An atraumatic restorative treatment (ART) technique: evaluation after one year.
An atraumatic restorative treatment (ART) technique: evaluation after one year.
复制标题
无创伤恢复治疗 (ART) 技术：一年后评估。
DOI：
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发表时间：
1994
影响因子：
3.3
通讯作者：
T. Pilot
中科院分区：
文献类型：
--
作者：
J. Frencken;Y. Songpaisan;P. Phantumvanit;T. Pilot
拔牙是为许多工业化程度较低的国家的农村和郊区居民提供的最常见的牙科治疗。相比之下，很少提供恢复性护理。为了改善这种情况，已经开发了一种治疗技术，该技术仅基于龋损的手挖并且使用玻璃离子粘固剂作为填充材料和密封剂。这种无创恢复治疗（ART）技术遵循最小干预的概念，不需要电动设备。本文报告了泰国农村地区使用该技术在田间条件下放置的填充物和密封剂的寿命。在一个村庄使用ART技术治疗龋齿，而在另一个村庄的人口通过移动的牙科诊所接受修复护理（汞合金填充）。第三个村庄是对照组。一年后，79%的单一表面ART填充物和55%的超过一个表面的ART填充物放置在乳牙中被判断为成功。在恒牙列中ART充填（主要是单一表面充填）的成功率为93%，封闭剂的留存率为78%，儿童对接受这种技术治疗感到高兴，几乎没有恐惧。ART技术是一种很有前途的龋齿治疗方法，可用于工业化程度较低的国家的农村和郊区。
Extraction is the most common dental treatment provided for people in rural and suburban areas in many less-industrialised countries. By comparison, restorative care is rarely provided. In order to improve such situations, a treatment technique has been developed based only on hand excavation of carious lesions and using glass-ionomer cement as a filling material and a sealant. This Atraumatic Restorative Treatment (ART) technique follows the concept of minimal intervention and does not require electrically driven equipment. This paper reports on the longevity of fillings and sealants placed using the technique under field conditions in rural Thailand. Dental caries was treated using the ART technique in one village, whilst the population in a second village received restorative care (amalgam fillings) through mobile dental units. A third village was the control. After one year, 79 per cent of single surface ART fillings and 55 per cent of ART fillings of greater than one surface placed in deciduous teeth were judged successful. The success rate of ART fillings in the permanent dentition (mainly single surface fillings) was 93 per cent and the retention rate for sealants was 78 per cent. Children were pleased at having received treatment by this technique and showed little fear. The ART technique is a promising caries treatment procedure for use in rural and sub-urban areas in less-industrialised countries.