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This study aims to evaluate and compare the change on occlusion after placing stainless steel crowns (SCC) using Hall technique and conventional technique in children between the ages of 5-8. In addition, the investigators planned to analyze the change in oral health-related quality of life between SCC applied with the Hall technique and SCC applied with the conventional method, before and after clinical application.
First, the participants who met the inclusion criteria were included in 2 study groups according to age, gender, dental experience, tooth number, applied stainless steel crown technique, Decayed, Missing due to caries, and Filled teeth in the permanent teeth/decayed, missing due to caries, and filled teeth in the deciduous teeth (DMFT/dmft index) values and International Caries Detection and Assessment System (ICDAS II) and radiographic evaluation criteria. In the experimental group, stainless steel crowns were placed on the teeth of 39 participants using the Hall technique. In the control group, stainless steel crowns were placed on the teeth of 39 participants using conventional technique.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hall technique | Experimental | In the Hall technique method, an orthodontic separator was placed 2 days before the procedure to create distance for the crown in the mesial and distal contact areas of the tooth on which the crown will be placed. A stainless steel crown was cemented on the tooth with glass ionomer cement without local anesthesia, caries cleaning or any preparation. The participant was asked to close the teeth tightly for 2-3 minutes. |
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| Conventional technique | Active Comparator | In the conventional technique, after the area to be anesthetized was dried, topical anesthetic solution (Locanest 10% spray lidocaine, Avixa, Turkey) was applied to the mucosa with a cotton pellet for one minute. For infiltrative anesthesia, 4% articaine solution (Ultracaine DS Forte ampoule, Sanofi-Aventis GmbH, Germany) containing 1 ml of 1:100,000 epinephrine was applied. Preparation was made on the mesial, distal and occlusal sides of the tooth. The decay was cleaned and the cavity was filled with glass ionomer cement (Ketac Molar Easymix, 3M™ ESPE™, St. Paul, MN, USA). The stainless steel crown was bonded with glass ionomer cement (Ketac Cem Easymix, 3M™ ESPE™, St. Paul, MN, USA). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hall technique | Procedure | Prepless crown technique |
| |
| Conventional technique |
| Measure | Description | Time Frame |
|---|---|---|
| The measurement of intrusion of teeth with stainless steel crown applied with Hall technique using Gom Inspect | Intrusion scores in Hall technique 0-3, where 0 means no movement, 3 means intrusion | Immediately before the procedure and one month control |
| The measurement of intrusion of teeth with stainless steel crown applied with conventional technique using Gom Inspect | 0-3, where 0 means no movement, 3 means extrusion | Immediately before the procedure and one month control |
| Change from measurement the distance between the cusps of canines with stainless steel crown applied with Hall technique using Exocad | 0-2, where 0 means no movement, 2 means no closure | Immediately before the procedure and one month control |
| Change from measurement the distance between the cusps of canines with stainless steel crown applied with conventional technique using Exocad | 0-2, where 0 means no movement, 2 means no closure | Immediately before the procedure and one month control |
| Measure | Description | Time Frame |
|---|---|---|
| Measuring the impact of stainless steel crowns on oral health and quality of life in children section with the Early Childhood Oral Health Impact Scale | Child sections have a possible range from 0 to 36. 0=Never or hardly ever 36= Occasionally, often, or very often | Immediately after the procedure and one month control |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Funda Çağırır Dindaroğlu | Izmir | Turkey (Türkiye) |
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Randomized controlled, double-blind clinical trial
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Randomization was performed by a computer-generated random sorting sequence
| Procedure |
1 or 1,5 mm preparation on mesial, distal and occlusal of the tooth |
|
| Measuring the impact of stainless steel crowns on oral health and quality of life in parents section with the Early Childhood Oral Health Impact Scale |
Family sections have a possible range from 0 to 16. 0=Never or hardly ever 16= Occasionally, often, or very often |
| Immediately after the procedure and one month control |