Non-Cochrane · intervention · PM21274581

Survival of atraumatic restorative treatment (ART) sealants and restorations: a meta-analysis.

de Amorim Rodrigo G, Leal Soraya C, Frencken Jo E · Clinical oral investigations · 2012 · PubMed · doi:10.1007/s00784-011-0513-3

Oral HealthDental cariesAMSTAR 2: critically low (both extractors)
Full textEvery question was extracted from the full text, figures and supplements by two independent LLM extractors, disagreements adjudicated. Rows cite where in the review the value comes from.
Questions
53
current version
GRADE rated
0
No studies
0
Included studies
29
linked below
No studies 0 · 0%Ungraded 53 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Review question

ElementPlanned (methods)Found (results)
PopulationPrimary and permanent posterior teeth restored or sealed using ART with high-viscosity glass ionomersChildren/patients with primary and permanent posterior teeth across 18 countries (29 publications reporting on 27 studies)
InterventionAtraumatic restorative treatment (ART) restorations and sealants using high-viscosity glass ionomers, placed by a graduated dentist without rotary instrumentsSingle- and multiple-surface high-viscosity glass-ionomer ART restorations and ART sealants
ComparisonNot applicable (single-arm survival); location (dental clinic vs primary school) evaluated as an independent variableNone (single-arm survival); no location (clinic vs school) effect observed (p>0.05)
OutcomesSurvival of ART restorations; retention of ART sealants; caries-preventive effect (dentine lesion-free sealed pits and fissures)Restoration survival (primary and permanent teeth); sealant retention; caries-free sealed pits and fissures
Study designsNot specified (dental clinics and primary schools)Dental clinics, primary schools and field settings; 18 countries (27 studies, 29 publications)
TimingAnnual survival from 1 up to 6 years1 to 6 years of follow-up

Search date: All publications listed until 1 February 2010. Databases: PubMed; Medline; LILACS; BBO

Questions and results

Single-surface ART restoration using high-viscosity glass ionomer vs None (single-arm survival proportion; no comparator)

Population: Primary posterior teeth with single-surface cavities (children)
6 questions
OutcomeEffectEvidenceStatus / GRADE
Restoration survival
2 years · single-surface primary posterior teeth, 2 years
Single-surface high-viscosity glass-ionomer ART restorations in primary teeth had high 2-year survival (93%, 95% CI 91-94%); evidence ungraded.
Source: Table 2 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.93 [0.91, 0.94]6 studiesUngraded
Restoration survival
3 years · single-surface primary posterior teeth, 3 years
Single-surface high-viscosity glass-ionomer ART restorations in primary teeth had moderate 3-year survival (66%, 95% CI 13-99%); evidence ungraded.
Source: Table 2 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.66 [0.13, 0.99]2 studiesUngraded
Restoration survival
1 year · single-surface primary posterior teeth, 1 year
Population: Primary posterior teeth with single-surface cavities
The pooled survival rate was 95% at 1 year.
Survival percentage 95 [91, 98]9 studiesUngraded
Restoration survival
3 years · single-surface primary posterior teeth, 3 years
Population: Primary posterior teeth with single-surface cavities
The pooled survival rate was 66% at 3 years.
Survival percentage 66 [13, 99]2 studiesUngraded
Restoration survival
2 years · single-surface primary posterior teeth, 2 years
Population: Primary posterior teeth with single-surface cavities
The pooled survival rate was 93% at 2 years.
Survival percentage 93 [91, 94]6 studiesUngraded
Restoration survival
1 year · single-surface primary posterior teeth, 1 year
Single-surface high-viscosity glass-ionomer ART restorations in primary teeth had high 1-year survival (95%, 95% CI 91-98%); evidence ungraded.
Source: Table 2 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.95 [0.91, 0.98]9 studiesUngraded

High-viscosity glass-ionomer ART restorations vs No comparator

Population: Primary posterior teeth with multiple-surface cavities
6 questions
OutcomeEffectEvidenceStatus / GRADE
Restoration survival
1 year · multiple-surface primary posterior teeth, 1 year
The pooled survival rate was 71% at 1 year.
Survival percentage 71 [60, 80]8 studiesUngraded
Restoration survival
1 year · multiple-surface primary posterior teeth, 1 year
Population: Primary posterior teeth with multiple-surface cavities (children)
Multiple-surface high-viscosity glass-ionomer ART restorations in primary teeth had moderate 1-year survival (71%, 95% CI 60-80%); evidence ungraded.
Source: Table 3 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.71 [0.60, 0.80]8 studiesUngraded
Restoration survival
2 years · multiple-surface primary posterior teeth, 2 years
Population: Primary posterior teeth with multiple-surface cavities (children)
Multiple-surface high-viscosity glass-ionomer ART restorations in primary teeth had moderate 2-year survival (62%, 95% CI 51-73%); evidence ungraded.
Source: Table 3 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.62 [0.51, 0.73]6 studiesUngraded
Restoration survival
2 years · multiple-surface primary posterior teeth, 2 years
The pooled survival rate was 62% at 2 years.
Survival percentage 62 [51, 73]6 studiesUngraded
Restoration survival
3 years · multiple-surface primary posterior teeth, 3 years
The pooled survival rate was 31% at 3 years.
Survival percentage 31 [2, 77]2 studiesUngraded
Restoration survival
3 years · multiple-surface primary posterior teeth, 3 years
Population: Primary posterior teeth with multiple-surface cavities (children)
Multiple-surface high-viscosity glass-ionomer ART restorations in primary teeth had low 3-year survival (31%, 95% CI 2-77%); evidence ungraded.
Source: Table 3 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.31 [0.02, 0.77]2 studiesUngraded

Single-surface ART restoration using high-viscosity glass ionomer vs None (single-arm survival proportion; no comparator)

Population: Permanent posterior teeth with single-surface cavities
12 questions
OutcomeEffectEvidenceStatus / GRADE
Restoration survival
1 year · single-surface permanent posterior teeth, 1 year
Single-surface high-viscosity glass-ionomer ART restorations in permanent teeth had high 1-year survival (96%, 95% CI 94-97%); evidence ungraded.
Source: Table 4 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.96 [0.94, 0.97]15 studiesUngraded
Restoration survival
3 years · single-surface permanent posterior teeth, 3 years
The pooled survival rate was 85% at 3 years.
Survival percentage 85 [77, 91]6 studiesUngraded
Restoration survival
6 years · single-surface permanent posterior teeth, 6 years
The pooled survival rate was 72% at 6 years.
Survival percentage 72 [67, 76]2 studiesUngraded
Restoration survival
2 years · single-surface permanent posterior teeth, 2 years
Single-surface high-viscosity glass-ionomer ART restorations in permanent teeth had high 2-year survival (93%, 95% CI 89-95%); evidence ungraded.
Source: Table 4 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.93 [0.89, 0.95]13 studiesUngraded
Restoration survival
5 years · single-surface permanent posterior teeth, 5 years
Single-surface high-viscosity glass-ionomer ART restorations in permanent teeth had high 5-year survival (80%, 95% CI 76-83%); evidence ungraded.
Source: Table 4 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.80 [0.76, 0.83]3 studiesUngraded
Restoration survival
5 years · single-surface permanent posterior teeth, 5 years
The pooled survival rate was 80% at 5 years.
Survival percentage 80 [76, 83]3 studiesUngraded
Restoration survival
4 years · single-surface permanent posterior teeth, 4 years
Single-surface high-viscosity glass-ionomer ART restorations in permanent teeth had high 4-year survival (86%, 95% CI 78-93%); evidence ungraded.
Source: Table 4 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.86 [0.78, 0.93]3 studiesUngraded
Restoration survival
4 years · single-surface permanent posterior teeth, 4 years
The pooled survival rate was 86% at 4 years.
Survival percentage 86 [78, 93]3 studiesUngraded
Restoration survival
2 years · single-surface permanent posterior teeth, 2 years
The pooled survival rate was 93% at 2 years.
Survival percentage 93 [89, 95]13 studiesUngraded
Restoration survival
6 years · single-surface permanent posterior teeth, 6 years
Single-surface high-viscosity glass-ionomer ART restorations in permanent teeth had moderate 6-year survival (72%, 95% CI 67-76%); evidence ungraded.
Source: Table 4 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.72 [0.67, 0.76]2 studiesUngraded
Restoration survival
3 years · single-surface permanent posterior teeth, 3 years
Single-surface high-viscosity glass-ionomer ART restorations in permanent teeth had high 3-year survival (85%, 95% CI 77-91%); evidence ungraded.
Source: Table 4 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.85 [0.77, 0.91]6 studiesUngraded
Restoration survival
1 year · single-surface permanent posterior teeth, 1 year
The pooled survival rate was 96% at 1 year.
Survival percentage 96 [94, 97]15 studiesUngraded

High-viscosity glass-ionomer ART restorations vs No comparator

Population: Permanent posterior teeth with multiple-surface cavities
6 questions
OutcomeEffectEvidenceStatus / GRADE
Restoration survival
2 years · multiple-surface permanent posterior teeth, 2 years
The pooled survival rate was 41% at 2 years.
Survival percentage 41 [18, 67]1 studyUngraded
Restoration survival
1 year · multiple-surface permanent posterior teeth, 1 year
The pooled survival rate was 86% at 1 year.
Survival percentage 86 [59, 98]3 studiesUngraded
Restoration survival
5 years · multiple-surface permanent posterior teeth, 5 years
Multiple-surface high-viscosity glass-ionomer ART restorations in permanent teeth had moderate 5-year survival (77%, 95% CI 56-92%); evidence ungraded.
Source: Table 5 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.77 [0.56, 0.92]1 studyUngraded
Restoration survival
1 year · multiple-surface permanent posterior teeth, 1 year
Multiple-surface high-viscosity glass-ionomer ART restorations in permanent teeth had high 1-year survival (86%, 95% CI 59-98%); evidence ungraded.
Source: Table 5 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.86 [0.59, 0.98]3 studiesUngraded
Restoration survival
5 years · multiple-surface permanent posterior teeth, 5 years
The pooled survival rate was 77% at 5 years.
Survival percentage 77 [56, 92]1 studyUngraded
Restoration survival
2 years · multiple-surface permanent posterior teeth, 2 years
Multiple-surface high-viscosity glass-ionomer ART restorations in permanent teeth had low 2-year survival (41%, 95% CI 18-67%); evidence ungraded.
Source: Table 5 (weighted mean score); Results (ART restorations); N publications per year from Table 8 · same question in other reviews
Proportion 0.41 [0.18, 0.67]1 studyUngraded

ART sealant using high-viscosity glass ionomer (press-finger technique) vs None (single-arm survival proportion; no comparator)

Population: Pits and fissures of permanent (posterior) teeth
17 questions
OutcomeEffectEvidenceStatus / GRADE
Caries-free sealed pits and fissures
1 year · permanent dentitions with high-viscosity glass-ionomer ART sealants, 1 year
Pits and fissures sealed with high-viscosity glass-ionomer ART sealants remained dentine lesion-free in 100% (95% CI 99-100%) at 1-year; evidence ungraded.
Source: Table 7 (weighted mean score); Results (ART sealants) · same question in other reviews
Proportion 1.00 [0.99, 1.00]4 studiesUngraded
Sealant retention
1 year · partially and fully retained high-viscosity glass-ionomer ART sealants in permanent dentitions, 1 year
Population: Permanent teeth
The pooled retention rate was 75% at 1 year.
Survival percentage 75 [51, 91]3 studiesUngraded
Caries-free sealed pits and fissures
2 years · permanent dentitions with high-viscosity glass-ionomer ART sealants, 2 years
Pits and fissures sealed with high-viscosity glass-ionomer ART sealants remained dentine lesion-free in 100% (95% CI 98-100%) at 2-year; evidence ungraded.
Source: Table 7 (weighted mean score); Results (ART sealants) · same question in other reviews
Proportion 1.00 [0.98, 1.00]3 studiesUngraded
Sealant retention (partially and fully retained)
6 years · partially and fully retained high-viscosity glass-ionomer ART sealants in permanent dentitions, 6 years
High-viscosity glass-ionomer ART sealants showed 6-year retention of 59% (95% CI 51-67%); evidence ungraded.
Source: Table 6 (weighted mean score); Results (ART sealants) · same question in other reviews
Proportion 0.59 [0.51, 0.67]1 studyUngraded
Sealant retention
5 years · partially and fully retained high-viscosity glass-ionomer ART sealants in permanent dentitions, 5 years
Population: Permanent teeth
The pooled retention rate was 63% at 5 years.
Survival percentage 63 [56, 70]1 studyUngraded
Sealant retention (partially and fully retained)
1 year · partially and fully retained high-viscosity glass-ionomer ART sealants in permanent dentitions, 1 year
High-viscosity glass-ionomer ART sealants showed 1-year retention of 75% (95% CI 51-91%); evidence ungraded.
Source: Table 6 (weighted mean score); Results (ART sealants) · same question in other reviews
Proportion 0.75 [0.51, 0.91]3 studiesUngraded
Sealant retention (partially and fully retained)
4 years · partially and fully retained high-viscosity glass-ionomer ART sealants in permanent dentitions, 4 years
High-viscosity glass-ionomer ART sealants showed 4-year retention of 68% (95% CI 61-75%); evidence ungraded.
Source: Table 6 (weighted mean score); Results (ART sealants) · same question in other reviews
Proportion 0.68 [0.61, 0.75]1 studyUngraded
Sealant retention (partially and fully retained)
5 years · partially and fully retained high-viscosity glass-ionomer ART sealants in permanent dentitions, 5 years
High-viscosity glass-ionomer ART sealants showed 5-year retention of 63% (95% CI 56-70%); evidence ungraded.
Source: Table 6 (weighted mean score); Results (ART sealants) · same question in other reviews
Proportion 0.63 [0.56, 0.70]1 studyUngraded
Sealant retention
3 years · partially and fully retained high-viscosity glass-ionomer ART sealants in permanent dentitions, 3 years
Population: Permanent teeth
The pooled retention rate was 72% at 3 years.
Survival percentage 72 [72, 86]2 studiesUngraded
Caries-free sealed pits and fissures
4 years · permanent dentitions with high-viscosity glass-ionomer ART sealants, 4 years
Pits and fissures sealed with high-viscosity glass-ionomer ART sealants remained dentine lesion-free in 93% (95% CI 91-96%) at 4-year; evidence ungraded.
Source: Table 7 (weighted mean score); Results (ART sealants) · same question in other reviews
Proportion 0.93 [0.91, 0.96]2 studiesUngraded
Sealant retention
2 years · partially and fully retained high-viscosity glass-ionomer ART sealants in permanent dentitions, 2 years
Population: Permanent teeth
The pooled retention rate was 82% at 2 years.
Survival percentage 82 [77, 86]2 studiesUngraded
Sealant retention (partially and fully retained)
3 years · partially and fully retained high-viscosity glass-ionomer ART sealants in permanent dentitions, 3 years
High-viscosity glass-ionomer ART sealants showed 3-year retention of 72% (95% CI 72-86%); evidence ungraded.
Source: Table 6 (weighted mean score); Results (ART sealants) · same question in other reviews
Proportion 0.72 [0.72, 0.86]2 studiesUngraded
Sealant retention (partially and fully retained)
2 years · partially and fully retained high-viscosity glass-ionomer ART sealants in permanent dentitions, 2 years
High-viscosity glass-ionomer ART sealants showed 2-year retention of 82% (95% CI 77-86%); evidence ungraded.
Source: Table 6 (weighted mean score); Results (ART sealants) · same question in other reviews
Proportion 0.82 [0.77, 0.86]2 studiesUngraded
Sealant retention
4 years · partially and fully retained high-viscosity glass-ionomer ART sealants in permanent dentitions, 4 years
Population: Permanent teeth
The pooled retention rate was 68% at 4 years.
Survival percentage 68 [61, 75]1 studyUngraded
Caries-free sealed pits and fissures
5 years · permanent dentitions with high-viscosity glass-ionomer ART sealants, 5 years
Pits and fissures sealed with high-viscosity glass-ionomer ART sealants remained dentine lesion-free in 90% (95% CI 85-94%) at 5-year; evidence ungraded.
Source: Table 7 (weighted mean score); Results (ART sealants) · same question in other reviews
Proportion 0.90 [0.85, 0.94]2 studiesUngraded
Caries-free sealed pits and fissures
3 years · permanent dentitions with high-viscosity glass-ionomer ART sealants, 3 years
Pits and fissures sealed with high-viscosity glass-ionomer ART sealants remained dentine lesion-free in 97% (95% CI 96-98%) at 3-year; evidence ungraded.
Source: Table 7 (weighted mean score); Results (ART sealants) · same question in other reviews
Proportion 0.97 [0.96, 0.98]3 studiesUngraded
Caries-free sealed pits and fissures
6 years · permanent dentitions with high-viscosity glass-ionomer ART sealants, 6 years
Pits and fissures sealed with high-viscosity glass-ionomer ART sealants remained dentine lesion-free in 85% (95% CI 79-91%) at 6-year; evidence ungraded.
Source: Table 7 (weighted mean score); Results (ART sealants) · same question in other reviews
Proportion 0.85 [0.79, 0.91]1 studyUngraded

High-viscosity glass-ionomer ART sealants vs No comparator

Population: Permanent teeth with sealed pits and fissures
6 questions
OutcomeEffectEvidenceStatus / GRADE
Caries-free sealed pits and fissures
5 years · permanent dentitions with high-viscosity glass-ionomer ART sealants, 5 years
The pooled caries-free rate was 90% at 5 years.
Caries-free percentage 90 [85, 94]2 studiesUngraded
Caries-free sealed pits and fissures
2 years · permanent dentitions with high-viscosity glass-ionomer ART sealants, 2 years
The pooled caries-free rate was 100% at 2 years.
Caries-free percentage 100 [98, 100]3 studiesUngraded
Caries-free sealed pits and fissures
6 years · permanent dentitions with high-viscosity glass-ionomer ART sealants, 6 years
The pooled caries-free rate was 85% at 6 years.
Caries-free percentage 85 [79, 91]1 studyUngraded
Caries-free sealed pits and fissures
1 year · permanent dentitions with high-viscosity glass-ionomer ART sealants, 1 year
The pooled caries-free rate was 100% at 1 year.
Caries-free percentage 100 [99, 100]4 studiesUngraded
Caries-free sealed pits and fissures
4 years · permanent dentitions with high-viscosity glass-ionomer ART sealants, 4 years
The pooled caries-free rate was 93% at 4 years.
Caries-free percentage 93 [91, 96]2 studiesUngraded
Caries-free sealed pits and fissures
3 years · permanent dentitions with high-viscosity glass-ionomer ART sealants, 3 years
The pooled caries-free rate was 97% at 3 years.
Caries-free percentage 97 [96, 98]3 studiesUngraded

AMSTAR 2 appraisal

Two independent extractors rated each item. Their ratings are shown side by side because they have not been reconciled yet. The overall rating follows Shea et al. 2017: one critical flaw gives Low, more than one gives Critically Low.

ItemExtractor AExtractor BAgree
1Research question includes PICO componentsPartial YesPartial Yesyes
2Protocol established before the reviewcriticalNoNoyes
3Choice of study designs explainedNoNoyes
4Comprehensive literature searchcriticalPartial YesPartial Yesyes
5Study selection in duplicateYesYesyes
6Data extraction in duplicateYesYesyes
7List of excluded studies with reasonscriticalYesYesyes
8Included studies described in detailPartial YesPartial Yesyes
9Risk of bias assessed satisfactorilycriticalRCT: N/A · NRSI: NoNRSI: No · RCT: Nono
10Funding of included studies reportedNoNoyes
11Appropriate meta-analysis methodscriticalRCT: N/A · NRSI: YesNRSI: No · RCT: Nono
12Impact of risk of bias on the pooled resultsNoNoyes
13Risk of bias accounted for in interpretationcriticalYesNono
14Heterogeneity explainedYesNono
15Publication bias investigatedcriticalNoNoyes
16Conflicts of interest reportedYesNono
OverallCritically LowCritically Lowyes

Included primary studies 29

Open as a trial list
StudyAlso included byOutcomes it informs hereTrial PICOResults
Ersin et al. 2006
A clinical evaluation of resin-based composite and glass ionomer cement restorations placed in primary teeth using the ART approach:…
PMID:17082278
3 other reviewsnot statednot extracted yetnot extracted yet
Honkala et al. 2003
The atraumatic restorative treatment (ART) approach to restoring primary teeth in a standard dental clinic.
PMID:12752916
2 other reviewsnot statednot extracted yetnot extracted yet
Taifour et al. 2002
Effectiveness of glass-ionomer (ART) and amalgam restorations in the deciduous dentition: results after 3 years.
PMID:12459617
2 other reviewsnot statednot extracted yetnot extracted yet
Beiruti et al. 2006
Caries-preventive effect of a one-time application of composite resin and glass ionomer sealants after 5 years.
PMID:16352882
1 other reviewCaries-free sealed pits and fissuresnot extracted yetnot extracted yet
Louw et al. 2002
One-year evaluation of atraumatic restorative treatment and minimum intervention techniques on primary teeth.
PMID:12494713
1 other reviewnot statednot extracted yetnot extracted yet
Cefaly et al. 2007
Clinical evaluation of multiple-surface ART restorations: 12 month follow-up.
PMID:18482515
this review onlynot statednot extracted yetnot extracted yet
Ercan et al. 2009
A field-trial of two restorative materials used with atraumatic restorative treatment in rural Turkey: 24-month results.
PMID:19668990
this review onlynot statednot extracted yetnot extracted yet
Farag et al. 2009
5-Year survival of ART restorations with and without cavity disinfection.
PMID:19342148
this review onlynot statednot extracted yetnot extracted yet
Frencken et al. 1998
ART restorations and glass ionomer sealants in Zimbabwe: survival after 3 years.
PMID:9870536
this review onlynot statednot extracted yetnot extracted yet
Frencken et al. 2006
Survival of ART and amalgam restorations in permanent teeth of children after 6.3 years.
PMID:16798862
this review onlyRestoration survivalnot extracted yetnot extracted yet
Gao 2003
Comparison of atraumatic restorative treatment and conventional restorative procedures in a hospital clinic: evaluation after 30 months.
PMID:12674356
this review onlynot statednot extracted yetnot extracted yet
Ho et al. 1999
A 2-year clinical study of two glass ionomer cements used in the atraumatic restorative treatment (ART) technique.
PMID:10385357
this review onlyRestoration survivalnot extracted yetnot extracted yet
Holmgren et al. 2000
ART restorations and sealants placed in Chinese school children--results after three years.
PMID:10901411
this review onlynot statednot extracted yetnot extracted yet
Kikwilu et al. 2001
Survival of Fuji IX ART fillings in permanent teeth of primary school children in Tanzania.
PMID:11921563
this review onlyRestoration survivalnot extracted yetnot extracted yet
Lo et al. 2007
Six-year follow up of atraumatic restorative treatment restorations placed in Chinese school children.
PMID:17822487
this review onlyRestoration survivalnot extracted yetnot extracted yet
Luo 1999 / Lo 2001
An Operative Technique for Retinal Detachment: (Section of Ophthalmology).
PMID:19992001
this review onlynot statednot extracted yetnot extracted yet
Luo et al. 1999 (and Lo et al. 2001)
Clinical investigation of a high-strength glass ionomer restorative used with the ART technique in Wuhan, China: one-year results.
PMID:10863422
this review onlynot statednot extracted yetnot extracted yet
Menezes et al. 2006
Clinical evaluation of atraumatic restorations in primary molars: a comparison between 2 glass ionomer cements.
PMID:16948370
this review onlynot statednot extracted yetnot extracted yet
Mickenautsch et al. 1999
The impact of the ART approach on the treatment profile in a mobile dental system (MDS) in South Africa.
PMID:10858745
this review onlyRestoration survivalnot extracted yetnot extracted yet
PAHO 2006
matched by author and year (probable)
this review onlyRestoration survivalnot extracted yetnot extracted yet
Pan American Health Organization 2006
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Rahimtoola & Van Amerongen 2002
Comparison of two tooth-saving preparation techniques for one-surface cavities.
PMID:12119808
this review onlyRestoration survivalnot extracted yetnot extracted yet
Van Gemert-Schriks et al. 2007
Three-year survival of single- and two-surface ART restorations in a high-caries child population.
PMID:17710452
this review onlynot statednot extracted yetnot extracted yet
Vieira et al. 2006
Evaluation of glass ionomer sealants placed according to the ART approach in a community with high caries experience: 1-year follow-up.
PMID:19089275
this review onlynot statednot extracted yetnot extracted yet
Yassen 2009
One-year survival of occlusal ART restorations in primary molars placed with and without cavity conditioner.
PMID:19619427
this review onlyRestoration survivalnot extracted yetnot extracted yet
Yip 2002 / Yu 2004
Perioperative and long-term complications among obese women undergoing vaginal surgery.
PMID:20022004
this review onlynot statednot extracted yetnot extracted yet
Yip et al. 2002 (and Gao et al. 2003)
The effects of two cavity preparation methods on the longevity of glass ionomer cement restorations: an evaluation after 12 months.
PMID:12085859
this review onlyRestoration survivalnot extracted yetnot extracted yet
Yip et al. 2002 (and Yu et al. 2004)
Comparison of atraumatic restorative treatment and conventional cavity preparations for glass-ionomer restorations in primary molars:…
PMID:11887531
this review onlynot statednot extracted yetnot extracted yet
Ziraps & Honkala 2002
Clinical trial of a new glass ionomer for an atraumatic restorative treatment technique in class I restorations placed in Latvian school…
PMID:12123116
this review onlyRestoration survivalnot extracted yetnot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match).