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Journal of Dental Research
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Clinical

Survival of ART and Amalgam Restorations in Permanent Teeth of Children after 6.3 Years

J.E. Frencken1,*, D. Taifour2 and M.A. van ’t Hof3

1 WHO Collaborating Centre for Oral Health Care Planning and Future Scenarios, Radboud University Medical Centre, College of Dental Sciences, PO Box 9101, 6500 HB Nijmegen, the Netherlands;
2 School Health Department, Ministry of Education, Damascus, Syria; and
3 Department of Preventive and Restorative Dentistry, Radboud University Medical Centre, College of Dental Sciences, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands

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

The null hypothesis tested was that there is no difference in the survival percentages of all restorations placed through the Atraumatic Restorative Treatment (ART) approach, with high-viscosity glass ionomer, and those produced through the traditional approach, with amalgam (TA), in the permanent dentitions of children after 6.3 years. Using a parallel group design, we randomly assigned a total of 370 children, aged 6 to 9 years, to the ART group and 311 children, also aged 6 to 9 years, to the TA group. Eight dentists placed a total of 1117 single- and multiple-surface restorations. The cumulative survival percentages for ART glass-ionomer restorations were statistically significantly higher than those of amalgam restorations at all time intervals except the first (p ≤ 0.044). After 6.3 years, the cumulative survival percentages of ART and amalgam restorations were 66.1% (SE = 3.1%) and 57.0% (SE = 3.3%), respectively. We concluded that the restorations produced with the ART approach, with high-viscosity glass ionomer, survived longer than those produced with the traditional approach, with amalgam, in the permanent teeth of young children.

Key Words: restorations • atraumatic restorative treatment • amalgam • glass ionomer • survival

Journal of Dental Research, Vol. 85, No. 7, 622-626 (2006)
DOI: 10.1177/154405910608500708
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