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 .
Two-year survival of ART restorations placed in elderly patients: A randomised controlled clinical trial.
OBJECTIVES Older dentate adults are a high caries risk group who could potentially benefit from the use of the atraumatic restorative treatment ( ART ) . This study aim ed to compare the survival of ART and a conventional restorative technique ( CT ) using rotary instruments and a resin-modified glass-ionomer for restoring carious lesions as part of a preventive and restorative programme for older adults after 2 years . METHODS In this r and omised controlled clinical trial , 99 independently living adults ( 65 - 90 years ) with carious lesions were r and omly allocated to receive either ART or conventional restorations . The survival of restorations was assessed by an independent and blinded examiner 6 months , 1 year and 2 years after restoration placement . RESULTS Ninety-six ( 67.6 % ) and 121 ( 76.6 % ) restorations were assessed in the ART and CT groups , respectively , after 2 years . The cumulative restoration survival percentages after 2 years were 85.4 % in the ART and 90.9 % in the CT group . No statistically significant between group differences were detected ( p=0.2050 , logistic regression analysis ) . CONCLUSIONS In terms of restoration survival , ART was as effective as a conventional restorative approach to treat older adults after 2 years . This technique could be a useful tool to provide dental care for older adults particularly in the non- clinical setting . ( TRIAL REGISTRATION NUMBER IS RCT N 76299321 ) . CLINICAL SIGNIFICANCE The results of this study show that ART presented survival rates similar to conventional restorations in older adults . ART appears to be a cost-effective way to provide dental care to elderly patients , particularly in out of surgery facilities , such as nursing homes
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 .