INTRODUCTION: Some of the filling materials are extremely ineffective cases of secondary caries as they leave the tooth surface unprotected against cariogenic conditions in the oral cavity. A new approach for treatment of primary molars with preformed metal crowns (PMCs) is implemented known as Hall Technique. PMCs provide excellent sealing in primary molars arresting the progression of the carious process.
AIM: The aim of this article is to do a comparative assessment of the received results when restoring approximal dentin carious lesions with glass ionomer cement (GIC) and Hall crowns in primary and early mixed dentition.
MATERIALS AND METHODS: For a 2-year period object of clinical observation were 100 teeth with approximal dentin carious lesions on primary molars in children at 5-7 years of age from Varna. Fifty of them were restored with GIC, and the other 50 were sealed with PMCs using the Hall technique. The progression of the carious lesion and the failure of the restoration were examined.
RESULT: The major failures with the Hall technique after 2-year follow-up accounted for only 2%, and the minor ones were 4%. For the conventional methods with GIC as filling material, they were 12% and 48%, respectively.
CONCLUSION: The average duration of PMCs restorations using the Hall technique is very high. They may be an appropriate option for restoration and treatment of the carious process on primary molars, especially for class II carious lesions. After the follow-up period we can conclude that the Hall technique has advantage over the conventional methods of treatment with GICs.
Pitts NB. Background level care. In: Pitts NB (ed). Detection, Assessment, Diagnosis and Monitoring of Caries. Basel: Karger; 2009.pp. 144-8.
Maggs-Rapport FL, Treasure ET, Chadwick BL. Community dental officers’ use and knowledge of restorative techniques for primary molars: an audit of two Trusts in Wales. Int J Paediatr Dent. 2000; 10(2):133-9.
Cameron A, Widmer R. Handbook of Pediatric Dentistry. Germany: Mosby; 2013.pp. 93-102.
Splieth, Christian H. Revolution in pediatric dentistry. Germany: Quintessence; 2011.pp. 21-35.
Randall RC. Preformed metal crowns for primary and permanent molar teeth: review of the literature. Pediatr Dent. 2002;24(5):489-500.
Andreeva R. Assessment of different types of materials of children treated under general anesthesia. MedInform. 2018; 2:432-8.
Dimitrov E, Georgieva M, Andreeva R. Indications for use of performed crowns in pediatric dentistry. Medinform. 2016; 2:439-45.
Croll TP, Riesenberger RE. Primary molar stainless steel crown restoration. Quintessence Int. 1986;17(4):221-6.
Croll TP. Restorative dentistry materials for children: The 1990s and beyond. J Dent Child. 1993;60(4-5):260-2.
Kopel HM. Considerations for the direct pulp capping procedure in primary teeth: A review of the literature. ASDC J Dent Child. 1992;59(2):141-9.
Chadwick BL, Evans DJ. Restoration of class II cavities in primary molar teeth with conventional and resin modified glass ionomer cements: a systematic review of the literature. Eur Arch Paediatr Dent. 2007;8(1):14-21.
Nicholson JW, Croll TP. Glass-ionomer cements in restorative dentistry. Quintessence Int. 1997;28(11):705-14.
Mjor IA, Dahl JE, Moorhead JE. Placement and replacement of restorations in primary teeth. Acta Odontol Scand. 2002; 60(1):25-8.
Qvist V. Longevity and cariostatic effects of everyday conventional glass-ionomer and amalgam restorations in primary teeth: three-year results. J Dent Res. 1997; 76(7):1387-96. doi: 10.1177/00220345970760070901.
Evans DJP, Southwick CAP, Foley JI, Innes NP, Pavitt SH, Hall N. The Hall technique: a pilot trial of a novel use of preformed metal crowns for managing carious primary teeth. Scottish Dental Practice Based Research Network. Available at: http://www.dundee.ac.uk/tuith/Articles/rt03.htm. Accessed: February 1, 2011.
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;7:18.
AAPD. Clinical guideline on pediatric restorative dentistry. Pediatr Dent. 2004;26:106-14.
Chadwick B, Dummer P, Dunstan F, Gilmour ASM, Jones RJ, Jones RJ, et al. The longevity of dental restorations A systematic review. National Health System Centre for Reviews and Dissemination Report 19. York: University of York, 2001.
Croll TP, Bar-Xion Y, Segura A, Donly KJ. Clinical performance of resin-modified glass ionomer cement restorations in primary teeth. A retrospective evaluation. J Am Dent Assoc. 2001;132(8):1110-6. doi: 10.14219/jada.archive.2001.0336.
Kidd EA, van Amerongen JP, van Amerongen WE. The role of operative treatment in caries control. In: Fejerskov O, Kidd EA (eds). Dental Caries: The Disease and its Clinical Management, ed 2. Oxford: Blackwell, Munksgaard; 2008.pp.356-65.
Gross LC, Griffen AL, Casamassimo PS. Compomers as class II restorations in primary molars. Pediatr Dent. 2001;23(1):24-7.
Lucarotti PS, Holder RL, Burke FJ. Outcome of direct restorations placed within the general dental services in England and Wales (Part 1): variation by type of restoration and re-intervention. J Dent. 2005; 33(10):805-15.
Qvist V, Laurberg L, Poulsen A, Teglers PT. Class II restorations in primary teeth: 7-year study on three resin-modified glass ionomer cements and a compomer. Eur J Oral Sci. 2004; 112(2):188-96.
Hesse D, de Araujo MP, Olegário IC, Innes N, Raggio DP, Bonifácio CC. Atraumatic Restorative Treatment compared to the Hall Technique for occluso-proximal cavities in primary molars: study protocol for a randomized controlled trial. Trials. 2016; 17:169. doi: 10.1186/s13063-016-1270-z.
Santamaria RM, Innes NP, Machiulskiene V, Evans DJ, Splieth CH. Caries management strategies for primary molars: 1-yr randomized control trial results. J Dent Res. 2014;93(11):1062-9. doi: 10.1177/0022034514550717.
Rosenblatt A. The Hall technique is an effective treatment option for carious primary molar teeth. Evid Based Dent. 2008;9(2):44-5. doi: 10.1038/sj.ebd.6400579.
Roberts JF, Attari N, Sherriff M. The survival of resin modified glass ionomer and stainless steel crown restorations in primary molars, placed in a specialist paediatric dental practice. Br Dent J. 2005;198(7):427-31.