{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T08:43:26Z","timestamp":1788857006963,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T00:00:00Z","timestamp":1734912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T00:00:00Z","timestamp":1734912000000},"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":["Special Care in Dentistry"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Unmet caries treatment needs are prevalent among people\u00a0with disability, partly due to difficulties of cooperation during conventional\u00a0dental treatment. This cohort\u00a0study compared atraumatic restorative\u00a0treatment (ART), silver modified atraumatic restorative treatment (SMART), and conventional restorative treatment (CRT),\u00a0in terms of feasibility and\u00a0acceptability in patients referred for\u00a0special care dentistry in a specialized university clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients referred for dental restorative care\u00a0were treated using either ART, SMART, or CRT approach. Acceptance,\u00a0feasibility, and complexity for the provision of care according to the BDA Case Mix Tool were\u00a0assessed. ANOVA with Bonferroni correction and Chi\u2010square tests\u00a0investigated differences in age, gender, and BDA scores. Spearman Logistic Regression was used to correlate treatment selection with BDA scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From a total of 150 patients, 74 were included (20.6\u00a0\u00b1\u00a011.2 years of age) 26 chose ART, 35 SMART, 11 CRT and 2 were referred for sedation\/GA. ART, SMART, and CRT\u00a0were feasible for\u00a0all patients who had selected these options, with optimal placement of restorations for all patients\u00a0receiving ART, 95.8% of patients receiving SMART, and all patients receiving CRT.\u00a0Local anesthesia was\u00a0required for\u00a04\u00a0of the 26\u00a0patients receiving ART and for the 11 patients receiving CRT, but not required for any of the\u00a0patients receiving SMART (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.001). BDA\u2010complexity scores were significantly higher for patients receiving SMART (OR 3.730, 95% CI 0.0\u223c1.82,\n                      <jats:italic>p<\/jats:italic>\n                      \u2264\u00a0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ART and SMART are feasible and acceptable\u00a0approaches to restorative dental treatment in patients with\u00a0a disability who have difficulty coping with conventional treatment.\u00a0CRT is more likely to be selected by patients with lower BDA\u2010scores. The survival of the restorations should be assessed to determine the effectiveness of these options and further research is required to confirm the results of this pilot study in a larger population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.13096","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T03:30:04Z","timestamp":1734924604000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Acceptability and feasibility of minimally invasive restorative procedures for patients with disability. A cohort study"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9244-7306","authenticated-orcid":false,"given":"Gustavo F.","family":"Molina","sequence":"first","affiliation":[{"name":"Facultad de Ciencias de la Salud Universidad Catolica de Cordoba  Cordoba Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"Zar","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud Universidad Catolica de Cordoba  Cordoba Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Ribba","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud Universidad Catolica de Cordoba  Cordoba Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio","family":"Mazzola","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud Universidad Catolica de Cordoba  Cordoba Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Bel\u00e9n","family":"Cabal\u00e9n","sequence":"additional","affiliation":[{"name":"CONICET (Consejo Nacional de Investigaciones Cientificas y Tecnicas)  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael F.","family":"Burrow","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry University of Hong Kong SAR China  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.30875\/b51b2f2c-en"},{"key":"e_1_2_10_3_1","volume-title":"iADH Global Goals Statement","author":"International Association for Disability and Oral 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