Clinical trial NCT03010618: The Effects of Stainless Steel Crowns Applied With Hall Technique on Occlusal Vertical Dimension
Official title: Hall Teknik Ile Uygulanan Paslanmaz Celik kronların Okluzal Dikey Boyuta Etkilerinin değerlendirilmesi
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Caries, Dental
Keywords: hall technique
stainless steel crowns
temporomandibular joint
dental caries
occlusion
Lead sponsor: Bezmialem Vakif University
Sponsor class: OTHER
First posted: 2017-01-05
Enrollment: 125
Sex: ALL
Minimum age (years): 5
Maximum age (years): 8
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

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.


Eligibility criteria: Inclusion Criteria:

* No systemical illness
* Willing to come to control appointments
* No symptoms of pulpal inflammation
* To have at least 1, 3 at most dentin caries primary teeth without infection, mobility, Angle class I profile and molar relation
* Willing to participate the study

Exclusion Criteria:

* History of diagnosed systemic illness
* Anterior/ posterior crossbite
* Presence of dental pain
* Root resorption exceeding 2/3's of the treated tooth
* Gingival inflammation, periodontal disease
* Signs of parafunctionism, bruxism
* Facial asymmetry
* Signs or symptoms of temporomandibular disfunction
* Not willing to participate

Primary outcomes:
measure: Complete canine overbite return
timeFrame: 30 days
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Bezmialem Vakif University Faculty of Dentistry Department of Pediatric Dentistry
city: Istanbul
country: Turkey
facility: Bezmialem Vakif University Faculty of Dentistry Department of Pediatric Dentistry
Study officials:
References:
citation: 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. doi: 10.1186/1472-6831-7-18.
citation: 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. doi: 10.1038/sj.bdj.4813466.
citation: 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.
citation: van der Zee V, van Amerongen WE. Short communication: Influence of preformed metal crowns (Hall technique) on the occlusal vertical dimension in the primary dentition. Eur Arch Paediatr Dent. 2010 Oct;11(5):225-7. doi: 10.1007/BF03262751.
citation: Gallagher S, O'Connell BC, O'Connell AC. Assessment of occlusion after placement of stainless steel crowns in children - a pilot study. J Oral Rehabil. 2014 Oct;41(10):730-6. doi: 10.1111/joor.12196. Epub 2014 Jun 10.