Clinical and Radiographic Comparison of SMART Hall and Conventional Hall Techniques in Children With Carious Primary Molars
Condition(s) studied
Investigational drug(s) / intervention(s)
SDF with stainless steel crown: Will apply SDF before applying the stainless steel crown with glass ionomer cement without caries removal or local anesthesia.
Conventional Hall Technique: Applying stainless steel crown with glass ionomer cement without SDF and no need for preparation or caries removal or local anesthesia.
Study summary
Brief Summary
Dental caries is one of the most common chronic diseases affecting children, particularly in primary molars, and may lead to pain, impaired function, reduced quality of life, and an increased risk of caries in permanent teeth. Managing caries in young children can be challenging because of behavioral and developmental factors, highlighting the need for minimally invasive, child-friendly treatment approaches.
The Hall Technique is an effective minimally invasive approach that uses stainless steel crowns to seal carious primary molars without caries removal, tooth preparation, or local anesthesia. It has demonstrated high clinical success and good patient acceptance. However, concerns remain regarding the activity of residual bacteria within deeper carious lesions.
The Silver-Modified Atraumatic Restorative Technique (SMART) incorporates silver diamine fluoride (SDF), which has antibacterial and remineralizing properties, before restoration and sealing. This may provide additional caries-arresting and antibacterial benefits compared with the conventional Hall Technique.
Although both techniques have shown promising clinical outcomes, there is limited evidence directly comparing the SMART Hall technique with the conventional Hall Technique, particularly regarding long-term clinical and radiographic outcomes. Therefore, the proposed study aims to evaluate whether adding SDF to the Hall Technique improves treatment success in carious primary molars. The findings may help identify an effective, minimally invasive, and child-friendly approach for managing dental caries in pediatric patients.
Eligibility
Primary outcome measure(s)
- Clinical evaluation — 12 months
1. Presence of pain on percussion: Measuring device: Clinical examination. Measuring unit: Binary (If present: Yes , if absent: NO) 2. Presence of swelling: Measuring device: Clinical examination. Measuring unit: Binary (If present: Yes , if absent: NO) 3. Presence of fistula: Measuring device: Clinical examination. Measuring unit: Binary (If present: Yes , if absent: NO) 4. Presence of mobility: Measuring device: Clinical examination by the back of the mirror and asking the patient if there is pain on percussion. Measuring unit: (If present: Yes , if absent: NO)
Trial sites (1)
| Facility | City | Region | Status |
|---|---|---|---|
| Faculty of Dentistry, Cairo University, Cairo, Egypt. | Cairo | Cairo Governorate |
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This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT07792551 on ClinicalTrials.gov ↗ ← All trials in Egypt