Compreensão e aplicação do tratamento restaurador atraumático no sistema único de saúde: uma revisão integrativa

Abstract

Introduction: The Atraumatic Restorative Treatment (ART) emerged in the 80's and consists of the realization of restorations with manual equipment and ionomeric cement. It is currently recommended by the Ministry of Health of Brazil because it is effective, low cost and appropriate for the treatment of early carious lesions, especially in populations with social vulnerability and poor access to services. Objective: To investigate how the ART is understood and applied in the Brazilian Unified Health System (SUS) through an integrative review. Methodology: This review sought to answer the guiding question: Is Atraumatic Restorative Treatment well understood and applied in primary care in the Unified Health System? The descriptors "DENTAL ATRAUMATIC RESTORATIVE TREATMENT" AND "DENTISTS" were used in the following databases: LILACS, MEDLINE/PubMed, Google Scholar and Grey Literature, for retrieval of articles published in English or Portuguese, between the years 2012 and 2022. Results: A total of 12 articles were included. In general, the participating Dentists were female, aged 20 to 60 years and working between 0 and 31 years. Many claimed to apply and have knowledge about the technique, but consider the lack of training a barrier to its implementation. In 7 of the 12 studies analyzed, most dentists considered ART a provisional and useful treatment for Collective Health because it favors the expansion of access to services. Conclusion: It is understood that there are many doubts about how to apply the TRA, as most DCs are unaware of the theory and practice of the technique, which reinforces the need for greater training and action.