Shivanna MM, Ganesh S, Khanagar SB, Naik S, Divakar DD, Al-Kheraif AA, Jhugroo C. Twelve-month evaluation of the atraumatic restorative treatment approach for class III restorations: An interventional study. World J Clin Cases 2020; 8(18): 3999-4009 [PMID: 33024756 DOI: 10.12998/wjcc.v8.i18.3999]
Corresponding Author of This Article
Sachin Naik, MDS, Associate Professor, Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, PO Box 7805, Riyadh 11433, Saudi Arabia. sachinnaiksln@gmail.com
Research Domain of This Article
Dentistry, Oral Surgery & Medicine
Article-Type of This Article
Clinical and Translational Research
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Madhuniranjanswamy Mahalakshmamma Shivanna, Community Dentistry, Penang International Dental College, Jalan Bagan Luar 12000, Malaysia
Shabana Ganesh, Department of Public Health Dentistry, Sri Ventkateshwraa Dental College, Ariyu 605102, India
Sanjeev Balappa Khanagar, Preventive Dental Science Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
Sachin Naik, Darshan Devang Divakar, Abdulaziz Abdullah Al-Kheraif, Chitra Jhugroo, Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, P. O. Box: 10219, Riyadh 11433, Saudi Arabia
Author contributions: Shivanna MM contributed as the first author in designing and overall concept of the study; Ganesh S contributed in preparing material and methods; Khanagar SB reviewed the literature; Naik S wrote the discussion and comparison of studies; Divakar DD interpreted the results; Al Kheraif AA edited and wrote the manuscript; Jhugroo C drafted and revised the manuscript.
Supported bythe deanship of Scientific Research, King Saud University for funding through Vice Deanship of Scientific Research Chairs.
Institutional review board statement: This study was reviewed and approved by the Ethical Committee of The Oxford Dental College and Hospital, Bangalore, India.
Conflict-of-interest statement: The author(s) declare(s) that there is no conflict of interest regarding the publication of this paper.
Data sharing statement: No additional data.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Sachin Naik, MDS, Associate Professor, Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, PO Box 7805, Riyadh 11433, Saudi Arabia. sachinnaiksln@gmail.com
Received: March 28, 2020 Peer-review started: March 28, 2020 First decision: April 24, 2020 Revised: April 30, 2020 Accepted: July 30, 2020 Article in press: July 30, 2020 Published online: September 26, 2020 Processing time: 177 Days and 7 Hours
Abstract
BACKGROUND
Atraumatic restorative treatment (ART) may be appropriate for populations without accessibility and affordability. More data are required regarding the success rate of ART in anterior teeth.
AIM
To evaluate the clinical performance of restoring class III cavities in anterior teeth of permanent dentition using the ART approach.
METHODS
A longitudinal interventional field study was carried out at two rural primary health centers, Tumkur district, India. A total of 54 teeth in 39 patients were evaluated for the survival rate of class III restorations in permanent anterior teeth using the ART approach in children and adult populations. Evaluation of ART restoration was carried out using Frencken J criteria, the mean procedure time, patient acceptance and reported pain severity during the ART approach were evaluated using a visual analog scale. Calculation of the cost of ART was also performed.
RESULTS
The mean time taken to perform the ART procedure was 14.79 ± 5.8 min with the majority of patients reporting only mild pain. At 6 mo follow-up, 72.2% remained in a good state, but this reduced to 27% at 12 mo. The cumulative survival rate of the restorations was 94.4% at 6 mo and 80.9% at 12 mo follow-up. Estimation of the direct cost for a single class III restoration was 186.50 INR (2.64 USD).
CONCLUSION
ART may be a good comprehensive option for basic oral health care for underserved or inaccessible populations, and preventive care for patients.
Core Tip: This study aimed to evaluate the success rate of atraumatic restorative treatment (ART) for class III anterior permanent teeth. ART is a cost-effective treatment and is best for populations without access to oral health care. The current study findings suggest that the cumulative survival rate of the restorations at 12 months follow-up was 80.9% which is an acceptable success rate. ART is suitable for areas where dental health services cannot be reached easily.
