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Atraumatic restorative treatment (ART) [1] is a method for cleaning out tooth decay (dental caries) from teeth using only hand instruments (dental hatchet and spoon-excavator) and placing a filling. It does not use rotary dental instruments ( dental drills ) to prepare the tooth and can be performed in settings with no access to dental equipment.
A dental therapist is a member of the dental team who provides preventive and restorative dental care for children and adults. The precise role varies and is dependent on the therapist's education and the various dental regulations and guidelines of each country. More than 50 countries allow dental therapists to provide some dental services.
Composites and amalgam are used mainly for direct restoration. Composites can be made of color matching the tooth, and the surface can be polished after the filling procedure has been completed. Amalgam fillings expand with age, possibly cracking the tooth and requiring repair and filling replacement, but chance of leakage of filling is less.
Dental therapy is a field that emerged in the early 21st century, with practitioners who are not licensed dental doctors but who have the ability to perform basic exams, cleanings, and some basic surgeries like pulling teeth and filling cavities. [9]
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Dental fillings are often used to fill cavities or holes after root canal treatment. [6] They can also be used to restore worn teeth or fill gaps between teeth. [7] Fillings can be made of amalgam (a metal alloy) or materials such as composite resin and glass ionomer. [8] [9]
By nature of their general training, dentists, without specialization can carry out the majority of dental treatments such as restorative (fillings, crowns, bridges), prosthetic , endodontic (root canal) therapy, periodontal (gum) therapy, and extraction of teeth, as well as performing examinations, radiographs (x-rays), and diagnosis.
Though not a traditional dentist, a dental therapist can work independently of a licensed dentist's supervision. A certified dental therapist in Alaska receives two years of intensive training in a program specific to Alaskan dentistry. Graduates may perform basic dental work - this includes drilling, administering fillings, and extraction.
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