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Atraumatic restorative treatment (ART): rationale, technique, and development

J E Frencken1, T Pilot, Y Songpaisan

  • 1Ministry of Health and Child Welfare, Dental Department, Causeway, Harare, Zimbabwe. frencken@zimbix.uz.zw

Journal of Public Health Dentistry
|January 1, 1996
PubMed
Summary

Atraumatic Restorative Treatment (ART) offers a viable solution for dental caries in underserved regions. This minimally invasive technique uses only hand instruments and adhesive materials, making restorative care more accessible globally.

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Area of Science:

  • Dental Public Health
  • Restorative Dentistry
  • Minimally Invasive Dentistry

Background:

  • Dental caries treatment in low-income countries often defaults to extraction despite efforts.
  • Existing dental equipment and infrastructure limitations hinder effective caries management.

Purpose of the Study:

  • To present a 15-step treatment module for dental caries, known as Atraumatic Restorative Treatment (ART).
  • To address the challenges of providing restorative dental care in resource-limited settings.

Main Methods:

  • ART involves removing decayed tooth tissue using only hand instruments.
  • Cavities are restored using adhesive filling materials without electricity.
  • A 15-step protocol guides the entire procedure.

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Main Results:

  • ART demonstrated feasibility and effectiveness in a school oral health program in Zimbabwe.
  • The technique bypasses the need for electricity and complex equipment.
  • Advantages include increased accessibility and reduced cost of restorative care.

Conclusions:

  • Atraumatic Restorative Treatment (ART) significantly enhances the availability of restorative oral care globally.
  • ART provides a practical and effective alternative to extraction for dental caries in underserved populations.