{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:41:15Z","timestamp":1787240475184,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp;amp; Exp Dental Res"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare the 6\u2010month clinical success of atraumatic restorative treatment (ART) and silver\u2010modified atraumatic restorative treatment (SMART) in primary molars of children with early childhood caries (ECC), and to assess the impact of these treatments on oral health\u2010related quality of life (OHRQoL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      A randomized controlled split\u2010mouth trial included 32 children (aged 3\u20137 years) with 68 primary molars exhibiting active dentin carious lesions (ICDAS II scores 4 or 5). Each child received one ART restoration using high\u2010viscosity glass ionomer cement and one SMART restoration with silver diamine fluoride, followed by HVGIC in the same session. Clinical success was assessed after 6 months, using modified ART criteria. Parents completed the Arabic version of the Early Childhood Oral Health Impact Scale (A\u2010ECOHIS) at baseline and after 6 months to assess changes in OHRQoL. Data analysis included chi\u2010square, Fisher's exact test, Student's\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test with effect sizes reported, and a significance level set at 95%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 68 restorations (34 ART, 34 SMART), 6\u2010month success rates were 67.6% for ART and 70.5% for SMART, with no statistically significant difference (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.66). SMART showed slightly better caries arrest. Class I restorations had higher success rates than Class II for both techniques. Failures were mainly due to wear and marginal integrity loss. Mean ECOHIS scores improved from 16.9 at baseline to 10.13 at 6 months, though the change was not statistically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.125).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SMART and ART techniques showed similar short\u2010term clinical outcomes, with SMART showing a minor, nonsignificant advantage in caries management. Failures in ART were more often linked to active caries and pulp involvement, suggesting that SMART may enhance caries arrest. Placement of both restorations did not significantly affect OHRQoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Significance<\/jats:title>\n                    <jats:p>Incorporating SDF may improve caries arrest and the effectiveness of GIC restorations in primary molars.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov identifier: NCT07023939.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cre2.70299","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T20:13:34Z","timestamp":1770149614000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Atraumatic Versus Silver\u2010Modified Atraumatic Restorative Treatment in Primary Molars: A Randomized Clinical Trial on Minimally Invasive Caries Management and Oral Health\u2010Related Quality of Life"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0283-0951","authenticated-orcid":false,"given":"Sana K.","family":"Solh","sequence":"first","affiliation":[{"name":"Division of Pediatric Dentistry, Faculty of Dentistry Beirut Arab University Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3907-7879","authenticated-orcid":false,"given":"Ahmed A.","family":"Holiel","sequence":"additional","affiliation":[{"name":"Conservative Dentistry Department, Faculty of Dentistry Alexandria University Alexandria Egypt"},{"name":"Department of Restorative Sciences, Faculty of Dentistry Beirut Arab University Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8350-0064","authenticated-orcid":false,"given":"Ahmad S.","family":"Tarabaih","sequence":"additional","affiliation":[{"name":"Division of Pediatric Dentistry, Faculty of Dentistry Beirut Arab University Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.25241\/stomaeduj.2016.3(2).15"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2023.104379"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-022-00725-7"},{"issue":"6","key":"e_1_2_13_5_1","first-page":"478","article-title":"Chairside Guide: Silver Diamine Fluoride in the Management of Dental Caries Lesions","volume":"39","author":"American Academy of Pediatric Dentistry","year":"2017","journal-title":"Pediatric Dentistry"},{"key":"e_1_2_13_6_1","first-page":"97","volume-title":"The Reference Manual of Pediatric Dentistry","author":"American Academy of Pediatric Dentistry","year":"2023"},{"key":"e_1_2_13_7_1","first-page":"104","volume-title":"The Reference Manual of Pediatric Dentistry","author":"American Academy of Pediatric Dentistry","year":"2024"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2014.11.012"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12350"},{"issue":"2563","key":"e_1_2_13_10_1","first-page":"2790","article-title":"Randomized Clinical Trial of ART Class II Restorations Using Two Glass Ionomer Cements: Six\u2010Month Follow\u2010Up","volume":"15","author":"Boonyawong M.","year":"2020","journal-title":"Rangsit Graduate Research Conference"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-020-01067-w"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2018.08.011"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-018-2625-8"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/children12040511"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034517746678"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12185792"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-010-0406-3"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12311"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-017-0353-x"},{"key":"e_1_2_13_20_1","first-page":"150","article-title":"Fogels. 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