Combination of Silver Diamine Fluoride and Hall Technique for Caries Management in Primary Molars: A Randomized Controlled Trial.

Q3 Dentistry International Journal of Clinical Pediatric Dentistry Pub Date : 2024-10-01 DOI:10.5005/jp-journals-10005-2980

Meenu Mittal, Radhika Chopra, Ashok Kumar, Ibadat P Kaur

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Abstract

Aims and background: 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.

Materials and methods: 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 (n = 25) received 38% SDF application and Hall crown, while group B (n = 25) received conventional SSC restoration. Follow-up was done at 1 month, 3, 6, 12, 24, and 30 months intervals.

Results: 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 (p > 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 (p > 0.05).

Conclusion: Conservative management of dentinal carious lesions with SDF and HT showed a similar success rate as compared to conventional operative procedures.

Clinical significance: 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.

Trial registration number: CTRI/2020/07/026877, Clinical Trial Registry-India.

How to cite this article: Mittal M, Chopra R, Kumar A, et al. 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.

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氟化二胺银联合霍尔技术治疗初生磨牙龋病的随机对照试验

目的与背景：不同的无创阻龋方法的结合可提高单个方法的有效性和成功率。本研究的目的是评价38%氟化二胺银（SDF）联合霍尔技术（HT）治疗乳牙龋齿的临床和影像学成功率，并与传统的不锈钢冠（SSC）修复进行比较。材料与方法：将4 ~ 8岁患有国际龋齿检测与评估系统（ICDAS）评分为5分或6分的龋齿儿童随机分为治疗A组和治疗B组。治疗A组（n = 25）采用38%的SDF涂抹和Hall冠，B组（n = 25）采用常规SSC修复。随访时间分别为1个月、3个月、6个月、12个月、24个月和30个月。结果：A组主要失败1例（成功率93.5%），B组无主要失败1例（成功率100%），差异无统计学意义（p < 0.05）。对于轻微失败（SSC丢失），B组的成功率为91.3%，A组为84.2%，差异无统计学意义（p < 0.05）。结论：与常规手术相比，SDF和HT保守治疗牙本质龋病的成功率相似。临床意义：该方案有助于减少幼儿深部龋齿病变伴可逆性牙髓炎的临床坐椅时间和深度镇静/全身麻醉的需要。试验注册号：CTRI/2020/07/026877， Clinical Trial Registry-India。如何引用本文：Mittal M， Chopra R, Kumar A，等。氟化二胺银联合霍尔技术治疗初生磨牙龋病的随机对照试验中华临床儿科杂志；2017;17(10):1114-1120。

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