Protocol for the Hall Technique study: A trial to measure clinical effectiveness and cost-effectiveness of stainless steel crowns for dental caries restoration in primary molars in young children

Tonmukayakul, Utsana; Martin, R F; Clark, Richard K.; Brownbill, J W; Manton, David J.; Hall, Martin; Armfield, Jason M.; Smith, Michael; Shankumar, Ramini; Sivasithamparam, K.; Martin-Kerry, Jacqueline; Calache, Hanny

doi:10.1016/j.cct.2015.07.005

Cited by 11 publications

(9 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Excess cement should be wiped away and a layer of petroleum jelly placed around the margins while the cement is setting. [20][21][22][23] This method of stainless-steel crowns is based on biologic or minimal cutting approach and was named after Dr Norna Hall, a general dental practitioner from Scotland who developed and used the technique with good success in 1988 and used it for over 15 years until she retired in 2006. This method uses Preformed Metal Crowns (PMCs), which are filled with glass-ionomer cement, and simply pushed onto the tooth with no caries removal, local anesthesia or tooth preparation.…”

Section: Cementation Of Crownmentioning

confidence: 99%

Crowns for paediatric teeth: Stainless steel crown

Arunima¹,

Ahuja²

2021

JDP

View full text Add to dashboard Cite

Management of the severely destructed primary teeth poses a challenge for the paediatric dentist as three important considerations have to be kept in mind, patient’s behavioural management, preservation of the tooth structure and parental satisfaction. Various crowns have been introduced to the field of dentistry such as stainless-steel crowns and aesthetic crowns. Prefabricated stainless steel crowns (SSC) can be adapted to individual primary teeth and cemented in place to provide a definitive restoration. The SSC is extremely durable, relatively inexpensive, subject to minimal technique sensitivity during placement, and offers the advantage of full coronal coverage. SSC are often used to restore primary and permanent teeth in children and adolescents where intra-coronal restorations would otherwise fail. This article brings the update of this definitive restoration.

show abstract

Section: Cementation Of Crownmentioning

confidence: 99%

Crowns for paediatric teeth: Stainless steel crown

Arunima¹,

Ahuja²

2021

JDP

View full text Add to dashboard Cite

show abstract

“…13 Another atraumatic approach, the 'Hall Crown' technique (HT), has also been tested in clinical trials and has been shown to be clinically successful and well accepted by children and their parents, [14][15][16] and with more trials in progress. 17,18 The use of HT for caries management among children has been suggested to have the potential to reduce the number of young children requiring a DGA, and its impact on COHRQoL has been reported as being similar to that of conventional treatment. 10,19 The findings relating to the primary aim of the study, which was to evaluate the use of atraumatic treatment approaches including the ART approach and the HT (ARTs), as an alternative for children for whom a DGA has been recommended have been reported.…”

Section: Introductionmentioning

confidence: 99%

“…Another atraumatic approach, the ‘Hall Crown’ technique (HT), has also been tested in clinical trials and has been shown to be clinically successful and well accepted by children and their parents, 14‐16 and with more trials in progress 17,18 . The use of HT for caries management among children has been suggested to have the potential to reduce the number of young children requiring a DGA, and its impact on COHRQoL has been reported as being similar to that of conventional treatment 10,19 …”

Section: Introductionmentioning

confidence: 99%

Atraumatic restorative treatments improve child oral health‐related quality of life: A noninferiority randomized controlled trial

Arrow¹,

Forrest²

2020

Comm Dent Oral Epid

View full text Add to dashboard Cite

Objectives Management of dental caries under dental general anaesthesia (DGA) in young children improves their quality of life. A randomized controlled trial was undertaken to test the changes in oral health‐related quality of life among children treated under a DGA or managed using the Atraumatic Restorative Treatment and Hall crown approaches (ARTs). Methods Children scheduled for a DGA for the management of dental caries after assessment at the Oral Health Centre of Western Australia were invited to participate. Inclusion and exclusion criteria were applied. Child oral health‐related quality of life (COHRQoL) was evaluated through the Early Childhood Oral Health Impact Scale (ECOHIS) and the child‐specific Caries Impacts and Experiences Questionnaire for Children (CARIES‐QC) at baseline and 12 months after consent. The changes in child oral health‐related quality of life were analysed on an intention‐to‐treat basis. Paired t‐test and Wilcoxon's matched‐pairs rank test were used for within‐group comparison and t‐test, Mann‐Whitney test, and test of proportions for between‐group comparisons. Linear regression was used for multivariable analyses of the follow‐up scores. Results Sixty‐five parents/carers agreed to participate and were randomized (Test = 32; Control = 33). Mean age = 4.7 years, SD 1.1; 51% male. At baseline, there were no statistically significant differences in age and sex between the groups; however, the ARTs group reported higher ECOHIS scores. At follow‐up, both the ARTs and DGA groups had lower ECOHIS scores (20.7 vs 12.9 and 14.4 vs 13.3, respectively) and CARIES‐QC scores (12.6 vs 7.1 and 9.9 vs 8.4, respectively). The within‐group differences in the ARTs group were statistically significant while the differences in the DGA group were not, P < .01 and P > .05, respectively. In a linear regression of the follow‐up scores, being in the DGA group increased the follow‐up scores, but it was no longer statistically significant while baseline impact scores were significantly associated with greater follow‐up scores for both the ECOHIS and the CARIES‐QC, P < .01. Conclusion The child oral health‐related quality life among children scheduled for dental general anaesthesia improved after receiving minimally invasive, atraumatic restorative treatments of dental caries.

show abstract

“…The longevity of the SSC’s could be extended from 5 to 15 years when adequate marginal adaptation is achieved [ 11 ]. SSC’s are cost effective [ 15 ] compared with other conventional restorative materials, due to their superiority in restoring multi-surface cavities in primary molars [ 1 , 16 ]. The main disadvantage is the perception of the patient that SSC’s have poor esthetics.…”

Section: Introductionmentioning

confidence: 99%

In vitroanalysis of the marginal adaptation and discrepancy of stainless steel crowns

Mulder

Medhat

Mohamed

2018

Acta Biomaterialia Odontologica Scandinavica

View full text Add to dashboard Cite

Aim: The purpose of the study was to assess the marginal adaptation and discrepancy of SSC’s. Differences in adaptation and discrepancy between the four surfaces (mesial, lingual, distal, and buccal) were evaluated. Methods: The placement of stainless steel crowns were completed on a phantom head in accordance with the clinical technique. The ideal tooth preparation was made and this ‘master tooth’ duplicated to achieve a sample size of 15. The stainless steel crowns were placed, trimmed, and cemented as per the clinical technique. The cemented stainless crowns were analyzed under 100× stereomicroscope magnification. The marginal adaptation and discrepancy of each specimen was measured every 2 µm. Results: All the specimens showed marginal adaptation and discrepancy. The lingual margin had a significantly better adaptation (p < .0001) over the other surfaces. The buccal surface was the only surface that had an appropriate supra-CEJ level with a significance of p < .0001. Conclusion: The marginal discrepancies occur during the trimming procedure and assessment of the gingival approximation of the SSC margin. The inspection of stainless steel crown adaptation and discrepancy is an essential clinical step.

show abstract

Protocol for the Hall Technique study: A trial to measure clinical effectiveness and cost-effectiveness of stainless steel crowns for dental caries restoration in primary molars in young children

Cited by 11 publications

References 25 publications

Crowns for paediatric teeth: Stainless steel crown

Crowns for paediatric teeth: Stainless steel crown

Atraumatic restorative treatments improve child oral health‐related quality of life: A noninferiority randomized controlled trial

In vitroanalysis of the marginal adaptation and discrepancy of stainless steel crowns

Contact Info

Product

Resources

About