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Abstract Background Hall technique (HT) has been indicated for teeth with dentinal caries lesion; however, extensive cavities, with more than two surfaces still seem challenging for restorative treatment in pediatric dentistry, resulting in a higher failure rate and an increased need for retreatment. Objectives To compare the survival rate of the Hall technique preformed metal crown (HT) with resin composite restoration (RC) for multi-surface cavitated caries lesions in primary molars. Methodology In this multicenter two-arm randomized clinical trial, children between 4 and 9 years of age with at least one primary molar with cavitated caries lesion involving more than two surfaces, including one buccal or palatal/lingual surface, were selected from 17 Brazilian cities. A total of 364 teeth were allocated into two groups: (1) teeth treated with selective caries removal and RC and (2) treated with the HT. The survival rate was assessed at 6 and 12 months after the interventions. Survival analysis was performed with the Kaplan‒Meier method. Cox regression was used to determine the influence of explanatory variables on the survival rate (α=5%). Results After 12 months, 292 teeth were re-evaluated. A total of 358 teeth were re-evaluated at least once during the study and included in the survival analysis. The HT (87.8%) resulted in a higher survival rate than RC restoration (75.7%) (p=0.004). Conclusion HT has a higher survival rate than RC as a treatment for multi-surface cavitated caries lesions in primary teeth. ClinicalTrials.gov: NCT02782390
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Background: Hall technique of crown placement causes the changes in vertical occlusal dimension; the mode of settlement of which needs to be explored. Aim: To assess and compare the changing patterns of stress distribution following placement of stainless steel crowns on primary teeth by Hall and conventional techniques using a finite element model analysis. Materials and Methods: The clinical crown heights of primary molars restored with Hall and conventional techniques and opposing teeth in contact, vertical dimension changes in the primary canine area were measured using intraoral digital scan. T-scan was used to measure the changes in bite force while the finite element analysis was used to assess deformative changes on the 2nd, 5th, 10th, and 15th days. Results: The Hall technique of crown placement caused more stress distribution in the tooth supporting tissues that settled in 2 weeks as compared with conventional technique of crown placement in which settlement occurred in 2 days. Conclusion: The settling of vertical occlusal dimension as well as stress distribution in Hall technique probably takes place by intrusion of crowned tooth and opposing teeth in contact.
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Abstract This article reviews the indications, objectives and step by step process of the Modified Hall Technique in the management of primary and permanent molars affected by severe enamel hypomineralization. Scientific based biological principles are discussed in order to provide relevant clinical information for Pediatric and General dentists in order to provide support for the safe use the technique in clinical practice.
Resumen En este artículo se revisan las indicaciones, objetivos y proceso paso a paso de la Técnica de Hall Modificada en el manejo de molares primarios y permanentes afectados por hipomineralización severa del esmalte. Los principios biológicos basados en la evidencia se discuten con el fin de proporcionar información clínica relevante para los odontólogos pediátricos y generales con el fin de proporcionar apoyo para el uso seguro de la técnica en la práctica clínica.
Resumo Neste artigo foram revisadas as indicações, objetivos e o passo a passo da Técnica de Hall Modificada para o manejo de molares decíduos e permanentes afetados pela hipomineralização severa do esmalte. Os princípios biológicos baseados na evidência são discutidos com o objetivo de proporcionar informações clínicas relevantes para odontopediatras e clínicos gerais, a fim de lhes fornecer apoio para o uso seguro da técnica na prática clínica.
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Objective @# To investigate the clinical effects of different restoration methods on large area defect of deciduous molars. @*Methods @#A total of 150 deciduous molars were selected and randomly divided into three groups: A, B and C. Group A was repaired with glass ionomer and compound resin, B group was repaired by Hall technique, and C group was repaired with metal preformed crown. The successful rate of restoration in 6 and 12 months was compared between the three groups.@*Results@#There was no significant difference between three groups in A, B and C (P > 0.05) in 6 months; the successful rate of 12 months repair in group B and C was significantly higher than that in group A (P < 0.05). @*Conclusion @#The success rate of Hall technique and metal performed crown is higher than that of glass ionomer and composite resin on the repair of large defects of deciduous molars.
ABSTRACT
Objective@#To investigate the clinical effects of different restoration methods on large area defect of deciduous molars. @*Methods @#A total of 150 deciduous molars were selected and randomly divided into three groups: A, B and C. Group A was repaired with glass ionomer and compound resin, B group was repaired by Hall technique, and C group was repaired with metal preformed crown. The successful rate of restoration in 6 and 12 months was compared between the three groups. @*Results @#There was no significant difference between three groups in A, B and C (P > 0.05) in 6 months; the successful rate of 12 months repair in group B and C was significantly higher than that in group A (P < 0.05).@*Conclusion @#The success rate of Hall technique and metal performed crown is higher than that of glass ionomer and composite resin on the repair of large defects of deciduous molars.