Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

47 questions · 79 findings · 6 reviews · Oral Health

No studies found 11 · 13.9%GRADE not reported 61 · 77.2%Very low 5 · 6.3%Low 2 · 2.5%Moderate 0 · 0%High 0 · 0%

Atraumatic restorative treatment with GIC vs Conventional restoration

Restoration failure · Children (3-13 years) with dentine caries in primary teeth, no pulpal involvement

ART with GIC was reported to increase the odds of restoration failure versus conventional restoration (OR 1.60; ungraded).

1 finding from 1 review

Atraumatic restorative treatment with GIC vs Conventional treatment

Pain during the procedure (primary analysis) · Children (3-13 years) with dentine caries in primary teeth, no pulpal involvement

The reported estimate for procedural pain with ART versus conventional treatment was inconclusive (ungraded).

1 finding from 1 review

Restorative materials placed by atraumatic restorative treatment (ART); mostly high-viscosity/conventional GIC, also RMGIC, glass carbomer, compomer, composite resin vs Different ART materials or application techniques (e.g., bilayer vs single-step, with vs without cavity conditioner/disinfectant), or composite resin

Treatment failure (annual failure rate) · Children with carious primary teeth treated by atraumatic restorative treatment (hand-instrument caries removal), no pulp therapy

ART restorations (mainly GIC) had a wide annual failure rate (1.2-37.1%) across 10 RCTs, with technique affecting survival; low to unclear quality of evidence (ungraded).

1 finding from 1 review

High-viscosity GIC atraumatic restorative treatment vs Conventional restoration

Restoration survival · Children with occlusoproximal caries in primary teeth

Multiple reviews reported similar restoration survival for ART versus conventional restorations in occlusoproximal cavities (ungraded).

1 finding from 1 review

Atraumatic restorative treatment with high-viscosity GIC (class I) vs Amalgam restoration

Success or failure of restoration (as defined by the USPHS criteria) · Children with carious primary teeth

ART with high-viscosity GIC and amalgam had similar class I restoration success at 24 months (ungraded).

2 findings from 1 review

High-viscosity GIC atraumatic restorative treatment vs No control

Restoration survival · Children with decayed primary molar teeth

Multi-surface ART restorations had a reported survival rate of 73% at 1 year.

4 findings from 1 review
Show 1 more finding

High-viscosity glass-ionomer ART restorations vs Conventional treatment using RM-GIC

Restoration failure (permanent, mature teeth) · Adults with root caries in permanent (mature) teeth

ART using H-GIC showed no clear difference in restoration failure (permanent, mature teeth) compared with conventional treatment using RM-GIC (with local anaesthetic); GRADE not reported.

1 finding from 1 review

High-viscosity glass-ionomer ART restorations vs Conventional treatment using composite (with local anaesthetic)

Restoration failure (primary dentition) · Children with carious primary teeth

ART using H-GIC led to higher restoration failure (primary teeth) compared with conventional treatment using composite (with local anaesthetic); GRADE not reported.

1 finding from 1 review

High-viscosity glass-ionomer ART restorations vs Conventional treatment using composite (with local anaesthetic)

Pain (primary dentition) · Children with carious primary teeth

ART using H-GIC showed no clear difference in pain (primary dentition) compared with conventional treatment using composite (with local anaesthetic); GRADE not reported.

1 finding from 1 review

ART using resin-modified glass ionomer cement (RM-GIC) vs Conventional treatment using RM-GIC

Secondary caries · Older adults with root caries in permanent (mature) teeth (mean age 75 years)
1 finding from 1 review

ART using resin-modified glass ionomer cement (RM-GIC) vs Conventional treatment using RM-GIC

Restoration failure (primary dentition) · Older adults with root caries in permanent (mature) teeth (mean age 75 years)

The review found no eligible studies for this question.

1 finding from 1 review

ART using resin-modified glass ionomer cement (RM-GIC) vs Conventional treatment using RM-GIC

Restoration failure (permanent, mature dentition; root surfaces) · Older adults with root caries in permanent (mature) teeth (mean age 75 years)

It is very uncertain whether ART using resin-modified glass ionomer cement (RM-GIC) changes restoration failure (permanent, mature dentition; root surfaces) compared with conventional treatment using RM-GIC (very low certainty).

1 finding from 1 review

High-viscosity glass-ionomer ART restorations vs Conventional treatment using H-GIC (rotary instruments)

Discomfort associated with the procedure · People with dental caries in primary teeth (mainly children)

ART using high-viscosity glass ionomer cement (H-GIC), hand… showed no clear difference in participant experience (discomfort during procedure) compared with conventional treatment using H-GIC (rotary instruments); GRADE not reported.

1 finding from 1 review

High-viscosity glass-ionomer ART restorations vs Conventional treatment using H-GIC (rotary instruments)

Pain (during procedure, primary dentition) · People with dental caries in primary teeth (mainly children)

ART using high-viscosity glass ionomer cement (H-GIC), hand… showed no clear difference in pain (during procedure, primary dentition) compared with conventional treatment using H-GIC (rotary instruments) (low certainty).

1 finding from 1 review