Minimum.Intervention (MI).Dentistry
Atraumatic Restorative Treatment - ART

Atraumatic Restorative Treatment or ART -  introduced in South Africa by its Dutch  inventor, Prof. Jo Frencken in 1996, but still widely unknown amongst the general public -takes the dread from the dentist visit and has the potential  to significantly  improve the state of the nation's teeth.
ART restores tooth decay without using the drill or injecting a local anaesthetic. Instead, tooth cavities are cleaned of caries using hand instruments,  sometimes together with a caries softening gel   After the caries is removed, the tooth cavity is  restored with high viscous glass ionomer cement.
 

Using press finger technique completes the filling: the dentist slightly overfills the cavity and applies light pressure onto it by  using his gloved, Vaseline  coated index finger.
 

 
The result is a sealed restoration with the filled cavity and sealed pits and fissures adjacent to it, which provides additional protection against recurrent caries attacks.

International research shows that ART restorations are as durable and successful as conventional restorations and are considered as permanent fillings. Not only does the procedure help to reduce bacteria causing caries, but chemically bonds the filling material to cavity walls, thus preventing any further nutrient supply to remaining bacteria. In effect bacteria ‘starve’ and become inactive. Continued fluoride release by the filling material also acts toxic against bacteria and assist in the remineralisation and rebuild of weakened tooth tissues.

Although no ‘magic bullet’ to solve all problems related to dental caries, the ART concept holds many advantages, for the dental practice. The mechanics needed for ART does not depend on complicated mechanical instruments but rather makes use of the already sufficient number of available hand instruments in any dental clinic. These are not only more durable and cheaper to buy and maintain, but also significantly reduces the risk of cross infection.

Since ART is painless, only removing the soft, non sensitive carious tooth tissues, there is no need for injecting local anaesthetics. The treatment is thus much more accessible to and more easily applied to toddlers, children,  patients with general contra-indications for local anaesthetic and housebound patients. Both patients and dental practitioners are benefiting. The treatment is painless, safe, cost-effective and preventative of further tooth decay.  The dentist is no longer seen as the inflictor of pain, a perception, which causes much stress amongst oral health professionals in their daily practice.  All in all, a win situation.

Dentists around the country who have undergone ART training and have implemented the treatment are giving enthusiastic feedback on its success. So, no more reasons to put off that long overdue visit to the dentist. 
Just ask for ART!


 

(Pic 5 and 6 courtesy of the Dental Research institute,
University of the Witwatersrand, Johannesburg, South Africa.)

Further facts:
    ART was officially endorsed by the World Health Organization in1994.

    Its inventor, Prof. Jo Frencken introduced ART, to mainly academic dental institutions in South Africa in 1996. 

    The National Department of Health and Provincial Health Authorities as well as the World Health Organization (WHO) have highlighted the importance of ART for South Africa. 

    The Health Profession Council of SA has accredited ART training for dentists as Continued Professional Development (CPD) activity.

    The listing of ART training courses within the National Qualification Framework by the South African Qualification Authority is on the way. 

    Since 1998, Dr Steffen Mickenautsch, expert in ART Training and Research, who is working with the University of the  Witwatersrand’s Division of Public Oral Health and the University's Dental Research Institute in Johannesburg, offers   ART training courses on regular basis to dentists in South Africa.

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