This document provides information on the ART (Atraumatic Restorative Treatment) procedure. It begins with an introduction stating that ART is a minimally invasive cavity preparation and restoration technique. The principles of ART are removing caries using only hand instruments and restoring the cavity with an adhesive material. Indications for ART include small, accessible cavities, while contraindications include exposed or inflamed pulps. Advantages include conserving tooth structure, reducing pain and trauma, and enabling the technique to be used in remote areas. The document describes the instruments, materials, procedures and concludes that ART focuses on providing dental care in developing countries.

1. GOOD MORNING

2. YASMIN MOIDIN
2008 BATCH
AL AZHAR DENTAL COLLEGE
THODUPUZHA

3. CONTENTS
 Introduction
 Principles
 Indications
 Contraindications
 Advantages
 Instruments for ART
 Materials for ART
 Procedure
 Conclusion

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. PRINCIPLES
 Removing
carious
tooth
tissues
using
hand
instruments only
 Restoring the cavity with a restorative material that
sticks to the tooth

6. INDICATIONS
 ART is carried out
 Only in small cavities
 In
those cavities that are accessible to hand
instruments
 Public health programs

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.  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. 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.  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. INSTRUMENTS
 Mouth Mirror
 Explorer
 Tweezers
 Spoon Excavator
 Dental hatchet
 Carver
 Mixing pad and spatula

12. MATERIALS
 Cotton wool rolls
 Cotton wool pellets
 Petroleum jelly
 Plastic Strip
 Wedges
 Glass Ionomer cement

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. •
Caries removal
•
Conditioning the prepared cavity
•
Mixing
•
Restoring the cavity
- press finger technique

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. REFERENCES
 ESSENTIALS OF PREVENTIVE AND COMMUNITY
DENTISTRY 4TH EDITION - SOBAN PETER

17. THANK YOU
!