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AJPH First Look, published online ahead of print Jul 7, 2005
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AJPH.2004.056945v1
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August 2005, Vol 95, No. 8 | American Journal of Public Health 1338-1339
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2004.056945

RESEARCH AND PRACTICE

Atraumatic Restorative Treatment for Prevention and Treatment of Caries in an Underserved Community

Naty Lopez, PhD, MEd, BSN, Sara Simpser-Rafalin, DMD and Peter Berthold, PhD, DMD

The authors are with the Department of Preventive and Restorative Sciences/WHO Collaborating Center for Oral Infectious Diseases, University of Pennsylvania School of Dental Medicine, Philadelphia.

Correspondence: Requests for reprints should be sent to Naty Lopez, PhD, MEd, BSN, University of Pennsylvania School of Dental Medicine, 240 S 40 St, Philadelphia, PA 19104-6030 (e-mail: lopeznb{at}pobox.upenn.edu).

We evaluated the acceptability and effectiveness of atraumatic restorative treatment to prevent and treat caries in an underserved community in Mexico. We placed 370 restorations and 193 sealants in 118 children aged 5 to 18; 85% reported no pain, and 93% were comfortable with their restorations. We then evaluated the children 1 and 2 years later. At 2-year evaluation, 66% of restorations and 35% of sealants were retained. Atraumatic restorative treatment is acceptable and effective to control and prevent decay in a socioeconomically deprived community.






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