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Authors
Abstract(s)
Introdução: As coroas de aço inoxidável são uma opção restauradora usada
para manter os dentes temporários na mastigação e na manutenção do espaço.
Apresentam maiores taxas de sucesso e longevidade quando comparadas a
outros materiais restauradores. Para a sua colocação existem duas técnicas. A
técnica convencional, que está associada a uma preparação dentária com
remoção completa da cárie e a técnica de Hall, que é uma abordagem biológica
onde não se remove a cárie nem existe uma redução do dente cariado. É objetivo
deste trabalho avaliar a eficácia da utilização da técnica de Hall
comparativamente com a convencional, no tratamentos dos molares decíduos,
dando a conhecer as vantagens e desvantagens, indicações e contraindicações.
Material e Métodos: Revisão sistemática que pretende responder à questão
de investigação: Em crianças com cáries assintomáticas nos primeiros molares
decíduos, a colocação de coroas metálicas pela técnica de Hall,
comparativamente com a colocação de coroas metálicas pela técnica
convencional, apresenta melhores resultados na manutenção de dentes
decíduos e/ou ausência de sintomas pulpares? A pesquisa seguiu as diretrizes
da Preferred Reporting Items for Systematic Reviews e Meta-Analysis. A seleção
dos estudos foi efetuada pelas plataformas PubMed, Cochrane Library, Scopus
e Web of Science, com datas de publicação entre 2015-2021.
Resultados: A amostra inicial foi de 315 artigos. Após a avaliação da amostra,
sem duplicados e com a aplicação dos critérios de inclusão e exclusão,
obtivemos cinco artigos para elaborar esta revisão.
Conclusão: Foi possível validar que a técnica de Hall apresenta um protocolo
facilitado em comparação com a técnica convencional. As taxas de sucesso
entre as técnicas foram equivalentes, não apresentando diferenças
estatisticamente significativas. São necessários mais estudos onde se
comparem as duas técnicas com um follow-up mais longo.
Introduction: Stainless steel crowns are a restorative option used to hold temporary teeth in chewing and space maintenance. They have higher success and longevity rates when compared to other restorative materials. There are two techniques for its placement. The conventional technique, which is associated with a dental preparation with complete removal of caries, and the Hall technique, which is a biological approach in which caries is not removed and the decayed tooth is not reduced. The objective of this work is to evaluate the effectiveness of the use of the Hall technique compared to the conventional one, in the treatment of deciduous molars, showing the advantages and disadvantages, indications and contraindications. Material and Methods: Systematic review that aims to answer the research question: In children with asymptomatic caries in the deciduous first molars, the placement of metallic crowns using the Hall technique, compared to the placement of metallic crowns using the conventional technique, presents better results in the maintenance of deciduous teeth and /or absence of pulpal symptoms? The survey followed the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Studies were selected using the PubMed, Cochrane Library, Scopus and Web of Science platforms, with publication dates between 2015-2021. Results: The initial sample consisted of 315 articles. After evaluating the sample, without duplicates, and with application of the inclusion and exclusion criteria, we obtained only 5 articles to prepare this review. Conclusion: It was possible to validate that the Hall technique presents a facilitated protocol compared to the conventional technique. Success rates between the techniques were equivalent, with no statistically significant differences. More studies are needed to compare the two techniques with a longer follow-up.
Introduction: Stainless steel crowns are a restorative option used to hold temporary teeth in chewing and space maintenance. They have higher success and longevity rates when compared to other restorative materials. There are two techniques for its placement. The conventional technique, which is associated with a dental preparation with complete removal of caries, and the Hall technique, which is a biological approach in which caries is not removed and the decayed tooth is not reduced. The objective of this work is to evaluate the effectiveness of the use of the Hall technique compared to the conventional one, in the treatment of deciduous molars, showing the advantages and disadvantages, indications and contraindications. Material and Methods: Systematic review that aims to answer the research question: In children with asymptomatic caries in the deciduous first molars, the placement of metallic crowns using the Hall technique, compared to the placement of metallic crowns using the conventional technique, presents better results in the maintenance of deciduous teeth and /or absence of pulpal symptoms? The survey followed the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Studies were selected using the PubMed, Cochrane Library, Scopus and Web of Science platforms, with publication dates between 2015-2021. Results: The initial sample consisted of 315 articles. After evaluating the sample, without duplicates, and with application of the inclusion and exclusion criteria, we obtained only 5 articles to prepare this review. Conclusion: It was possible to validate that the Hall technique presents a facilitated protocol compared to the conventional technique. Success rates between the techniques were equivalent, with no statistically significant differences. More studies are needed to compare the two techniques with a longer follow-up.
Description
Keywords
Dentes decíduos Coroas metálicas pré-formadas Técnica de Hall Técnica convencional Deciduous teeth Preformed metal crowns Hall technique Conventional technique