Atraumatic restorative treatment for dental caries among pregnant women attending primary health centres: A small scale demonstration

Shenoy, Ramya and Jain, Animesh and *, Kundabala M (2014) Atraumatic restorative treatment for dental caries among pregnant women attending primary health centres: A small scale demonstration. Journal of Interdisciplinary Dentistry, 4 (2). pp. 71-75. ISSN 2229-5194

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Abstract

Background: ART consists of a simplified, low-cost technique that uses only hand instruments in the removal of carious tissues to reduce contamination and viability of microorganisms. This technique requires immediate restoration of the cavity with adhesive restorative material, namely glass ionomer. Since ART approach causes lesser anxiety than the traditional restorative procedure, it may be a very useful tool for providing dental treatment to pregnant women. Objective: The present study was carried out to assess the pregnant women’s response to undergo ART in Primary Health Centre set up and clinical evaluation of restoration at 6 month interval. Methods: Pregnant women visiting Primary health centres (PHCs) for prenatal check- up were examined. Those having cavities were restored using ART after taking informed consent. These were followed up telephonically 24 hours later and examined at the end of six months. Results: Of the 308 pregnant women examined, fifty teeth of forty five subjects (83%) were restored using ART. Out of that 45 (90%) were one surface restoration and five (10%) two surface restorations. None of the subjects felt pain during the procedure, 24 hours later or at the end of six months. All the subjects were satisfied with the treatment. All one surface fillings were intact and one out of five, two-surface filling was broken which was replaced with new restoration. Conclusion: This study demonstrates that the patients were satisfied with the ART which can be undertaken at lower cost. Together with preventive and promotional activities, oral health status of pregnant women who visit PHCs can be improved. CLINICAL RELEVANCE TO INTERDISCIPLINARY DENTISTRY • Being based on the contemporary philosophy of minimum intervention and maximum preservation of the tooth structure, atraumatic restorative treatment (ART) has been considered a feasible treatment option for moderate to deep carious lesions and can be applied to the entire population. • As ART approach causes lesser anxiety than the traditional restorative procedure using dental rotary instruments, it can be used among target groups like children and pregnant women to treat dental caries. • This article is an attempt at demonstrating the effectiveness of ART in pregnant women attending primary health centres. This could be utilized for preventive care in low resource and low-cost settings

Item Type: Article
Uncontrolled Keywords: Atraumatic restorative treatment, dental caries, pregnant women, primary health centres
Subjects: Dentistry > MCODS Mangalore > Conservative Dentistry
Dentistry > MCODS Mangalore > Public Health Dentistry
Medicine > KMC Mangalore > Community Medicine
Depositing User: KMCMLR User
Date Deposited: 05 Nov 2014 11:44
Last Modified: 04 Dec 2014 09:56
URI: http://eprints.manipal.edu/id/eprint/140975

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