Protocol for the Hall Technique study: A trial to measure clinical effectiveness and cost-effectiveness of stainless steel crowns for dental caries restoration in primary molars in young children

Utsana Tonmukayakul; Rachel Martin; Richard Clark; John Brownbill; David Manton; Martin Hall; Jason Armfield; Michael Smith; Ramini Shankumar; Kavitha Sivasithamparam; Jacqueline Martin-Kerry; Hanny Calache

doi:10.1016/j.cct.2015.07.005

Protocol for the Hall Technique study: A trial to measure clinical effectiveness and cost-effectiveness of stainless steel crowns for dental caries restoration in primary molars in young children

Utsana Tonmukayakul, Rachel Martin, Richard Clark, John Brownbill, David Manton, Martin Hall, Jason Armfield, Michael Smith, Ramini Shankumar, Kavitha Sivasithamparam, Jacqueline Martin-Kerry, Hanny Calache

Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: The Hall Technique (HT) is a carious primary molar treatment that does not require local analgesia, carious tissue removal or tooth preparation. The carious lesions in carefully selected teeth are sealed with a stainless steel crown (preformed metal crown). The study aims are to determine the clinical effectiveness, acceptability and cost-effectiveness of the HT for management of carious lesions in young dental patients.

METHODS/DESIGN: Children, aged 3-7years, with a primary molar tooth with a carious lesion extending no further than the middle third of dentine, with no signs or symptoms of pulp inflammation or infection, and attending one of three community agencies are recruited. Target sample size is 220. A control tooth with an intra-coronal restoration is sourced from the same mouth. The primary outcome is the period of time free from further treatment. The assessments are scheduled at 6, 12 and 24months. In addition to the clinical assessment, acceptability of the HT will be assessed via questionnaires among patients and their primary carers at baseline, 6, 12 and 24months. Cost-outcome description and cost-effectiveness analysis from healthcare provider and societal perspective will be conducted.

DISCUSSION: The clinical effectiveness, acceptability and cost-effectiveness of the HT in the community dental setting will be evaluated. The results of this study will determine the implementation of HT in the management of dental caries in young children.

Original language	English
Pages (from-to)	36-41
Number of pages	6
Journal	Contemporary Clinical Trials
Volume	44
Early online date	18 Jul 2015
DOIs	https://doi.org/10.1016/j.cct.2015.07.005
Publication status	Published - Sept 2015

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10.1016/j.cct.2015.07.005

Cite this

Tonmukayakul, U., Martin, R., Clark, R., Brownbill, J., Manton, D., Hall, M., Armfield, J., Smith, M., Shankumar, R., Sivasithamparam, K., Martin-Kerry, J., & Calache, H. (2015). Protocol for the Hall Technique study: A trial to measure clinical effectiveness and cost-effectiveness of stainless steel crowns for dental caries restoration in primary molars in young children. Contemporary Clinical Trials, 44, 36-41. https://doi.org/10.1016/j.cct.2015.07.005

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title = "Protocol for the Hall Technique study: A trial to measure clinical effectiveness and cost-effectiveness of stainless steel crowns for dental caries restoration in primary molars in young children",

abstract = "BACKGROUND: The Hall Technique (HT) is a carious primary molar treatment that does not require local analgesia, carious tissue removal or tooth preparation. The carious lesions in carefully selected teeth are sealed with a stainless steel crown (preformed metal crown). The study aims are to determine the clinical effectiveness, acceptability and cost-effectiveness of the HT for management of carious lesions in young dental patients.METHODS/DESIGN: Children, aged 3-7years, with a primary molar tooth with a carious lesion extending no further than the middle third of dentine, with no signs or symptoms of pulp inflammation or infection, and attending one of three community agencies are recruited. Target sample size is 220. A control tooth with an intra-coronal restoration is sourced from the same mouth. The primary outcome is the period of time free from further treatment. The assessments are scheduled at 6, 12 and 24months. In addition to the clinical assessment, acceptability of the HT will be assessed via questionnaires among patients and their primary carers at baseline, 6, 12 and 24months. Cost-outcome description and cost-effectiveness analysis from healthcare provider and societal perspective will be conducted.DISCUSSION: The clinical effectiveness, acceptability and cost-effectiveness of the HT in the community dental setting will be evaluated. The results of this study will determine the implementation of HT in the management of dental caries in young children.",

author = "Utsana Tonmukayakul and Rachel Martin and Richard Clark and John Brownbill and David Manton and Martin Hall and Jason Armfield and Michael Smith and Ramini Shankumar and Kavitha Sivasithamparam and Jacqueline Martin-Kerry and Hanny Calache",

year = "2015",

month = sep,

doi = "10.1016/j.cct.2015.07.005",

language = "English",

volume = "44",

pages = "36--41",

journal = "Contemporary Clinical Trials",

issn = "1551-7144",

publisher = "Elsevier",

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Tonmukayakul, U, Martin, R, Clark, R, Brownbill, J, Manton, D, Hall, M, Armfield, J, Smith, M, Shankumar, R, Sivasithamparam, K, Martin-Kerry, J & Calache, H 2015, 'Protocol for the Hall Technique study: A trial to measure clinical effectiveness and cost-effectiveness of stainless steel crowns for dental caries restoration in primary molars in young children', Contemporary Clinical Trials, vol. 44, pp. 36-41. https://doi.org/10.1016/j.cct.2015.07.005

Protocol for the Hall Technique study: A trial to measure clinical effectiveness and cost-effectiveness of stainless steel crowns for dental caries restoration in primary molars in young children. / Tonmukayakul, Utsana; Martin, Rachel; Clark, Richard et al.
In: Contemporary Clinical Trials, Vol. 44, 09.2015, p. 36-41.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Protocol for the Hall Technique study

T2 - A trial to measure clinical effectiveness and cost-effectiveness of stainless steel crowns for dental caries restoration in primary molars in young children

AU - Tonmukayakul, Utsana

AU - Martin, Rachel

AU - Clark, Richard

AU - Brownbill, John

AU - Manton, David

AU - Hall, Martin

AU - Armfield, Jason

AU - Smith, Michael

AU - Shankumar, Ramini

AU - Sivasithamparam, Kavitha

AU - Martin-Kerry, Jacqueline

AU - Calache, Hanny

PY - 2015/9

Y1 - 2015/9

N2 - BACKGROUND: The Hall Technique (HT) is a carious primary molar treatment that does not require local analgesia, carious tissue removal or tooth preparation. The carious lesions in carefully selected teeth are sealed with a stainless steel crown (preformed metal crown). The study aims are to determine the clinical effectiveness, acceptability and cost-effectiveness of the HT for management of carious lesions in young dental patients.METHODS/DESIGN: Children, aged 3-7years, with a primary molar tooth with a carious lesion extending no further than the middle third of dentine, with no signs or symptoms of pulp inflammation or infection, and attending one of three community agencies are recruited. Target sample size is 220. A control tooth with an intra-coronal restoration is sourced from the same mouth. The primary outcome is the period of time free from further treatment. The assessments are scheduled at 6, 12 and 24months. In addition to the clinical assessment, acceptability of the HT will be assessed via questionnaires among patients and their primary carers at baseline, 6, 12 and 24months. Cost-outcome description and cost-effectiveness analysis from healthcare provider and societal perspective will be conducted.DISCUSSION: The clinical effectiveness, acceptability and cost-effectiveness of the HT in the community dental setting will be evaluated. The results of this study will determine the implementation of HT in the management of dental caries in young children.

AB - BACKGROUND: The Hall Technique (HT) is a carious primary molar treatment that does not require local analgesia, carious tissue removal or tooth preparation. The carious lesions in carefully selected teeth are sealed with a stainless steel crown (preformed metal crown). The study aims are to determine the clinical effectiveness, acceptability and cost-effectiveness of the HT for management of carious lesions in young dental patients.METHODS/DESIGN: Children, aged 3-7years, with a primary molar tooth with a carious lesion extending no further than the middle third of dentine, with no signs or symptoms of pulp inflammation or infection, and attending one of three community agencies are recruited. Target sample size is 220. A control tooth with an intra-coronal restoration is sourced from the same mouth. The primary outcome is the period of time free from further treatment. The assessments are scheduled at 6, 12 and 24months. In addition to the clinical assessment, acceptability of the HT will be assessed via questionnaires among patients and their primary carers at baseline, 6, 12 and 24months. Cost-outcome description and cost-effectiveness analysis from healthcare provider and societal perspective will be conducted.DISCUSSION: The clinical effectiveness, acceptability and cost-effectiveness of the HT in the community dental setting will be evaluated. The results of this study will determine the implementation of HT in the management of dental caries in young children.

U2 - 10.1016/j.cct.2015.07.005

DO - 10.1016/j.cct.2015.07.005

M3 - Article

C2 - 26196586

SN - 1551-7144

VL - 44

SP - 36

EP - 41

JO - Contemporary Clinical Trials

JF - Contemporary Clinical Trials

ER -