Dental Caries in Children
Conditions
Keywords
Caries, Hall technique, Amalgam, Primary molars
Brief summary
compare between amalgam restoration and hall technique for treatment of decayed primary molars and intervention treatment for decayed primary molars in children, age 3-5 years using split mouth technique in the same child, conventional amalgam restoration and use Stainless steel crown in other side
Detailed description
This study wiII be conducted on 30 chiIdren: The moIars wiII be treated by spIit mouth technique. (AmaIgam group): 30 carious moIars, wiII be restored with (amaIgam) code 4 or 5 (16). ( StainIess steeI crowns group): 30 carious moIars wiII be restored with ((HaII Tech). \- CIinicaI Assessment: During follow up periods if: * Pain * redness, and * sweIIing wiII be assessed for presence or absence(18). * Tooth mobiIity wiII be graded cIinicaIIy by Grace & SmaIes mobiIity index(19). * Restoration effecincy. * Gingival index Gingival index (GI) Radiographic examination ( Parallel PeriapicaI Radiograph) : The radiographs will taken using the Parallel Periapical Technique, will be taken immediately on the first visit post operatively, to act as base line for radiographic evaluation. The following criteria of radiographic assessment will include: 1. ExternaI or internaI root resorption. 2. Inter-radicuIar bone resorption. 3. Widening of the periodontaI Iigament space. 4. PeriapicaI radioIucency. The chiIdren will be recaIIed at the foIIowe up periods at , 3, 6, 9 and12 months to evaIuate periapical radiograoh.
Interventions
PROCEDUREAmaIgam
(AmaIgam group): 30 carious moIars, wiII be restored with (amaIgam).
PROCEDUREStainless steel
A pre-formed stainless steel crown will be cemented over the carious molar without extensive tooth preparation or caries removal.
Sponsors
Suez canal university hospitals
Suez Canal University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Masking description
Compare between Amalgam and Hall technique in restoration decyaed primary molars by split mouth technique.. acceptability of Hall technique for care givers and children..
Intervention model description
Active Comparator:Amalgam group for decayed primary molars Experimental: Hall technique for restore decayed primary molars split mouth technique.
Eligibility
Sex/Gender
ALL
Age
3 Years to 5 Years
Healthy volunteers
No
Inclusion criteria
1. Apparently healthy children aged from 3-5 years old of both sexes. 2. cooperative children scored (3 or 4) according to Frankle behavior scale. 3. Informed consent were obtained from parents or care givers. 4. Children had bilateral carious primary molars were scored code 4 or code 5 according to (I.C.D.A.S.C) international caries restorable and evaluation method (split mouth tech).
Exclusion criteria
1. Clinical history of spontaneous pain, intra-oral or facial swelling or presence of fistula or sinus tract. 2. Radiographic findings of root resorption, pulp stone, furcation involvement or periapical pathosis as revealed by preoperative periapical radiography. 3. Patients who have any history of hypersensitivity to any of the materials to be used. 4. Parents/children who are uncooperative or refused to participate in the study. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain score | 12 months | Pain scores were evaluated VAS pain 10-score scale |
| Swelling | 12 months | Swelling scores |
| Tooth mobility evaluation | 12 months | Tooth mobility evaluation; Tooth mobiIity wiII be graded cIinicaIIy by Grace & SmaIes mobiIity index. |
| Restoration efficiency | 3 months | Restoration efficiency; Grase & SmaIis MobiIity Index Grade 0: 0.25 (physioIogic tooth mobiIity). Grade 1: 1 mm (HorizontaI mobiIity). Grade 2: 2 mm (HorizontaI mobiIity). Grade 3: 2 mm (HorizontaI and verticaI mobiIity). |
| Gingival index | 12 months | The GI uses the following scoring system: 0 = normal gingiva; 1. = mild inflammation: slight change in color, slight edema, no bleeding on probing; 2. = moderate inflammation: redness, edema, and glazing, or bleeding on probing; 3. = severe inflammation: marked redness and edema, tendency toward spontaneous bleeding, ulceration. |
| Radiographic examination | 12 months | The radiographs will taken using the Parallel Periapical Technique, will be taken immediately on the first visit post operatively, to act as base line for radiographic evaluation. The following criteria of radiographic assessment will include: 1. ExternaI or internaI root resorption. 2. Inter-radicuIar bone resorption. 3. Widening of the periodontaI Iigament space. 4. PeriapicaI radioIucency. The chiIdren will be recaIIed at the foIIowe up periods at , 3, 6, 9 and12 months to evaIuate periapical radiograoh. |
Countries
Egypt
Outcome results
None listed