In continuing with my research regarding the long-term viability of IST, as per an extensive literature review that was completed by the Region of Peel in May of this year:
I offer the following “Key Messages” developed by the team:
- Interim Stabilization Therapy/Atraumatic Restorative Treatment are effective as a single surface temporary restoration for dental caries, on both primary and permanent teeth.
- High viscosity glass ionomer cements should be used as the material of choice for Interim Stabilization Therapy/Atraumatic Restorative Treatment.
- While the quality of evidence is weak in this area, the use of Interim Stabilization Therapy/Atraumatic Restorative Treatment may be beneficial in aiding with client-provider rapport and building client self-esteem.
As a public health organization, Peel Public Health (PPH) is mandated by the Ontario Public Health Standards (OPHS) to provide oral health programming to applicable populations.
The OPHS was recently updated, including the Healthy Smiles Ontario Program (HSO) protocol which now includes offering IST/ART to clinically eligible, preventive service stream enrolled children and youth.
The new HSO protocol mirrors the same parameters that I must adhere to for providing IST:
- When access to permanent restoration is not immediate or practical
- When there are no medical contraindications
- When the client consents to the treatment
- When any of the following apply:
- There is reasonable risk of further damage to the tooth structure
- The pulp is not exposed
- The client is in discomfort or is experiencing difficulty in eating
- The discomfort is due to recent trauma, fracture or lost dental restoration
- The client has not received any medical/dental advice that would contraindicate placing a temporary restoration
- It is in the client’s best interest to proceed
Hopefully, as this therapy becomes better utilized, we will begin to compile data supporting its long term viability.
In conclusion, I applaud the commitment of our public health institutions to offer this treatment for our underserviced and disadvantaged youth, but I am truly concerned about the lack of similar care for our at-risk adult population.
Hopefully, this treatment will be seen as a viable solution for them as well!
Until next time,