PUBLIC HEALTH DENTISTRY

1. GOOD MORNING

2. YASMIN MOIDIN
2008 BATCH
AL AZHAR DENTAL COLLEGE
THODUPUZHA

3. CONTENTS
 Introduction
 Principles
 Indications
 Contraindications
 Advantages
 Instruments for ART
 Materials for ART
 Procedure
 Conclusion

4. INTRODUCTION
 ART is based on modern knowledge about minimal
intervention, minimal invasion and minimal cavity
preparation for carious lesions
 It is a procedure based on removing carious tooth
tissues using hand instruments along and restoring
the cavity with an adhesive material

5. PRINCIPLES
 Removing
carious
tooth
tissues
using
hand
instruments only
 Restoring the cavity with a restorative material that
sticks to the tooth

6. INDICATIONS
 ART is carried out
 Only in small cavities
 In
those cavities that are accessible to hand
instruments
 Public health programs

7. CONTRAINDICATIONS
 ART should not be used when:
 There is presence of swelling or fistula near the carious
tooth
 The pulp of tooth is exposed
 Teeth have been painful for a long time and there may
be chronic inflammation of the pulp

8.  There is an obvious carious cavity, but the opening is
inaccessible to hand instruments
 There are clear signs of a cavity, eg: in a proximal
surface, but the cavity cannot be entered from the
proximal or the occlusal direction

9. ADVANTAGES
 ‘ART’ is a biological approach that requires minimal cavity
preparation that conserves sound tooth tissues and causes
less trauma to teeth
 As ART is painless, the need for local anesthetics are
reduced and reduces the psychological trauma to the
patients
 Simplifies infection control as hand instruments can easily
be cleaned and sterilized

10.  No electrically driven and expensive dental equipment
needed which enables ART to be practiced in remote
areas and in the field
 This technique is simple enough to train non-dental
personnel or primary healthcare workers
 ART approach is very cost effective
 Use -> Among children, fearful adults, physically and
mentally handicapped

11. INSTRUMENTS
 Mouth Mirror
 Explorer
 Tweezers
 Spoon Excavator
 Dental hatchet
 Carver
 Mixing pad and spatula

12. MATERIALS
 Cotton wool rolls
 Cotton wool pellets
 Petroleum jelly
 Plastic Strip
 Wedges
 Glass Ionomer cement

13. PROCEDURES
 Arrange a good working environment
 Outside the mouth




Operators – posture and position
Assistance
Patient position
Operating light
 Inside the mouth

Control of Saliva
 Hygiene and Control of Cross Infection
 Restoring the Cavity

14. •
Caries removal
•
Conditioning the prepared cavity
•
Mixing
•
Restoring the cavity
- press finger technique

15. CONCLUSION
 The ART procedure has been developed to focus on
developing countries of people who are unable to obtain
restorative dental care
 ART is a combined preventive and curative oral care
procedure which must be administered along with health
promoting messages about a prudent diet , good oral
hygiene, use of fluoride toothpaste and sealant application

16. REFERENCES
 ESSENTIALS OF PREVENTIVE AND COMMUNITY
DENTISTRY 4TH EDITION - SOBAN PETER

17. THANK YOU
!