The Effects of Stainless Steel Crowns Applied With Hall Technique on Occlusal Vertical Dimension
Study Details
Study Description
Brief Summary
In recent years restoring carious of fractured primary teeth with stainless steel crowns (SSC) has became more popular than ever. On the other hand the traditional operative approach of complete removal of caries is steadily losing support due to successful results with materials of high microleakage resistance.
Treatment time and pain control in asymptomatic teeth has always been a problem in children. Hall technique is a minimally invasive treatment protocol that doesn't require local anesthesia, use of rotating devices for caries removal to restore primary teeth with SSC.
But this protocol also raised questions in the scientific community about its possible effects on the dentition and temporomandibular joint (TMJ) for causing primary occlusal contact and increasing vertical dimension.
The aim of our research is to study the effects of Hall technique's premature occlusal contact on TMJ.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Other: Study Group
|
Other: Hall technique stainless steel crowns
Primary carious tooth will be treated with stainless steel crowns without local anesthesia or caries removal and the increase in the occlusal vertical dimension will be monitored in two subsequent appointments with measuring canine overbite.
|
Outcome Measures
Primary Outcome Measures
- Complete canine overbite return [30 days]
The length of overbite between upper and lower canines will be measured at beginning of the study with marking the overlapping contact point of the upper left canine and length of a straight line to the tip of the lower left canine will be recorded in mm with a standard WHO gingival probe. Full return to this level will be considered as "Complete canine overbite return" and failure to reach this level will in 30 days will require the patient to be scheduled for an extra recall in every 2 weeks until overbite returns to the pretreatment level.
Eligibility Criteria
Criteria
Inclusion Criteria:
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No systemical illness
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Willing to come to control appointments
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No symptoms of pulpal inflammation
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To have at least 1, 3 at most dentin caries primary teeth without infection, mobility, Angle class I profile and molar relation
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Willing to participate the study
Exclusion Criteria:
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History of diagnosed systemic illness
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Anterior/ posterior crossbite
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Presence of dental pain
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Root resorption exceeding 2/3's of the treated tooth
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Gingival inflammation, periodontal disease
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Signs of parafunctionism, bruxism
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Facial asymmetry
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Signs or symptoms of temporomandibular disfunction
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Not willing to participate
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Bezmialem Vakif University Faculty of Dentistry Department of Pediatric Dentistry | Istanbul | Turkey | ||
| 2 | Bezmialem Vakif University Faculty of Dentistry Department of Pediatric Dentistry | Istanbul | Turkey |
Sponsors and Collaborators
- Bezmialem Vakif University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Innes NP, Evans DJ, Stirrups DR. The Hall Technique; a randomized controlled clinical trial of a novel method of managing carious primary molars in general dental practice: acceptability of the technique and outcomes at 23 months. BMC Oral Health. 2007 Dec 20;7:18.
- Innes NP, Stirrups DR, Evans DJ, Hall N, Leggate M. A novel technique using preformed metal crowns for managing carious primary molars in general practice - a retrospective analysis. Br Dent J. 2006 Apr 22;200(8):451-4; discussion 444.
- Kindelan SA, Day P, Nichol R, Willmott N, Fayle SA; British Society of Paediatric Dentistry. UK National Clinical Guidelines in Paediatric Dentistry: stainless steel preformed crowns for primary molars. Int J Paediatr Dent. 2008 Nov;18 Suppl 1:20-8. doi: 10.1111/j.1365-263X.2008.00935.x. Review.
- 6.2016/45