Occlusal Impact of Hall Crowns in Primary Molars

Inclusion Criteria22

• No skeletal or dental anomalies,
• ASA (American Society of Anesthesiologists) physical status classification of I or II ,
• Frankl Behavior Rating Scale score of 3 or 4,
• In the mixed dentition stage,
• Fully erupted permanent first molars in occlusal contact at maximum intercuspation
• No acute dental pain or need for emergency treatment,
• Presence of at least two primary molars with carious lesions scored as 3, 4, or 5 according to the ICDAS (International Caries Detection and Assessment System),
• Presence of an antagonist tooth for the molar planned to receive Hall Technique,
• Provision of verbal and written informed consent by the participant and legal guardian after reading or listening to the consent form and fully understanding its content.
• Based on Clinical Examination:
• No history of prolonged pain in response to thermal or chemical stimuli, or spontaneous pain suggestive of irreversible pulpitis,
• No sensitivity to percussion or palpation,
• Absence of both pathological and physiological mobility,
• No signs of swelling, fistula, or discoloration,
• Sufficient remaining tooth structure to retain a preformed stainless steel crown.
• Based on Radiographic Examination:
• Radiolucent lesion associated with dental caries located within the outer one-third to two-thirds of the dentin, with a visible band of normal dentin between the lesion and the pulp,
• At least two-thirds of root length present,
• No signs of internal or external pathological or physiological root resorption,
• Intact lamina dura and normal periodontal ligament space,
• No periradicular bone loss surrounding the roots,
• No calcified masses in the pulp chamber.