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Journal of Dental Research
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Biomaterials & Bioengineering

Effectiveness of Single-surface ART Restorations in the Permanent Dentition: A Meta-analysis

J.E. Frencken1,*, M.A. van ’t Hof2, W.E. van Amerongen3 and C.J. Holmgren1

1 WHO Collaborating Centre for Oral Health Care Planning and Future Scenarios, University of Nijmegen, College of Dental Sciences, PO Box 9101, 6500 HB Nijmegen, the Netherlands;
2 Department of Preventive and Community Dentistry and Paediatric Dentistry, University of Nijmegen, College of Dental Sciences, PO Box 9101, 6500 HB Nijmegen, the Netherlands; and
3 Department of Paediatric Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Louwesweg 1, 1066 EA Amsterdam, the Netherlands;

Correspondence: * corresponding author, j.frencken{at}dent.umcn.nl

Over the past few years, there has been an increase in the number of studies reporting on various aspects of the Atraumatic Restorative Treatment (ART) approach. Five randomized clinical trials in which ART restorations with glass ionomers were compared with amalgam restorations in permanent teeth for a maximum period of 3 yrs constituted the database. This meta-analysis divided the publications into ‘early’ (1987–1992) and ‘late’ (1995-) studies on the basis of improvements in the approach. The analysis showed that, in the ‘early’ studies, single-surface amalgam restorations survived statistically significantly longer than comparable ART restorations after 1, 2, and 3 yrs. This trend did not continue into the late group of studies; no statistically significant difference between the 2 types of restorations was found. Based on the available data, it appears that there is no difference in survival results between single-surface ART restorations and amalgam restorations in permanent teeth over the first 3 yrs.

Key Words: dental caries • atraumatic restorative treatment • ART • permanent teeth • meta-analysis

Journal of Dental Research, Vol. 83, No. 2, 120-123 (2004)
DOI: 10.1177/154405910408300207
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