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Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial
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Inicio Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial O Tratamento Restaurador Atraumático nas Dentições Decídua e Permanente
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Vol. 50. Núm. 1.
Páginas 35-41 (enero - febrero 2009)
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Vol. 50. Núm. 1.
Páginas 35-41 (enero - febrero 2009)
Revisão
Open Access
O Tratamento Restaurador Atraumático nas Dentições Decídua e Permanente
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Viviane Colares*, Carolina da Franca**, Hugo de Andrade Amorim Filho**
* Doutora em Odontopediatria – Universidade de Pernambuco, Brasil
** Mestre em Hebiatria – Universidade de Pernambuco, Brasil
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Resumo

Este trabalho teve como objetivo realizar um levantamento dos estudos publicados nos últimos 10 anos sobre o Tratamento Restaurador Atraumático (ART) em crianças e adolescentes. A busca das referências analisadas foi realizada nas bases de dados da MEDLINE (1997–2007), LILACS e PUBMED. A seleção dos trabalhos foi realizada com base nos seguintes critérios: ter sido escrito em inglês, espanhol ou português; apresentar resumo e investigar aspectos relacionados ao tratamento restaurador atraumático nas dentições decídua e permanente em crianças e adolescentes. Após a análise crítica dos resumos foram selecionados 40 estudos. Observou-se que a técnica ART tem sido alvo de várias investigações, principalmente comparando-o ao tratamento convencional da doença cárie. Outros estudos avaliaram o efeito inibitório de microorganismos bucais após a realização desta técnica e a longevidade das restaurações na dentição decídua e permanente. De maneira geral, os estudos relataram um percentual de sucesso do ART que variou de 12 a 96,1%, em ambas as dentições e com diferentes marcas de ionômero de vidro.

Palavras-Chave:
Tratamento restaurador atraumático
Crianças
Adolescentes
Abstract

The present paper set out to assess studies published in the last decade regarding atraumatic restorative treatment delivered to children and adolescents. Research was carried on Medline (1997–2007), LILACS and Pubmed databases. The studies were selected according to the following criteria: they should be in English, Spanish or Portuguese; they should have an abstract and deal with aspects of atraumatic restorative treatment in primary and permanent dentition among children and adolescents. After analyzing the abstracts, a total of 48 studies were chosen. It was observed that many of them were concerned with atraumatic restorative treatment mainly as compared to conventional restorative procedures. Others were concerned with ART antibacterial effect and survival. Overall, the studies showed that the rate of success for the ART approach using different glass ionomer cements ranged from 12 to 96.1% in both dentition.

Key-words:
Atraumatic restorative treatment
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Bibliografia
[1-]
Frencken JE, Van Amerongen E, Phantumvanit P, Songpaisan Y, Pilot T. Manual for the Atraumatic Restorative Treatment approach to control dental caries. 1997 Disponível em: http://www.dhin.nl/art_manual___main.htm [acedido em 11/out/2007].
[2-]
D. Taifour, J.E. Frencken, N. Beiruti, M.A. van’t Hof, G.J. Truin.
Prevalence of caries and lesions treatable through the ART approach in high caries risk schoolchildren in Damascus.
Syria. Med Princ Pract, 12 (2003), pp. 102-106
[3-]
D.S. Wambier, F. Paganini, F.A. Locatelli.
Tratamento restaurador atraumático (Estudo da sua aplicabilidade em escolares de Tangará/SC).
Pesqui. bras. odontopediatria clín. Integr, 3 (2003), pp. 09-13
[4-]
G.J. Mandari, M.I. Matee.
Atraumatic Restorative Treatment (ART): the Tanzanian experience.
Int Dent J, 56 (2006), pp. 71-76
[5-]
S. Mickenautsch, I. Munshi, E.S. Grossman.
Comparative cost of ART and conventional treatment within a dental school clinic.
SADJ, 57 (2002), pp. 52-58
[6-]
S.M. Kalf-Scholte, W.E. van Amerongen, A.J. Smith, H.J. van Haastrecht.
Atraumatic restorative treatment (ART): a three-year clinical study in Malawi--comparison of conventional amalgam and ART restorations.
J Public Health Dent, 63 (2003), pp. 99-103
[7-]
G.J. Mandari, J.E. Frencken, M.A. van’t Hof.
Six-year success rates of occlusal amalgam and glass-ionomer restorations placed using three minimal intervention approaches.
Caries Res, 37 (2003), pp. 246-253
[8-]
R. Sindhu, E.S. Grossman.
Spreadability of two glass ionomer cements used in atraumatic restorative treatment (ART).
SADJ, 59 (2004), pp. 24-26
[9-]
S. Mickenautsch, J. Kopsala, M.J. Rudolph, E.O. Ogunbodede.
Clinical evaluation of the ART approach and materials in peri-urban farm schools of the Johannesburg area.
SADJ, 55 (2000), pp. 364-368
[10-]
D.F.G. Cefaly, T.J.E. Barata, C.M.C. Tapety, E. Bresciani, M.F.L. Navarro.
Clinical evaluation of multisurface ART restorations.
J. appl. oral sci, 13 (2005), pp. 15-19
[11-]
E.M. Souza, D.F. Cefaly, R.S. Terada, C.C. Rodrigues, M.F. de Lima Navarro.
Clinical evaluation of the ART technique using high density and resin-modified glass lonomer cements.
Oral Health Prev Dent, 1 (2003), pp. 201-207
[12-]
C.T. Dülgergil, M. Soyman, A. Civelek.
Atraumatic restorative treatment with resin-modified glass ionomer material: short-term results of a pilot study.
Med Princ Pract, 14 (2005), pp. 277-280
[13-]
W.E. Amerongen, S. Rahimtoola.
Is ART really atraumatic?.
Community Dent Oral Epidemiol, 27 (1999), pp. 431-435
[14-]
M.C. Schriks, W.E. Amerongen.
Atraumatic perspectives of ART: psychological and physiological aspects of treatment with and without rotary instruments.
Community Dent Oral Epidemiol, 31 (2003), pp. 15-20
[15-]
J.A. Bochove, W.E. Amerongen.
The influence of restorative treatment approaches and the use of local analgesia, on the children's discomfort.
Eur Arch Paediatr Dent, 7 (2006), pp. 11-16
[16-]
N. Hoef, W.E. Amerongen.
Influence of local anaesthesia on the quality of class II glass ionomer restorations.
Int J Paediatr Dent, 17 (2007), pp. 239-247
[17-]
B. Czarnecka, H. Limanowska Shaw, J.W. Nicholson.
Microscopic evaluation of the interface between glass-ionomer cements and tooth structures prepared using conventional instruments and the atraumatic restorative treatment (ART) technique.
Quintessence Int, 37 (2006), pp. 557-564
[18-]
H.K. Yip, R.J. Smales, C. Yu, X.J. Gao, D.M. Deng.
Comparison of atraumatic restorative treatment and conventional cavity preparations for glass-ionomer restorations in primary molars: one-year results.
Quintessence Int, 33 (2002), pp. 17-21
[19-]
C. Yu, X.J. Gao, D.M. Deng, H.K. Yip, R.J. Smales.
Survival of glass ionomer restorations placed in primary molars using atraumatic restorative treatment (ART) and conventional cavity preparations: 2-year results.
Int Dent J, 54 (2004), pp. 42-46
[20-]
R.J. Smales, D.T. Fang.
In vitro effectiveness of hand excavation of caries with the ART technique. Atraumatic restorative treatment.
Caries Res, 33 (1999), pp. 437-440
[21-]
G.J. Mandari, G.J. Truin, M.A. van’t Hof, J.E. Frencken.
Effectiveness of three minimal intervention approaches for managing dental caries: survival of restorations after 2 years.
Caries Res, 35 (2001), pp. 90-94
[22-]
M. Bönecker, E. Grossman, P.E. Cleaton-Jones, R. Parak.
Clinical, histological and microbiological study of hand-excavated carious dentine in extracted permanent teeth.
SADJ, 58 (2003), pp. 273-278
[23-]
M. Bönecker, C. Toi, P. Cleaton-Jones.
Mutans streptococci and lactobacilli in carious dentine before and after Atraumatic Restorative Treatment.
J Dent, 31 (2003), pp. 423-428
[24-]
C.K. Carvalho, A.C. Bezerra.
Microbiological assessment of saliva from children subsequent to atraumatic restorative treatment (ART).
Int J Paediatr Dent, 13 (2003), pp. 186-192
[25-]
N.K. Ersin, A. Uzel, A. Aykut, U. Candan, C. Eronat.
Inhibition of cultivable bacteria by chlorhexidine treatment of dentin lesions treated with the ART technique.
Caries Res, 40 (2006), pp. 172-177
[26-]
M.L. Massara, J.B. Alves, P.R. Brandão.
Atraumatic restorative treatment: clinical, ultrastructural and chemical analysis.
Caries Res, 36 (2002), pp. 430-436
[27-]
C.S. Toi, M. Bönecker, P.E. Cleaton-Jones.
Mutans streptococci strains prevalence before and after cavity preparation during Atraumatic Restorative Treatment.
Oral Microbiol Immunol, 18 (2003), pp. 160-164
[28-]
J.E. Frencken, F. Makoni, W.D. Sithole.
ART restorations and glass ionomer sealants in Zimbabwe: survival after 3 years.
Community Dent Oral Epidemiol, 26 (1998), pp. 372-381
[29-]
E. Honkala, J. Behbehani, H. Ibricevic, E. Kerosuo, G. Al-Jame.
The atraumatic restorative treatment (ART) approach to restoring primary teeth in a standard dental clinic.
Int J Paediatr Dent, 13 (2003), pp. 172-179
[30-]
D. Taifour, J.E. Frencken, N. Beiruti, M.A. van’t Hof, G.J. Truin.
Effectiveness of glass-ionomer (ART) and amalgam restorations in the deciduous dentition: results after 3 years.
Caries Res, 36 (2002), pp. 437-444
[31-]
A. Abid, F. Chkir, K. Ben Salem, K. Argoubi, M. Sfar-Gandoura.
Atraumatic restorative treatment and glass ionomer sealants in Tunisian children: survival after 3 years.
East Mediterr Health J, 8 (2002), pp. 315-323
[32-]
E.C. Lo, C.J. Holmgren.
Provision of Atraumatic Restorative Treatment (ART) restorations to Chinese pre-school children--a 30-month evaluation.
Int J Paediatr Dent, 11 (2001), pp. 3-10
[33-]
J.E. Frencken, M.A. van’t Hof, D. Taifour, I. Al-Zaher.
Effectiveness of ART and traditional amalgam approach in restoring single-surface cavities in posterior teeth of permanent dentitions in school children after 6.3 years.
Community Dent Oral Epidemiol, 35 (2007), pp. 207-214
[34-]
E.C. Lo, C.J. Holmgren, D. Hu, W. van Palenstein Helderman.
Six-year follow up of atraumatic restorative treatment restorations placed in Chinese school children.
Community Dent Oral Epidemiol, 35 (2007), pp. 387-392
[35-]
N. Lopez, S. Simpser-Rafalin, P. Berthold.
Atraumatic restorative treatment for prevention and treatment of caries in an underserved community.
Am J Public Health, 95 (2005), pp. 1338-1339
[36-]
L. Wang, L.G. Lopes, E. Bresciani, J.R. Lauris, R.F. Mondelli, M.F. Navarro.
Evaluation of Class I ART restorations in Brazilian schoolchildren: three-year results.
Spec Care Dentist, 24 (2004), pp. 28-33
[37-]
D. Taifour, J.E. Frencken, N. Beiruti, M.A. van’t Hof, G.J. Truin, W.H. van Palenstein Helderman.
Comparison between restorations in the permanent dentition produced by hand and rotary instrumentation--survival after 3 years.
Community Dent Oral Epidemiol, 31 (2003), pp. 122-128
[38-]
B. Monse-Schneider, R. Heinrich-Weltzien, D. Schug, A. Sheiham, A. Borutta.
Assessment of manual restorative treatment (MRT) with amalgam in high-caries Filipino children: results after 2 years.
Community Dent Oral Epidemiol, 31 (2003), pp. 129-135
[39-]
A. Ziraps, E. Honkala.
Clinical trial of a new glass ionomer for an atraumatic restorative treatment technique in class I restorations placed in Latvian school children.
Med Princ Pract, 11 (2002), pp. 44-47
[40-]
P.K. Mallow, C.S. Durward, M. Klaipo.
Restoration of permanent teeth in young rural children in Cambodia using the atraumatic restorative treatment (ART) technique and Fuji II glass ionomer cement.
Int J Paediatr Dent, 8 (1998), pp. 35-40

(Colares V, Franca C, Amorim Filho HA. O Tratamento Restaurador Atraumático nas Dentições Decídua e Permanente. Rev Port Estomatol Cir Maxilofac 2009;50:35–41)

Copyright © 2009. Sociedade Portuguesa de Estomatologia e Medicina Dentária
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