Atraumatic Restorative Treatment (ART)

Minimizing droplet & aerosol generation with ART technique and Biodentine™

Atraumatic Restorative Treatment (ART)

Minimizing droplet & aerosol generation with ART technique and Biodentine™

Atraumatic Restorative Treatment (ART)

Minimizing droplet & aerosol generation with ART technique and Biodentine™

To protect the health of dental practitioners around the globe, some procedures such as the Atraumatic Restorative Treatment can be preferred in order to avoid the spread of virus particles (aerosol generation).

Atraumatic Restorative Treatment (ART) is based on the minimal intervention dentistry approach that provides several benefits: 

Avoid aerosol generation

Save the tooth

Reduce the chance of odontogenic infection

Manage pain

WHAT IS ART PROCEDURE?

 
Atraumatic Restorative Treatment procedure step 1
 

Remove dental caries using only hand instruments

 
Atraumatic Restorative Treatment procedure step 2
 

Restore the cavity with a filling material

 
Atraumatic Restorative Treatment procedure step 3
 

Save the tooth rather than extracting it (Minimally invasive therapy)

Maintain the vitality of the pulp, as supported by the European Society of Endodontology (ESE)

ART procedure with Biodentine- illustrative pictures from Dr Rocio Lazo

WHY CHOOSE BIODENTINE™ WITH ART PROCEDURE?

Why choose Biodentine with ART procedure
 

Biodentine™ can be placed from the pulp to the top of the cavity (bio bulk fill).

For ART procedure, it is recommended to place the final enamel restoration in the same session.

 

83,3%*

positive success rate

  • Biodentine™ has a positive success rate of 83,3%* during pulp capping procedure with manual removal of the soft dentin and round carbide burs on a slow speed hand-piece.
 

*Hedge et al: Clinical evaluation of Mineral Trioxide Aggregate and Biodentine as direct pulp capping agents in carious teeth (2017)

 

83,3%*
positive success rate

  • Biodentine™ has a positive success rate of 83,3%* during pulp capping procedure with manual removal of the soft dentin and round carbide burs on a slow speed hand-piece.
 

*Hedge et al: Clinical evaluation of Mineral Trioxide Aggregate and Biodentine as direct pulp capping agents in carious teeth (2017)

 

RECOMMENDED PROCEDURE * IN 1 SESSION

ART procedure with Biodentine - illustrative pictures by Mark Roettger
 

1. Examination with x-rays if necessary. If the tooth can be restored (as in a cavitated lesion with reversible pulpitis), an ART can be considered.

2. Rinse with 1.5% hydrogen peroxide or a povidone-iodine oral rinse.

3. Administer local anesthesia as indicated.

4. Place rubber dam for isolation.

5. If there is access to the lesion begin excavation of the caries using surgical curettes or spoon excavators, to remove as much of the lesion as is appropriate from clinical judgment. Place matrix if appropriate in preparation for the restoration.

6. Mix Biodentine and bulk fill the cavity with Biodentine™. The total handling time of Biodentine is 12 minutes (6 minutes for mixing and placement, and 6 minutes for setting in the mouth).

7. After complete setting of Biodentine™, the cavity is covered in the same session with a composite filling in combination with a self-etching dentine adhesive. Remove the rubber dam and verify occlusion.

8. Patient can be dismissed with chewing, care and maintenance instructions.

9. Set up appropriate phone follow-up.

*By Mark Roettger DDS, Chief of Dentistry, University of Minnesota Medical Center

Discover all Biodentine webinars!