health programs
12. Only in small cavities (involving dentin only)
Cavities accessible to hand instruments
Public health programs
13. Only in small cavities (involving dentin only)
Cavities accessible to hand instruments
Public health programs
14. Presence of swelling or abscess or fistula
near carious tooth
Pulp of tooth is exposed
History of pain and chronic irreversible
pulpitis
Cavities inaccessible to hand instruments
15. Presence of swelling or abscess or fistula
near carious tooth
Pulp of tooth is exposed
History of pain and chronic irreversible
pulpitis
Cavities inaccessible to hand instruments
16. Presence of swelling or abscess or fistula
near carious tooth
Pulp of tooth is exposed
History of pain and chronic irreversible
pulpitis
Cavities inaccessible to hand instruments
17. Presence of swelling or abscess or fistula
near carious tooth
Pulp of tooth is exposed
History of pain and chronic irreversible
pulpitis
Cavities inaccessible to hand instruments
18. Biological approach that requires minimal
cavity preparation that conserve sound teeth
Painless
Infection control
Cost effective
Easy to operate
19. • Operator position
• Patient position
Arranging good
working
environment
• Sterilization and
disinfection
Hygiene and
control of cross
infection • Hand instruments
• Removal of caries
• Restoration with
adhesive materials
Restoration of
cavity
20. Mouth miror
Explorer
Tweezer
Spoon excavator
Dental hatchet
Carver
Mixing pad and Agate spatula
Cottols rolls and pellets
Petroleum jelly
Plastic strips
Wedges GIC cement
22. Cotton rolls effective at absorbing
Saliva and can provide short term
Protection from moisture.
23. To improve the chemical bonding of GIC to
tooth tooth structure
Dentin conditioner espicially development
for this purpose (liquid is supplied with GIC)
10%
Polyacrylic
acid
25. Rub a small amount of petroleum jelly on the
gloved index finger
Press the soft restorative material firmly into the
cavity and fissure
Then slide the finger smoothly across the
occlusal surface of teeth so that the GIC will get
deposited in the remaining of fissure
26. Excess material is removed with carver
Cover the ART with petroleum jelley
Patient is not allowed to eat for at least 1
hour
27.
28. Restoration is completely missing
Part of restoration has broken away
Restoration has fractured
Restoration has worn away
Caries has developed in the adjacent
fissure of surface