Atraumatic Restorative Treatment in permanent molars: a systematic review

The Atraumatic Restorative Treatment (ART) approach was developed in the mid-1980s to provide dental preventive and restorative care to underserved populations in areas that are out of reach. The method consists of the removal of infected (soft demineralized carious) tooth tissue with manual instruments only, followed by the filling of the cleaned cavity and associated pits and fissures with an adhesive restorative material1. The resulting sealant-restoration is thus both preventive and restorative. ART is perfectly aligned with modern concepts in health care, which advocate maximal effort regarding preventive approaches andminimally invasive procedures.

As a result, many people living in less developed areas can receive oral care by means of ART. Moreover, ART is also suitable for patients with permanent or temporary physical disabilities. Although initially developed to provide restorative dental treatment in areas of difficult access, ART or modified ART techniques are being increasingly introduced into dental clinics in industrialized countries.