Ayedun O S, Oredugba F A, Sote E O
Department of Child Dental Health, College of Medicine, University of Lagos, Nigeria.
West Afr J Med. 2020 Jul-Aug;37(3):253-259.
Stainless steel crown (SSC) restoration is one of the restorative treatment options in the management of carious primary molars. The Hall technique is a biologic method of managing carious primary teeth by sealing in the caries with SSCs without the routine local anaesthesia and tooth preparations. The objectives of this study was to compare the treatment assessments of the conventional stainless steel crown restoration with Hall technique using subjects' discomfort during treatments and parents' treatment perception, treatment acceptability and satisfaction with the treatment.
The study was a comparative analytical study involving the placement of 25 SSC restorations using the conventional method and 25 SSC restorations using the Hall technique in 25 subjects aged 3-8 years with a pair or pairs of unrestored enamel or dentinal carious primary molars matched for tooth type, dental arch and extent of caries. Discomfort during the placements of the SSCs was assessed by the subjects while treatment perception, acceptability and satisfaction were assessed by the parents with the use of questionnaires.
There was statistically significant difference (p-value 0.00001) between the conventional method and the Hall technique for the discomfort outcomes. There was no statistically significant difference for treatment perception (p=0.73), acceptability (0.72) and satisfaction (0.60).
The Hall Technique compared favourably well with the conventional method in treatment perception, acceptability and satisfaction but it gave higher level of discomfort in some of the subjects. The Hall Technique appears to be a good method for managing dental caries in primary molar teeth especially in a resource challenged environment where electricity and access to care are contending issues.
不锈钢冠（SSC）修复是治疗乳牙龋的修复治疗选择之一。霍尔技术是一种通过用SSC封闭龋洞来治疗乳牙龋的生物学方法，无需常规局部麻醉和牙齿预备。本研究的目的是通过比较治疗过程中受试者的不适程度以及家长对治疗的认知、治疗可接受性和对治疗的满意度，来对比传统不锈钢冠修复与霍尔技术的治疗评估结果。
本研究为一项对比分析研究，对25名3至8岁的受试者进行了研究，这些受试者有一对或多对未修复的釉质或牙本质龋乳牙磨牙，根据牙齿类型、牙弓和龋损程度进行匹配，分别采用传统方法放置25个SSC修复体和采用霍尔技术放置25个SSC修复体。由受试者评估放置SSC过程中的不适程度，同时通过家长使用问卷来评估治疗认知、可接受性和满意度。
在不适结果方面，传统方法与霍尔技术之间存在统计学显著差异（p值为0.00001）。在治疗认知（p = 0.73）、可接受性（0.72）和满意度（0.60）方面，没有统计学显著差异。
在治疗认知、可接受性和满意度方面，霍尔技术与传统方法相比具有优势，但在一些受试者中会导致更高程度的不适。霍尔技术似乎是治疗乳牙磨牙龋齿的一种好方法，尤其是在资源有限的环境中，电力供应和获得治疗是存在的问题。
