ATRAUMATIC

RESTORATIVE
TREATMENT (ART)
 CONTENTS
Introduction
Principles
Indication
Contraindication
Advantages
Instruments for ART
Material for ART
Procedure
Conclusion
 Introduction

ART 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.
 Principles

Removing carious tooth tissues using hand

instruments only.
Restoring the cavity with a restorative material that
sticks to the tooth .
 Indication

ART is carried out only in small cavities.

In those cavities that are accessible to hand
instruments.
Public health programs.
 Contraindication
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 along 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 cavity , e.g.: in 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 conserves sound tooth tissues and
causes less trauma to teeth.
As ART is painless, the need for local anesthetics are
reduced and reduces psychological trauma to the
patients.
Simplifies infection control as hand instruments can
easily be cleaned and sterilized.
This technique is simple enough to train non-dental
personnel or primary health care workers.
ART approach is very cost effective.
Use> Among children , fearful adults, physically and
mentally handicapped.
No electrically driven and expensive dental equipment
needed which enables ART to be practiced in remote
areas and in the field.
 Instruments for ART

Mouth mirror.
Explorer.
Tweezers.
Spoon Excavator.
Dental hatchet.
Carver.
Mixing bad and spatula.
 Material for ART

Cotton wool rolls.

Cotton wool pellets.
Petroleum jelly.
Plastic strip.
Wedges.
Glass ionomer cement.
 Procedure

Arrange a good working environment

 Out side the mouth.
 Operators-posture and position.
 Assistance.
 Patient position.
 Operating light.
Inside the mouth
 Control of saliva.
Hygiene and control of cross infection.
Restoring the cavity.
Caries removal.
Conditioning the prepared cavity.
Mixing.
Restoring the cavity.
Press finger technique.
 Conclusion
The 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

ESSNTIALS OF OREVENTIVE AND COMMUNITY

DETISTRY 4TH EDITION – SOBAN PETER.