口腔预防医学：非创伤性修复治疗

1、非创伤性修复治疗（Atraumatic restorative treatment, ART)发展中地区缺乏传统龋病充填治疗设备汞合金的寿命问题黏结性修复材料的发展充填体和封闭物可使其下龋损停止进展龋坏组织无需完全去除释氟性材料玻璃离子的发展由来、发展及临床效果更多的预防，更少的创伤恒牙和乳牙的中小龋洞，能允许最小的挖器进入；无牙髓暴露，无可疑牙髓炎ART的适应证材料：玻璃离子粉、液牙本质处理剂基本材料和器械器械：口镜、镊子、探针、调拌纸、挖匙、牙用手斧（锄形器）、雕刻刀、树脂条或T形带、木楔等基本材料和器械洞形准备清洁混合与调拌充填操作步骤符合现代预防观点：最少的损伤，最佳的预防手用器械操作

2、简单易学控制交叉感染方便病人容易接受玻璃离子含氟容易修补对ART的评价-ART的优点充填微漏玻璃离子的强度长期保留率尚待观察对ART技术的误解误认为玻璃离子是临时充填材料病例丢失率高可能影响其推广的因素充填材料的进步：更强的黏结性、更强的耐磨性、较小的微漏、更强的再矿化能力作为完整预防的一部分，与其他措施相结合适用于所有经济发展水平的人群，符合现代预防和口腔修复的概念，发展前景良好ART的发展方向Clin Oral Investig.2012 Apr;16(2):429-41. doi: 10.1007/s00784-011-0513-3. Epub 2011 Jan 28.Survival

3、of atraumatic restorative treatment (ART) sealants and restorations: a meta-analysis.The purpose of this study is to perform a systematic investigation plus meta-analysis into survival of atraumatic restorative treatment (ART) sealants and restorations using high-viscosity glass ionomers and to comp

4、are the results with those from the 2005 ART meta-analysis. Until February 2010, four databases were searched. Two hundred four publications were found, and 66 reported on ART restorations or sealant survival. The survival rates of single-surface and multiple-surface ART restorations in primary teet

5、h over the first 2 years were 93% (CI, 91-94%) and 62% (CI, 51-73%), respectively; for single-surface ART restorations in permanent teeth over the first 3 and 5 years it was 85% (CI, 77-91%) and 80% (CI, 76-83%), respectively and for multiple-surface ART restorations in permanent teeth over 1 year i

6、t was 86% (CI, 59-98%). The mean annual dentine lesion incidence rate, in pits and fissures previously sealed using ART, over the first 3 years was 1%. No location effect and no differences between the 2005 and 2010 survival rates of ART restorations and sealants were observed. The short-term surviv

7、al rates of single-surface ART restorations in primary and permanent teeth, and the caries-preventive effect of ART sealants were high.CLINICAL RELEVANCE:ART can safely be used in single-surface cavities in both primary and permanent teeth. ART sealants have a high caries preventive effect.Dent Upda

8、te.2014 Apr;41(3):218-20, 222-4.The state-of-the-art of ART restorations.AbstractART is less anxiety- and pain-provoking than traditionalrestorativetreatments; administration of local anaesthesia is rarely required. Systematic reviews have provided evidence of the high level of effectiveness of high

9、-viscosity glass-ionomer ART restoration in restoring single-surface cavities, both in primary and permanent posterior teeth, but its survival rates in restoring multiple-surface cavities in primary posterior teeth needs to be improved. CLINICAL RELEVANCE:Where indicated, high-viscosity glass-ionomer ART restorations can be used alongside traditional restorations. ART provides a m