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BMC Oral Health

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Open Access 01-12-2009 | Research article

Utilization of the ART approach in a group of public oral health operators in South Africa: a 5-year longitudinal study

Authors: Steffen Mickenautsch, Jo E Frencken

Published in: BMC Oral Health | Issue 1/2009

Abstract

Background

A significant increase in the proportion of restorations to the number of tooth extractions was reported after the introduction of ART in an academic mobile dental service in South Africa. The changes were ascribed to its less threatening procedure. Based on these findings, ART was subsequently introduced into the public oral health service of Ekurhuleni district in the South African province of Gauteng. This article reports on the 5-year restorative treatment pattern of operators in the Ekurhuleni district, who adopted the ART approach into their daily dental practice.

Methods

Of the 21 trained operators, 11 had placed more than 10% of restorations using ART at year 1 and were evaluated after 5 years. Data, including number of restored and extracted teeth and type of restoration, were drawn from clinical records 4 months before, and up to 5 years after training. The restoration/extraction ratio (REX score) and the proportion of ART restorations to the total number of restorations were calculated. The paired sample t-test and linear regression analysis were applied.

Results

The mean percentage of ART restorations after 1 year was 24.0% (SE 7.2) and significantly increased annually to 42.7% (SE 9.2) after 5 years in permanent dentitions. In primary dentitions the mean percentage of ART restorations after 1 year was 80.6% (SE 4.9) and 72.6% (SE 8.8) after 5 years. The mean REX score before ART training was 0.08 (SE 0.03) and 0.07 (SE 0.04) for permanent and primary teeth, respectively and 0.11 (SE 0.03) and 0.17 (SE 0.05) after 5 years.

Conclusion

Five years after training, ART had been used consistently in this selected group of operators as the predominant restorative treatment used for primary teeth and showed a significant annual increase in permanent teeth. However, this change had not resulted in an increase in the REX score in both dentitions.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6831/9/10/prepub

Title: Utilization of the ART approach in a group of public oral health operators in South Africa: a 5-year longitudinal study
Authors: Steffen Mickenautsch
Jo E Frencken
Publication date: 01-12-2009
Publisher: BioMed Central
Published in: BMC Oral Health / Issue 1/2009
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/1472-6831-9-10

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Utilization of the ART approach in a group of public oral health operators in South Africa: a 5-year longitudinal study

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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