Atraumatic Restorative Treatment (ART) in Dentistry
38 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary purpose of the Atraumatic Restorative Treatment (ART)?

  • To remove soft, demineralized tooth tissue using hand instruments (correct)
  • To remove all tooth tissues using hand instruments
  • To restore the tooth with an adhesive restorative material
  • To replace the tooth with a dental implant

    • What is the first principle of ART?

  • Simplifying infection control
  • Using local anesthesia to reduce pain
  • Restoring the cavity with a restorative material
  • Removing carious tooth tissues using hand instruments only (correct)

    • Why are hand instruments used in ART?

  • Because they are harder to clean and sterilize
  • Because they are more expensive than drills
  • Because they cause more trauma to the teeth
  • Because they make restorative care accessible to all population groups (correct)

    • What is the benefit of using hand instruments in ART?

    <p>They conserve sound tooth tissues and cause less trauma to the teeth</p> Signup and view all the answers

    What is the routine restorative material used in ART?

    <p>Glass ionomer</p> Signup and view all the answers

    What is another benefit of using hand instruments in ART?

    <p>They reduce the need for local anesthesia and reduce psychological trauma</p> Signup and view all the answers

    What is the first indication for ART?

    <p>Cavities involving dentine</p> Signup and view all the answers

    What is contraindication #2 for ART?

    <p>Presence of abscess associated with the carious tooth</p> Signup and view all the answers

    What is the material of choice for ART?

    <p>Glass ionomer cement</p> Signup and view all the answers

    What is the function of the Dental Mirror in ART?

    <p>Reflect light</p> Signup and view all the answers

    What is the function of the Tweezer in ART?

    <p>Carry out cotton wool pellet, wedges, and articulating paper</p> Signup and view all the answers

    What is the function of the Spoon Excavator in ART?

    <p>Removing caries</p> Signup and view all the answers

    What is the function of the Glass Slap and Spatula in ART?

    <p>Mixing the filling material</p> Signup and view all the answers

    What is the function of the Cotton Wool Roll in ART?

    <p>Isolation</p> Signup and view all the answers

    What is the recommended position of the operator in ART?

    <p>Sitting with straight back, thighs parallel to the floor, and feet flat on the floor</p> Signup and view all the answers

    What is the function of the Petroleum Jelly in ART?

    <p>Preventing moisture contamination</p> Signup and view all the answers

    What is the first step in the ART procedure?

    <p>Isolate the tooth with cotton wool rolls</p> Signup and view all the answers

    What is the purpose of applying pulpal protection in the ART procedure?

    <p>To protect the pulp in deep cavities</p> Signup and view all the answers

    What is used to mix the glass ionomer in the ART procedure?

    <p>Manufacturer's instruction</p> Signup and view all the answers

    What is the purpose of placing petroleum jelly on the gloved finger?

    <p>To press on the top of the entire occlusal surface</p> Signup and view all the answers

    What is the definition of a pit and fissure sealant?

    <p>An organic polymer that flows into the pits and fissures</p> Signup and view all the answers

    What is the majority of sealants made of?

    <p>Bis-GMA (Bisphenol A-glycidyl methylacrylate)</p> Signup and view all the answers

    What is the purpose of a pit and fissure sealant?

    <p>To protect the pits and fissures from decay</p> Signup and view all the answers

    What is the last step in the ART procedure?

    <p>Instruct the patient not to eat or drink for at least 1 hour</p> Signup and view all the answers

    What is the purpose of cleaning pits and fissures surfaces and removing plaque and debris?

    <p>To prepare the tooth for sealant application</p> Signup and view all the answers

    What is the next step after etching the surface?

    <p>Rinse the etchant</p> Signup and view all the answers

    What is the advantage of using an invasive technique?

    <p>It allows for accurate diagnosis of carious lesions</p> Signup and view all the answers

    What is indicated where caries within a fissure has just reached the dentine?

    <p>Preventive resin restoration</p> Signup and view all the answers

    What is the purpose of occlusal evaluation using articulating paper?

    <p>To evaluate the occlusion of the tooth</p> Signup and view all the answers

    What is the purpose of re-evaluation after six months?

    <p>To evaluate the effectiveness of the sealant</p> Signup and view all the answers

    What is the primary purpose of a sealant?

    <p>To provide a physical barrier to seal off pits and fissures</p> Signup and view all the answers

    What is an ideal characteristic of a sealant?

    <p>Viscosity allowing penetration into deep pits and fissures</p> Signup and view all the answers

    What is an indication for using a pit and fissure sealant?

    <p>Moderate and high risk caries</p> Signup and view all the answers

    What is a contraindication for using a pit and fissure sealant?

    <p>Patient behavior that affects isolation</p> Signup and view all the answers

    What can cause sealant retention failure?

    <p>Incorporation of air bubbles into the sealant material</p> Signup and view all the answers

    What is the purpose of a physical barrier in a sealant?

    <p>To prevent bacteria and their nutrients from collecting within pits or fissures</p> Signup and view all the answers

    What is a criterion for the ideal sealant?

    <p>Good and prolonged adhesion to enamel</p> Signup and view all the answers

    What is the purpose of the sealant in preventing caries?

    <p>To provide a physical barrier to seal off pits and fissures</p> Signup and view all the answers

    Study Notes

    Atraumatic Restorative Treatment (ART)

    • A dental caries treatment procedure involving the removal of soft, demineralized tooth tissue using hand instruments alone, followed by restoration of the tooth with an adhesive restorative material, routinely glass ionomer.
    • Principles:
      • Removing carious tooth tissues using hand instruments only.
      • Restoring the cavity with a restorative material that sticks to the tooth.
    • Reasons for using hand instruments:
      • Makes restorative care accessible for all population groups.
      • Conserves sound tooth tissues and causes less trauma to the teeth.
      • Low cost.
      • Limits pain and reduces the need for local anesthesia.
      • Simplifies infection control.

    Indications and Contraindications for ART

    • Indications:
      • Cavities involving dentine.
      • Accessible to hand instruments.
    • Contraindications:
      • The pulp is exposed.
      • Presence of abscess associated with the carious tooth.
      • If the teeth are painful for a long time and there may be chronic inflammation of the pulp.
      • Inaccessible to hand instruments.

    Materials and Instruments Used in ART

    • Material:
      • Glass ionomer cement.
    • Instruments:
      • Dental Mirror.
      • Explorer.
      • Tweezer.
      • Dental Hatchet.
      • Spoon Excavator.
      • Carver.
      • Glass Slap and Spatula.
    • Other materials:
      • Cotton Wool Roll.
      • Cotton Wool Pellet.
      • Dentine Conditioner.
      • Petroleum Jelly.
      • Articulating Paper.
      • Plastic Strip.
      • Wedge.

    Steps of ART Procedure

    • Isolate the tooth with cotton wool rolls.
    • Clean the tooth surface to be treated with a wet cotton wool pellet.
    • Widen the entrance of the cavity (if necessary).
    • Remove caries using excavator.
    • If the cavity is deep, apply pulpal protection (calcium hydroxide paste).
    • Condition the cavity and occlusal surface using dentine conditioner.
    • Mix glass ionomer according to the manufacturer's instructions.
    • Insert the mixed glass ionomer into the cavity and overfill slightly.
    • Place petroleum jelly into the gloved finger and press on the top of the entire occlusal surface.
    • Check the bite and remove excess material with the carver.
    • Recheck the bite and adjust the height of the restoration if needed.
    • Cover filling with petroleum jelly and instruct the patient not to eat or drink for at least 1 hour.

    Pits and Fissures Sealants

    • Definition: An organic polymer (resin) that flows into the pits and fissures and bonds to the enamel surface mainly by mechanical retention.
    • Purpose:
      • Provide a smooth occlusal surface.
      • Provide a physical barrier to seal off the pits and fissures.
      • Prevent bacteria and their nutrients from collecting within the pits or fissures.
    • Criteria for ideal sealant:
      • Viscosity allowing penetration into deep pits and fissures.
      • Adequate working time.
      • Rapid curing.
      • Good and prolonged adhesion to enamel.
      • Low solubility.
      • Resistance to wear.
      • Compatibility with oral tissues.
      • Cariostatic action.

    Indications and Contraindications for Pits and Fissures Sealant

    • Indications:
      • Moderate and high-risk caries.
      • Incipient caries limited to the enamel pits and fissures.
      • Deep or irregular pits and fissures, especially if it catches the tip of the explorer.
      • When the opposing tooth is carious or restored.
      • Presence of isolating fossa from another with a restoration present.
    • Contraindications:
      • Patient behavior affects isolation.
      • Open occlusal carious lesion.
      • Large occlusal restoration.
      • Self-cleansing pits and fissures.
      • Patient allergic to methacrylate.

    Sealant Retention Failure

    • Reasons for failure:
      • Moisture contamination.
      • Inadequate etching.
      • Incorporation of air bubbles into the sealant material.
      • Incomplete removal of debris from the pits and fissures.
      • Too slow application of the material.

    Procedure of Pit and Fissure Sealant Application

    • Prepare the tooth by cleaning pits and fissures surface and removing plaque and debris.
    • Isolate the teeth.
    • Dry the surfaces with air for 20-30 seconds.
    • Etch the surface for 30-60 seconds.
    • Rinse the etchant for 60 seconds.
    • Dry the surface with air for 20-30 seconds.
    • Apply sealant material on the pits and fissures.
    • Evaluate the sealant for complete coverage and absence of voids or bubbles.
    • Occlusal evaluation using articulating paper.
    • Re-evaluation after six months.

    Incipient Fissure Caries and Sealants

    • Advantages of using invasive technique:
      • Ability to diagnose the extent of carious lesion.
      • High retention rate for sealant.
      • Reduce the microleakage rates.

    Preventive Resin Restoration (PRR)

    • Indicated where caries within a fissure has just reached the dentine.
    • Procedure involves:
      • Removing carious tissue.
      • Bonding resin material into the cavity.
      • Covering all restorative material and the remaining fissures with sealant.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Atraumatic Restorative Treatment (ART) & Pits and Fissure Sealants PDF

    Description

    Understand the principles and applications of Atraumatic Restorative Treatment, a dental caries treatment procedure. Learn about the removal of soft, demineralized tooth tissue and more.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser