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

Caries, Dental Clinical Trial

Official title:

Hall Teknik Ile Uygulanan Paslanmaz Celik kronların Okluzal Dikey Boyuta Etkilerinin değerlendirilmesi

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03010618
• Other study ID #: 6.2016/45
• Status: Recruiting
• Phase: N/A
• First received: December 31, 2016
• Last updated: July 16, 2017
• Start date: January 24, 2017
• Est. completion date: December 2019

Study information

• Verified date: July 2017
• Source: Bezmialem Vakif University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 125
• Est. completion date: December 2019
• Est. primary completion date: December 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 5 Years to 8 Years

Eligibility

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

Related Conditions & MeSH terms

• Caries, Dental
• Dental Caries

Intervention

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.

Locations

Country	Name	City	State
Turkey	Bezmialem Vakif University Faculty of Dentistry Department of Pediatric Dentistry	Istanbul
Turkey	Bezmialem Vakif University Faculty of Dentistry Department of Pediatric Dentistry	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Bezmialem Vakif University

Country where clinical trial is conducted

Turkey, 

References & Publications (5)

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. — View 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. — View 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. — View 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. Review. — View 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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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