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Impact of Atraumatic Restorative Treatment (ART) on the treatment profile in pilot government dental clinics in Tanzania.

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dc.contributor.author Kikwilu, E.N.
dc.contributor.author Frencken, J.
dc.contributor.author Mulder, J.
dc.date.accessioned 2013-03-28T11:51:08Z
dc.date.available 2013-03-28T11:51:08Z
dc.date.issued 2009
dc.identifier.other doi: 10.1186/1472-6831-9-14.
dc.identifier.uri http://hdl.handle.net/123456789/753
dc.description.abstract BACKGROUND: The predominant mode of treatment in government dental clinics in Tanzania has been tooth extraction because the economy could not support the conventional restorative care which depends on expensive equipment, electricity and piped water systems. Atraumatic Restorative Treatment (ART) was perceived as a suitable alternative. A 3.5-year study was designed to document the changes in the treatment profiles ascribed to the systematic introduction of ART in pilot government dental clinics. METHODS: Dental practitioners who were working in 13 government dental clinics underwent a 7-day ART training. Treatment record data on teeth extracted and teeth restored by the conventional and ART approaches were collected from these clinics for the three study periods. The mean percentage of ART restorations to total treatment, ART restorations to total restorations, and total restorations to total treatments rendered were computed. Differences between variables were determined by ANOVA, t-test and Chi-square. RESULTS: The mean percentage of ART restorations to total treatment rendered was 0.4 (SE = 0.5) and 11.9 (SE = 1.1) during the baseline and second follow-up period respectively (ANOVA mixed model; P < 0.0001). The mean percentage of ART restorations to total restorations rendered at baseline and 2nd follow-up period was 8.4% and 88.9% respectively (ANOVA mixed model; P < 0.0001). The mean percentage of restorations to total treatment rendered at baseline and 2nd follow-up was 3.9% and 13.0%, respectively (ANOVA mixed model; P < 0.0001). Ninety-nine percent of patients were satisfied with ART restorations, 96.6% willing to receive ART restoration again in future, and 94.9% willing to recommend ART treatment to their close relatives. CONCLUSION: ART introduction in pilot government dental clinics raised the number of teeth saved by restorative care. Countrywide introduction of the ART approach in Tanzania is recommended. en_GB
dc.language.iso en en_GB
dc.relation.ispartofseries BMC Oral Health. 2009;9:14.
dc.subject Atraumatic Restorative Treatment (ART) en_GB
dc.subject Dental clinics en_GB
dc.subject Tanzania. en_GB
dc.title Impact of Atraumatic Restorative Treatment (ART) on the treatment profile in pilot government dental clinics in Tanzania. en_GB
dc.type Article en_GB


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