NAVARRO, Maria Fidela de Lima; LEAL, Soraya Coelho; MOLINA, Gustavo Fabián    VILLENA, Rita Sarmiento. Atraumatic Restorative Treatment: advances and perspectives. Rev. Assoc. Paul. Cir. Dent. []. 2015, 69, 3, pp. 289-301. ISSN 0004-5276.

The Atraumatic Restorative Treatment (A R T) is understood as a minimally invasive approach comprising preventive, therapeutic and restorative measures in relation to dental caries and in the control of this disease, including in attendance to patients of special needs. The treatment is done only with the use of hand instruments and with the use of glass ionomer cement (GIC), applied to the sealing of pits and fissures in caries risk and in the restoration of teeth with cavities in which the adjacent pits and fissures are also sealed. The most frequent reasons for the failures of ART restorations are the displacement of the glass ionomer due to inadequate removal of demineralized enamel and dentin decomposed; improper handling of the glass ionomer powder and liquid; degree of humidity and temperature of the mix GIC at the time of handling; not full fill of the cavity with the restorative material; contamination by saliva and/or blood; cleaning or conditioning of cavities; degree of cooperation of the patient; skill of the operator. Materials with improved aesthetic properties have emerged on the market and must serve as a stimulus for the works of ART in the anterior teeth. In the preparation of the tooth for class II ART restorations, we recommend that you make additional retentions in the vestibular and lingual walls to prevent the displacement of the restoration. The ART is able to reduce the level of anxiety and fear of patients when the operator is not an expert, and is a treatment that provides less pain and discomfort, and can be performed in a dental office or out of it. Suggestions for new research agendas on the ART are proposed.

: glass ionomer cements; atraumatic restorative treatment (ART); minimally invasive restorations.