The atraumatic restorative treatment (ART) strategy in Mexico: two-years follow up of ART sealants and restorations

BMC Oral Health

Jan Mulder¹  Jorge Alejandro Muñúzuri-Hernández²  Jo E Frencken¹  Elisa Luengas-Quintero² 

[1] Department of Global Oral Health, College of Dental Sciences, Radboud University Nijmegen Medical Centre, P.O Box 9101, Nijmegen 6500 HB, The Netherlands;Department of Oral Health of the Ministry of Health, Mexico, DF CP 11800, Mexico

关键词: Pit and fissure sealant;    Dental restoration;    Glass ionomer;    ART;    Atraumatic restorative treatment;    Dental caries;    Health policy;    Mexico;   

Others  :  1125974
DOI  :  10.1186/1472-6831-13-42

 received in 2013-05-21, accepted in 2013-09-04,  发布年份 2013

【 摘 要 】

Background

The massive use of preventive measures in Mexico has resulted in a large decline in dental caries over the past two decades. There does however remain a largely unmet need for restorative treatment. This paper describes the steps leading up to the adoption of a strategy, as part of general health policy, to use Atraumatic Restorative Treatment (ART) within the Mexican public health service as a means of addressing this. The objective was to evaluate ART restorations and sealants placed in primary and permanent teeth in schoolchildren from deprived areas over a period of 2 years.

Methods

18 Dentists from 13 municipalities in 6 states with the lowest human development index treated 304, 6- to 13-year-old schoolchildren with ART sealants and ART restorations (single-surfaces) on the school compounds. Ketac Molar Easymix was the filling material used. ART procedures were evaluated according to the ART assessment criteria after 1 and 2 years, by 7 calibrated evaluators. Survival rates were estimated, using the PHREG Model with frailty correction.

Results

The 2-year cumulative survival rates of fully and partially retained ART sealants were 73.1% (primary teeth) and 48.8% (permanent teeth). The dentine carious lesion failure rates of ART sealants in primary and permanent teeth over the 2-year period were 0% and 2.5%, respectively. The 2-year cumulative survival rates of single-surface ART restorations in primary and permanent teeth were 74% and 80.9%, respectively. Secondary carious lesion development occurred in 6 restored primary teeth (2.1%) and in one restored permanent tooth (1.3%). All restorations placed in primary teeth in one state survived, whilst those in one of the 5 remaining states failed statistically significantly more than those in the other 4.

Conclusions

The ART procedures were of substantial quality and had prevented to a large extent the development of new dentine carious lesions in these children from socio-economically deprived areas.

【 授权许可】

   
2013 Luengas-Quintero et al.; licensee BioMed Central Ltd.

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