ART

Question 1

ART stands for?

Answer 1

atraumatic restorative dentistry

Question 2

what is demin and remin?

Answer 2

demin - calcium and phosphorus lost from tooth

remin - reposition of Ca and P onto the tooth surface, after tooth is remineralised, fluoroapatite is stronger than the original tooth structure

Question 3

Aim of MID? (minimal intervention dentistry)

Answer 3

preserve max amt of tooth structure to maintain strength/integrity

if both enamel and dentine can be remin?

assessment of risk factors is key too

Question 4

Why is cavitated area of most concern?

Answer 4

plaque retentive area therefore high risk for caries progression

Question 5

Briefly explain ART

Answer 5

conservative method of managing carious lesions where traditional methods not possible, viable or practical e.g. no rotary instrument, no electricity, non-compliant pt

Question 6

What are the principles of ART? (5)

Answer 6

• Hand excavation of caries and cavity preparation
• Minimal removal of tooth structure
• Incomplete caries removal
• AgFl application in some cases
• GIC or IRM applied as restorative material

Question 7

What is IRM?

Answer 7

intermediate restorative material with ZOE

• soothing to pulp
• not definite, needs to be replaced

Question 8

Indications of ART (5)

Answer 8

general dentistry e.g. children or pt phobic of drills etc

treatment camps

school dental health programs

differently abled patients

elderly patients - home bound

Question 9

Contraindications of ART (4)

Answer 9

1. swelling
2. abscess or fistula
3. severe or prolonged toothache
4. cavity inaccessible

Question 10

What are the advantages of ART?

Answer 10

conservation of tooth structure

painless (no LA) - good for anxious children

infection control simplified

cost effective

silver has antibacterial properties

Question 11

Why use GIC for ART?

Answer 11

chemical bond w tooth structure

non-irritating

fluoride release

Question 12

Advantages of AgFL (5)

Answer 12

1. antimicrobial
2. promotes remineralisation (F)
3. inexpensive
4. non-invasive technique used
5. can be adminstered by dental auxillaries (OHT, hygienist)

Question 13

What is needed as a given before AgFl application?

Answer 13

atleast 1mm of sound dentine above pulp

Question 14

How to tell if caries has progressed at appointments subsequent to AgFl application?

Answer 14

lighter colour and has lots black matte surface