Caries, Dental
Conditions
Keywords
hall technique, stainless steel crowns, temporomandibular joint, dental caries, occlusion
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.
Interventions
OTHERHall 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.
Sponsors
Bezmialem Vakif University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 8 Years
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complete canine overbite return | 30 days | 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. |
Countries
Turkey (Türkiye)
Outcome results
None listed