Mittal Meenu, Chopra Radhika, Kumar Ashok, Kaur Ibadat P
Department of Pediatric Dentistry, ESIC Dental College and Hospital, Delhi, India.
Children Dentistry Centre, Indirapuram, Ghaziabad, Uttar Pradesh, India.
Int J Clin Pediatr Dent. 2024 Oct;17(10):1114-1120. doi: 10.5005/jp-journals-10005-2980.
Combination of different noninvasive caries arresting approaches may improve the effectiveness and success rate of individual procedures for caries management. The purpose of this study was to evaluate clinical and radiographic success rate of a combination of 38% silver diamine fluoride (SDF) application and Hall technique (HT) for the management of dentinal caries in primary molars and compare it with conventional stainless steel crown (SSC) restoration.
Children aged 4-8 years, having carious primary molars with the International Caries Detection and Assessment System (ICDAS) score of 5 or 6, were randomly assigned to treatment group A or B. Treatment group A ( = 25) received 38% SDF application and Hall crown, while group B ( = 25) received conventional SSC restoration. Follow-up was done at 1 month, 3, 6, 12, 24, and 30 months intervals.
There was one case of major failure in group A (93.5% successful) while no case of major failure in group B (100% successful) and the difference was not statistically significant ( > 0.05). For minor failure (loss of SSC), the success rate was 91.3% in group B and 84.2% in group A, wherein the difference was not statistically significant ( > 0.05).
Conservative management of dentinal carious lesions with SDF and HT showed a similar success rate as compared to conventional operative procedures.
This protocol can help reduce the clinical chair time and the need for deep sedation/general anesthesia in young children suffering from deep carious lesions with reversible pulpitis.
CTRI/2020/07/026877, Clinical Trial Registry-India.
Mittal M, Chopra R, Kumar A, Combination of Silver Diamine Fluoride and Hall Technique for Caries Management in Primary Molars: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2024;17(10):1114-1120.
不同的非侵入性龋病阻止方法联合使用，可能会提高龋病管理中各个程序的有效性和成功率。本研究的目的是评估38%氟化亚锡（SDF）应用与霍尔技术（HT）联合用于治疗乳磨牙牙本质龋的临床和影像学成功率，并将其与传统不锈钢冠（SSC）修复进行比较。
年龄在4 - 8岁、患有国际龋病检测与评估系统（ICDAS）评分为5或6的龋坏乳磨牙的儿童，被随机分配到治疗组A或B。治疗组A（n = 25）接受38% SDF应用和霍尔冠修复，而组B（n = 25）接受传统SSC修复。在1个月、3个月、6个月、12个月、24个月和30个月的间隔时间进行随访。
A组有1例主要失败病例（成功率93.5%），而B组无主要失败病例（成功率100%），差异无统计学意义（P > 0.05）。对于轻微失败（SSC脱落），B组成功率为91.3%，A组为84.2%，差异无统计学意义（P > 0.05）。
与传统手术方法相比，用SDF和HT对牙本质龋损进行保守治疗显示出相似的成功率。
该方案有助于减少患有可逆性牙髓炎的深龋患儿的临床椅旁时间以及深度镇静/全身麻醉的需求。
CTRI/2020/07/026877，印度临床试验注册中心。
米塔尔M，乔普拉R，库马尔A。氟化亚锡与霍尔技术联合用于乳磨牙龋病管理：一项随机对照试验。《国际临床儿科牙科学杂志》2024；17(10):1114 - 1120。
