Neesu Kumari, Saxena Ashish, Chauhan Shikhar P, Verma Neha
Department of Pediatric and Preventive Dentistry, Government Autonomous College of Dentistry, Indore, Madhya Pradesh, India.
Department of Prosthodontics, Government College of Dentistry, Indore, Madhya Pradesh, India.
Int J Clin Pediatr Dent. 2025 Apr;18(4):444-451. doi: 10.5005/jp-journals-10005-2996. Epub 2025 May 19.
The study aimed to assess and compare the success of primary molars after restoration with modified atraumatic restorative treatment (mART) and stainless steel crowns (SSCs) through the Hall technique (HT) on primary molars by clinical and radiographic examination, along with posttreatment behavioral assessment of patients through Face Pain Scale-Revised (FPS-R).
On the basis of inclusion and exclusion criteria, the study population aged 4-9 years was selected. A split-mouth study design was used. All the participants were divided into two groups: group I received mART as restorative treatment, and group II received SSCs as restorations. The FPS-R was used as a means of pain perception during the treatment, and it was assessed after the completion of both procedures. A follow-up at 3, 6, and 9 months was recorded.
A total of 11 participants had resin-modified glass ionomer cement (RMGIC) restorations in good condition, compared to 29 participants in group II who had restorations in perfect condition. However, the difference was not statistically significant between the two groups, and the majority of participants in both groups pointed toward nagging face pain.
The present study found a higher incidence of clinical and radiographic failures in the mART group. A viable restorative option for carious primary molars was found to be the HT, which is additionally convenient, child-friendly, and less invasive, despite causing mild postoperative discomfort. To a lesser extent, RMGIC restorations with partial excavation were also successful. Therefore, based on case selection, clinical judgment, and child cooperation, these minimally invasive approaches can be implemented.
Neesu K, Saxena A, Chauhan SP. Rationality of Efficacy of the Treatment Modalities-Modified Atraumatic Restorative Treatment and Hall Technique by Comparing Clinical and Radiographic Parameters along with Posttreatment Behavioral Assessment of Patients through Face Pain Scale-Revised: An Study. Int J Clin Pediatr Dent 2025;18(4):444-451.
本研究旨在通过临床和影像学检查，评估并比较采用改良非创伤性修复治疗（mART）和通过霍尔技术（HT）制作的不锈钢全冠（SSC）修复乳磨牙后的成功率，同时通过面部疼痛量表修订版（FPS-R）对患者进行治疗后行为评估。
根据纳入和排除标准，选取4至9岁的研究对象。采用双侧对照研究设计。所有参与者分为两组：第一组接受mART修复治疗，第二组接受SSC修复。FPS-R用作治疗期间疼痛感知的手段，并在两个程序完成后进行评估。记录3、6和9个月时的随访情况。
共有11名参与者的树脂改性玻璃离子水门汀（RMGIC）修复体状况良好，相比之下，第二组有29名参与者的修复体状况完美。然而，两组之间的差异无统计学意义，且两组中的大多数参与者都表示有持续性面部疼痛。
本研究发现mART组临床和影像学失败的发生率较高。尽管会引起轻微的术后不适，但对于龋坏乳磨牙而言，霍尔技术是一种可行的修复选择，该技术还具有方便、对儿童友好且侵入性较小的特点。在较小程度上，部分去腐的RMGIC修复也取得了成功。因此，根据病例选择、临床判断和儿童配合情况，可采用这些微创方法。
Neesu K, Saxena A, Chauhan SP. 通过比较临床和影像学参数以及通过面部疼痛量表修订版对患者进行治疗后行为评估来探讨治疗方式（改良非创伤性修复治疗和霍尔技术）疗效的合理性：一项研究。《国际临床儿科牙科学杂志》2025年；18(4):444 - 451。
