GOOD MORNING
ATRAUMATIC RESTORATIVE
TREATMENT (ART)
YASMIN MOIDIN 2008 BATCH
AL AZHAR DENTAL COLLEGE
THODUPUZHA
CONTENTSIntroduction
Principles
Indications
Contraindications
Advantages
Instruments for ART
Materials for ART
Procedure
Conclusion
INTRODUCTIONART 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
PRINCIPLESRemoving carious tooth tissues using hand
instruments only
Restoring the cavity with a restorative
material that sticks to the tooth
INDICATIONS ART is carried out
Only in small cavities
In those cavities that are accessible to hand
instruments
Public health programs
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
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
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
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
INSTRUMENTSMouth Mirror
Explorer
Tweezers
Spoon Excavator
Dental hatchet
Carver
Mixing pad and spatula
MATERIALSCotton wool rolls
Cotton wool pellets
Petroleum jelly
Plastic Strip
Wedges
Glass Ionomer cement
PROCEDURESArrange 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 InfectionRestoring the Cavity
• Caries removal
• Conditioning the prepared cavity
• Mixing
• Restoring the cavity
- press finger technique
CONCLUSIONThe 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
REFERENCES
ESSENTIALS OF PREVENTIVE AND
COMMUNITY DENTISTRY 4TH EDITION -
SOBAN PETER
THANK YOU !