Conclusions ART single-surface restorations  presented high survival percentages in both primary and permanent posterior teeth , whilst ART multiple-surface restorations presented lower survival percentages .
ART sealants presented a high-caries-preventive effect .
Clinical relevance ART is an effective evidence -based option for treating and preventing carious lesions in primary and permanent posterior teeth
Objective The aim of the present study is to up date the results of two previous meta-analyses , published in 2006 and 2012 , on the survival percentages of  atraumatic restorative treatment ( ART ) restorations and ART sealants .
The current meta- analysis includes Chinese publications not investigated before .
Managing dental caries with atraumatic restorative treatment in children: successful experience in three Latin American countries.
OBJECTIVE To compare survival rates and cost differentials between the atraumatic restorative treatment ( ART ) technique and amalgams by type of dental personnel in Ecuador , Panama , and Uruguay . METHODS Children 7 to 9 years of age in rural and urban schools with at least one lesion with initial cavitated enamel caries or a dentinal lesion on a first permanent molar were selected and r and omized into the ART ( intervention ) or amalgam ( control ) group . Restoration failure was evaluated at 12 and 24 months . Cooperation and pain experienced during the procedures were measured . Cumulative and incident failure of restorations at 12 and 24 months was calculated for dentists who placed ART or amalgam restorations and auxiliaries who placed ART restorations at 12 months only . RESULTS The total sample comprised 1 629 children . Study groups were similar by country , gender , and geographic location . Cumulative failure rate at 12 months varied by group : dentists ' amalgam , 0.9 % to 5.7 % ; dentists ' ART , 2.0 % to 10.5 % ; and auxiliaries ' ART , 5.7 % to 15.8 % . At 24 months , higher cumulative failures were observed for the dentists ' amalgam group compared with the dentists ' ART group in Ecuador and Panama but not in Uruguay . Amalgam was least likely to have the best level of cooperation and an auxiliary using ART was associated with the least pain . The cost of using the ART approach  for dental caries treatment , including retreatment , was roughly half that of using amalgam without retreatment . CONCLUSIONS Having auxiliary personnel perform ART will lead to treatment survival that is expected to be lower than dentists using amalgam or ART . In spite of the greater risk of failure , the rate is not unacceptable and potential cost savings are substantial
Conclusions ART single-surface restorations  presented high survival percentages in both primary and permanent posterior teeth , whilst ART multiple-surface restorations presented lower survival percentages .
ART sealants presented a high-caries-preventive effect .
Clinical relevance ART is an effective evidence -based option for treating and preventing carious lesions in primary and permanent posterior teeth
Objective The aim of the present study is to up date the results of two previous meta-analyses , published in 2006 and 2012 , on the survival percentages of  atraumatic restorative treatment ( ART ) restorations and ART sealants .
The current meta- analysis includes Chinese publications not investigated before .