The correct use of the ART approach.
Article Type: Brief article
Subject: Dental caries (Care and treatment)
Dentifrices (Usage)
Dentifrices (Health aspects)
Oral hygiene products (Usage)
Oral hygiene products (Health aspects)
Author: Wright, Graeme
Pub Date: 10/01/2010
Publication: Name: European Archives of Paediatric Dentistry Publisher: European Academy of Paediatric Dentistry Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2010 European Academy of Paediatric Dentistry ISSN: 1818-6300
Issue: Date: Oct, 2010 Source Volume: 11 Source Issue: 5
Product: SIC Code: 2844 Toilet preparations
Geographic: Geographic Scope: Europe Geographic Code: 4E Europe
Accession Number: 276898059
Full Text: The correct use of the ART approach. J.E. Frencken, S.C. Leal. J Applied Oral Science 2010;18(1): 1-4

Summary. Confusion exists amongst dentists and scientists about the correct use of the caries management approach termed atraumatic restorative treatment (ART). Inconsistent use of original definition of ART and suggested modifications (mART) have led to misunderstanding, misconception and miscommunication in the dental literature over the last decade. This paper aims to contribute to a uniform understanding and use of the term ART. Adherence to its original description is suggested and two major aspects addressed: the use of hand instruments only and of adhesive materials and systems. ART is a minimally invasive approach to prevent dental caries and stop further progression. ART has two components: sealing caries prone pits and fissures and restoring cavitated dentine lesions with sealant-restorations. Placement of an ART sealant involves the application of a high-viscosity GIC pushed into pits and fissures under finger pressure. ART restorations remove soft, completely demineralised carious tooth tissue with hand instruments. This is followed by restoration of the cavity with an adhesive dental material simultaneously sealing any remaining pits and fissures that remain at risk.

Comment. This paper clarifies the procedure and nomenclature of ART as a relatively well known technique. However, as the authors report, it is not uncommon for medical/dental terminology to be brought into everyday parlance, and as a result, for the term to lose its original identity. This useful paper succinctly describes the process and ethos of ART while placing the technique in its rightful place for use by the dental professional.
Gale Copyright: Copyright 2010 Gale, Cengage Learning. All rights reserved.