口腔预防医学精品教学（中山大学）8.3非创伤性修复治疗.pptVIP

非创伤性修复治疗（Atraumatic restorative treatment, ART) 中山大学光华口腔医学院 支清惠 Ph.D. MDS BDS Lack of traditional instruments for dental caries treatments Longevity of amalgam restoration Development of adhesive materials Dental caries stop under restorations and sealants No need to remove all caries lesions Development of GIC releasing fluoride Creation, development and outcome of ART Better prevention and less injury！ Small or medium sized caries cavities of primary and permanent teeth, have entries for the smallest excavator, no pulp expose, on pulpitis Indications of ART Materials：Glass ionomer powder and lotion, finishing agent of dentine Instruments and materials instruments：mirror, tweezers, probes, dental spatula, excavators, paper for mixing, chisels, stichels, resin band, wedge Instruments and materials Cavity preparation Cleaning Mixing Restoration Procedures of ART Best prevention and least injury Hand instruments Easy to operate Convenience to control cross-infection Easy to accepted by patients GIC releasing fluoride Easy to repair Evaluations for ART Microleakage Strength of materials Longevity need to be observed Misunderstand to ART GIC as a temporary restoration High drop-out rate Factors influence the use of ART Improvement of materials：better adhension, better abrasive resistance, smaller microleakage, better remineraliztion Combine with other techniques in prevention dentistry Good future -- suitable for all populations and accord with modern prevention dentistry Trend of ART Systematic review of ART Pediatr Dent. 2000 Jul-Aug;22(4):294-8. The atraumatic restorative treatment (ART) approach for primary teeth: review of literature. Smales RJ, Yip HK. Abstract There is widespread interest in and increasing usage of the atraumatic restorative treatment (ART) technique or approach for the restoration of primary teeth, especially in developing countries. However, most of the published reports of the clinical performance of newer, more-viscous esthetic conv