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- [41] Poor quality evidence suggests that failure rates for atraumatic restorative treatment and conventional amalgam are similarQuestion: This systematic review update seeks to answer the question whether, in patients with carious cavities of any class in primary and permanent teeth, ART restorations with high-viscosity GIC have a higher failure rate than amalgam restorations placed with conventional rotary instruments, in tooth cavities of the same size, type of dentition and follow-up period after one or more years. Evidence-Based Dentistry, 2012, 13 (2) : 46 - 47