March 2011

Volume 28, Issue 1

The dilemma of selecting suitable proximal carious lesions in primary molars for restoration using ART technique.

Authors: W.E. van Amerongen A.M. Kemoli
doi: 10.1922/CDH_2493Kemoli05


Objective: To determine the examiner’s accuracy in selecting proximal carious lesions in primary molars for restoration using the atraumatic restorative treatment (ART) approach. Basic research design: Intervention study. Clinical setting and participants: A total of 804 six to eight year-olds from 30 rural schools in Kenya participated in the study. Intervention: Three examiners selected a total of 1,280 suitable proximal carious lesions in primary molars after examining 6,002 children from 30 schools randomly selected out of 142 schools in two divisions. Seven operators randomly paired on a daily basis with eight assistants restored the lesions. An explanation was provided for any cavity that was not restored. Pre-and post-operative radiographs of the cavities were also taken for evaluation. Main outcome measures: The examiner’s choice of suitable proximal cavities restorable using the ART approach was related to the decision made to either restore or not during the operative stage. The radiographic findings of the selected cavities were also compared to the decision made by the operator. The results obtained were used to determine the examiner’s accuracy in selecting suitable proximal cavities for restoration using the ART approach. Results: The majority of the children recruited in the study were excluded due to absenteeism, pulpal-exposure or anxiety during the operative stage. Only 804 children received one restoration in their primary molars. The examiner’s accuracy in selecting suitable ART-restorable cavities clinically was 94.9% and based on radiographic analysis was 91.7%. Conclusions: A trained and diligent examiner has a very good chance of selecting proximal carious lesions restorable with the use of ART approach, without the threat of dental pulpal-involvement during the excavation of caries. Key words: ART, cavity selection accuracy, primary molars, proximal lesions.


Other articles in this issue

Article Pages Access
Editorial 3-0 Download
Acknowledgement of Referees 4-0 Download
The caries experience of 5 year-old children in Scotland, Wales and England in 2007-2008 and the impact of consent arrangements. Reports of co-ordinated surveys using BASCD criteria 5-11 Download
The dilemma of selecting suitable proximal carious lesions in primary molars for restoration using ART technique. 12-16 Download
Using laser fluorescence (DIAGNOdent) in surveys for the detection of noncavitated occlusal dentine caries 17-21 Download
The prevalence of and risk factors for non-carious cervical lesions in adults in Hubei Province, China 22-28 Download
Pediatrician-recommended use of sports drinks and dental caries in 3-year-old children 29-33 Download
Estimating the potential impact on dental caries in children of fluoridating a UK city 34-39 Download
Community water fluoridation support and opposition in Australia 40-46 Download
Health-related lifestyle behaviours, socio-demographic charac-teristics and use of dental health services in Greek adults. 47-52 Download
Non-biological factors associated with tooth retention in Irish adults 53-59 Download
Short Communication - Actinic Cheilitis among agricultural workers in Campinas, Brazil 60-63 Download
Correlation between oral health perception and clinical factors in a Brazilian community 64-68 Download
Periodontal health and treatment needs among hospitalized chronic psychiatric patients in Istanbul, Turkey 69-74 Download
Oral hygiene and gingival health in Flemish pre-school children 75-81 Download
Comparison of the COHIP and OHIP- 14 as measures of the oral health-related quality of life of adolescents 82-88 Download
Assessment and comparison of periodontal status among young smokers and nonsmokers of Bangalore, India - a cross sectional study. 89-94 Download
Smoking and drinking habits and attitudes to smoking cessation counselling among Tanzanian dental students 95-98 Download
The success of fissure sealants placed by dentists and dental care professionals 99-103 Download
Traumatic dental injuries to primary incisors and the terminal or occlusal plane relationship in Indian preschool children 104-106 Download
Retrospective evaluation of the referral pattern to an oral medicine unit in Ireland 107-110 Download
Factors associated with Japanese dentists encouraging patients to use dental floss 111-115 Download
Teaching dental public health to undergraduates using community profiles and patient case studies 116-120 Download


Online (Single user only)
Institution Online (IP address validation)

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.