The Effects of Stainless Steel Crowns Applied With Hall Technique on Occlusal Vertical Dimension

NCT03010618 | Unknown

• 1 other identifier: 6.2016/45
• Study Type: interventional
• Target: 125
• Locations: 1 country
• Sites: 2

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.

Conditions

Caries, Dental

Keywords

hall technique; stainless steel crowns; temporomandibular joint; dental caries; occlusion

Outcome Measures

Primary Outcomes (1)

• Complete canine overbite return

  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.

  30 days

Study Arms (1)

Study Group

OTHER

Other: Hall technique stainless steel crowns

Interventions

Hall technique stainless steel crowns OTHER

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.

Study Group

Eligibility Criteria

• Age: 5 Years - 8 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Bezmialem Vakif University: lead

Study Sites (2)

Bezmialem Vakif University Faculty of Dentistry Department of Pediatric Dentistry

Istanbul, Turkey (Türkiye)

RECRUITING

Bezmialem Vakif University Faculty of Dentistry Department of Pediatric Dentistry

Istanbul, Turkey (Türkiye)

RECRUITING

Related Publications (5)

• 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.

  PMID: 18096042 BACKGROUND

• 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.

  PMID: 16703041 BACKGROUND

• 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.

  PMID: 18808544 BACKGROUND

• 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.

  PMID: 20932395 RESULT

• 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.

  PMID: 24913609 RESULT

MeSH Terms

Conditions

Dental Caries; Bites and Stings

Condition Hierarchy (Ancestors)

Tooth Demineralization; Tooth Diseases; Stomatognathic Diseases; Poisoning; Chemically-Induced Disorders; Wounds and Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Specialist

Study Record Dates

• First Submitted: December 31, 2016
• First Posted: January 5, 2017
• Study Start: January 24, 2017
• Primary Completion: December 1, 2019
• Study Completion: December 1, 2019
• Last Updated: July 19, 2017

Record last verified: 2017-07

Locations

TU (2)