Atraumatic restorative treatment restorations performed with high-viscous GIC present similar survival/success rates to conventional approach using composite resin or amalgam for occlusoproximal restorations in primary teeth and can be suggested as a good option for occlusoproximal cavities in primary molars .
BACKGROUND Atraumatic restorative treatment ( ART ) has demonstrated good longevity when used for single-surface restorations , but lower success rates are reported for occlusoproximal surfaces .
AIM This systematic review and meta- analysis aim ed to verify the pooled success rate of  occlusoproximal ART restorations in primary teeth considering the outcomes : longevity , pulp damage , or caries lesion progression .
Atraumatic perspectives of ART: psychological and physiological aspects of treatment with and without rotary instruments.
Atraumatic Restorative Treatment , ART , is a method of minimal caries intervention that uses only h and instruments . The aim of the present study was to explore a possible difference between the extent of discomfort experienced during dental treatment according to the ART approach and a method using rotary instruments .  The study was performed in Indonesia . A total of 403 children were r and omly divided in two groups . In each child , one class II restoration in a deciduous molar was made . One group received treatment using rotary instruments ( 750 r.p.m . ) . The other group was treated according to the ART approach . Glass ionomer cement was used for restoration in both groups . Discomfort scores were determined using both physiological measurements ( heart rate ) and behavioral observations ( Venham ) on specific moments during the treatment . Venham scores showed a marked difference between the two groups at most time points . Heart rate measurements were different at deep excavation . Also , a clear relation between Venham scores and heart rate measurements could be found at all time points . Confounding could be shown for operating dentist , gender of the patient and initial anxiety , not for age . No effect modification could be shown . It can be concluded that children treated according to the ART approach using h and instruments alone experience less discomfort than those treated using rotary instruments
Atraumatic restorative treatment restorations performed with high-viscous GIC present similar survival/success rates to conventional approach using composite resin or amalgam for occlusoproximal restorations in primary teeth and can be suggested as a good option for occlusoproximal cavities in primary molars .
BACKGROUND Atraumatic restorative treatment ( ART ) has demonstrated good longevity when used for single-surface restorations , but lower success rates are reported for occlusoproximal surfaces .
AIM This systematic review and meta- analysis aim ed to verify the pooled success rate of  occlusoproximal ART restorations in primary teeth considering the outcomes : longevity , pulp damage , or caries lesion progression .