Oz Esra, Kırzıoglu Zuhal, Kale Canan
Department of Pediatric Dentistry, Faculty of Dentistry, Suleyman Demirel University, Isparta, Turkey.
Papatya Oral and Dental Health Clinic, Antalya, Turkey.
Restor Dent Endod. 2023 May 1;48(2):e19. doi: 10.5395/rde.2023.48.e19. eCollection 2023 May.
The aim of the study was to evaluate the clinical and radiographic success of the Hall technique (HT) and atraumatic restorative treatment (ART) restorations using high-viscosity glass-ionomer cement for the management of occlusal carious lesions in primary molars.
This randomized clinical study observed 40 children (aged 5-6 years). For each child, one tooth was treated with HT and one with ART. The primary outcome measures for HT restorations were successful, minor, and major failure rates. Clinical evaluations of ART restorations were performed according to the modified United States Public Health Service criteria during 18-month follow-up. McNemar test was used for statistical analysis.
Thirty of 40 (75%) participants returned for 18 months of follow-up. In the clinical evaluations of teeth that were treated with HT, the patients did not have complaints of pain or other symptoms, all crowns remained in the oral cavity, the gums were healthy, and the teeth were functional in all evaluations. At the end of the 18-month follow-up, the surface texture and marginal integrity criteria of ART restorations were recorded as 26.7% and 33.3%, respectively. In the radiographic evaluation of 30 patients treated with ART and HT, all restorations were considered successful.
The 18-month clinical and radiographic results after treatments applied to single-surface cavities in anxious children showed that both treatment methods were successful.
本研究旨在评估使用高粘度玻璃离子水门汀的霍尔技术（HT）和非创伤性修复治疗（ART）修复体治疗乳磨牙咬合面龋损的临床和影像学成功率。
这项随机临床研究观察了40名儿童（5 - 6岁）。对于每个儿童，一颗牙齿采用HT治疗，另一颗采用ART治疗。HT修复体的主要结局指标为成功率、轻度失败率和重度失败率。在18个月的随访期间，根据修改后的美国公共卫生服务标准对ART修复体进行临床评估。采用McNemar检验进行统计分析。
40名参与者中有30名（75%）返回进行18个月的随访。在接受HT治疗的牙齿的临床评估中，患者没有疼痛或其他症状的主诉，所有牙冠均保留在口腔内，牙龈健康，并且在所有评估中牙齿功能正常。在18个月随访结束时，ART修复体的表面质地和边缘完整性标准分别记录为26.7%和33.3%。在对30名接受ART和HT治疗的患者进行的影像学评估中，所有修复体均被认为是成功的。
对焦虑儿童的单面洞进行治疗后18个月的临床和影像学结果表明，两种治疗方法均成功。
