AzTrials
AzTrials

Approximal Dental Caries (ICDAS 3-5) in Primary Molars of ChildrenNCT06350578

A Randomized Clinical Trial Comparing Hall vs. Conventional Technique in Primary Molars.

A study testing Hall Crown Technique and Conventional SSC Technique in people with Approximal Dental Caries (ICDAS 3-5) in Primary Molars of Children, run by Primary Health Care Corporation, Qatar at 1 site in Qatar.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study aims to assess the comparative effectiveness of the Hall technique (HT) and the conventional technique (CT) for placing Stainless Steel Crowns (SSCs) in primary molars with approximal caries. Read more about this study

Who is it for?
Ages 3 to 9 years
What is being tested?
Hall Crown Technique and Conventional SSC Technique
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteQatar
Study dates
6 Dec 2023to 1 Aug 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 3 to 9 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Participant inclusion criteria:
  • PHCC paediatric dental patients:
  • Whose parents or legal guardians accept and sign the consent form
  • Who assent to participation.
  • Who aged 3-9 years old.
  • Who exhibit generally cooperative behavior.
Show all 10Show fewer
  • Who exhibit good general health conditions.
  • Who are presenting at least one occluso-proximal lesion in a primary molar.
  • Tooth/ carious lesion inclusion criteria:
  • 1. From clinical and radiographic examination, caries limited to the occluso-proximal surfaces and extending to enamel or dentine, cavitated or non cavitated.

Who cannot join

  • Uncooperative children who do not understand the procedure or tolerate biting the crown into its position without local anesthesia.
  • Children with special health care needs (SHCN) will be excluded.
  • Children with nickel allergies and sensitivity.
  • Tooth/ caries lesion exclusion criteria:
  • Tooth with signs or symptoms of dental infection or irreversible pulpitis such as:
  • A history of spontaneous unprovoked pain, a sinus tract, soft tissue inflammation not resulting from gingivitis or periodontitis, excessive mobility not associated with trauma or exfoliation, furcation/ apical radiolucency, or radiographic evidence of internal/ external resorption (Camp JH 2011).
  • Crowns severely destructed with caries, which considered non-restorable (Innes, N.P 2009).
  • Teeth with single surface (occlusal) caries.

Trial locations and contacts

1 site in 1 country.

Qatar1 site
  • Primary Healthcare Corporation

    Doha

Other trials in Qatar

About this study

Official title: Comparative Analysis of Hall Technique and Conventional Method for Stainless Steel Crown Placement in Primary Molars With Approximal Caries: A Randomized Controlled Trial at Primary Healthcare Corporation, Qatar

This study aims to assess the comparative effectiveness of the Hall technique (HT) and the conventional technique (CT) for placing Stainless Steel Crowns (SSCs) in primary molars with approximal caries.

Read the detailed description

Background:

The most common chronic disease in children and adolescents (6-19 years old) is dental caries. The conventional approach to treating carious lesions involves cavity preparation with rotary instruments, followed by restoration using composite resin, amalgam, or stainless steel crowns (SSCs).

Retrospective studies have shown that SSCs have a higher success rate compared to amalgam or resin-based restorations when used for multi-surface caries in primary teeth. Accordingly, the American Academy of Paediatric Dentistry (AAPD) recommends the use of SSCs as the treatment of choice for carious lesions involving more than one surface in high-risk children.

Recently, the Hall Technique (HT) has been used to seal caries in primary molars. This contemporary technique was first introduced in the literature in 2006 by Dr Norna Hall, while working in a high caries-risk area in rural Scotland. The technique is based on straightforward biological principles: the most important layer for caries progression- the superficial plaque layer- is left intact and sealed along with the carious lesion. This leads to the development of a less cariogenic flora within the plaque biofilm, thereby arresting or slowing the caries progression in primary teeth.

The Hall Technique involves cementing an SSC over a carious primary tooth without the use of rotary instruments or local anaesthesia, thus reducing discomfort and improving the child's behaviour during treatment.

Aim:

The study aims to compare the Hall Technique (HT) and Conventional Restoration (CR) using stainless steel crowns (SSCs) in terms of clinical effectiveness, changes in occlusal vertical dimension (OVD), procedural time, child pain perception and cooperation, as well as parental acceptability of both techniques.

Methods/Design:

Approximal dental caries (ICDAS 3-5) in primary molars of children aged 3 to 9 years will be managed using two treatment techniques: conventional restorations (CR) with stainless steel crowns (SSCs) and the Hall Technique (HT). The study will be a binary outcome, non-inferiority randomised trial conducted in a primary care dental clinic setting. The study protocol will follow the Consolidated Standards of Reporting Trials (CONSORT) guidelines for randomised trials of non-pharmacologic treatments. Participants will be randomly allocated to receive SSCs placed using either the conventional technique (CT, control group) or the Hall Technique (HT, experimental group), in order to compare different approaches for managing occluso-proximal caries lesions in primary molars.

Discussion:

This clinical trial aims to determine whether the Hall Technique (HT) provides clinical outcomes that are not inferior to those of conventional restorations (CR) using stainless steel crowns (SSCs) in the management of approximal caries in primary molars. The study will also assess child pain perception, cooperation, and parental acceptability, to support the use of minimally invasive techniques in paediatric dental care.

Being tested
Hall Crown Technique, Conventional SSC Technique
Keywords
Hall Technique, Conventional Restoration, Stainless Steel Crowns, Approximal Caries, Paediatric Dentistry, Non-inferiority Trial, Minimally Invasive Dentistry, Pain Perception, Parental Acceptability, Occlusal Vertical Dimension, Restoration Survival, Tooth Survival, Randomised Controlled Trial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Hall Crown TechniqueProcedure or surgery

    The Hall technique (HT) involves cementing Stainless Steel Crowns SSC on carious primary teeth without using rotary instruments nor local anaesthesia, thus eliminating discomfort, and increasing child's behavior.

  • Conventional SSC TechniqueProcedure or surgery

    The conventional technique involves complete removal of the carious lesion using rotary instruments and local anesthesia, then restoring the tooth with Stainless Steel Crown SSC.

Study groups in NCT06350578
Study groupRoleWhat they receive
Hall Crown TechniqueExperimentalHT is a conservative restorative technique used for primary molars with single- or multi-surface carious lesions. This technique involves cementing a SSC directly over the affected primary molar without any caries removal or tooth reduction.
Receives: Procedure: Hall Crown Technique
Conventional SSC TechniqueActive comparatorCT is the traditional restorative technique often used for primary molars with multi-surface carious lesions. This technique involves caries removal and occlusal-proximal tooth surface reduction before crown cementation.
Receives: Procedure: Conventional SSC Technique

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Restoration survival over 12 months

    Success:

    • Satisfactory restoration/crown, no intervention required
    • No clinical or radiographic signs or symptoms of pulp pathology
    • Tooth exfoliated

    Minor Failures:

    • Secondary caries or new lesions detected clinically
    • Crown presents perforation
    • Restoration fracture or wear - intervention required
    • Loss of restoration - tooth that can be re-restored
    • Crown loss - tooth able to be re-treated
    • Reversible pulpitis, which could be treated without the need for extraction or pulpotomy

    Major Failures:

    • Irreversible pulpitis or dental fistula/abscess requiring pulpotomy or extraction
    • Loss of restoration/crown - tooth not capable of being re-restored
    • Periradicular and/or furcation radiolucency

    Measured: At 1 month, 6 months, 9 months, and 12 months post-treatment

  2. Occlusal Vertical Dimension (OVD) resolution

    Will be assessed only in the HT group using a millimetre dental probe.

    Measured: Assessments will be conducted at baseline (before treatment), immediately after crown placement, and at follow-up visits at 1, 6, 9, and 12 months post-treatment, with particular emphasis on the 1-month follow-up.

Secondary outcomes (5)
  1. Tooth survival over 12 months

    Teeth with treatments scored as satisfactory or with minor failures will be classified as "successful," while teeth presenting major failures will be considered as "failure for tooth." Data related to the treated tooth will be collected for both groups.

    Measured: At 1 month, 6 months, 9 months, and 12 months post-treatment

  2. Procedural Time

    Will be recorded during the treatment visit using a stopwatch for both the Hall Technique and the Conventional Technique.

    Measured: At the time of treatment visit

  3. Participant's cooperation

    Participant cooperation will be assessed and compared between the two intervention groups using the Frankl Behaviour Rating Scale.

    Measured: At the time of treatment visit

  4. Participant's pain perception

    Pain perception will be assessed and compared between the two intervention groups using the Wong-Baker Faces Pain Scale (WBFPS).

    Measured: At the time of treatment visit

  5. Parents' perceptions and opinions regarding treatment

    A five-point Likert scale will be used to assess the following:

    • Child's behaviour during treatment
    • Comfort during treatment
    • Satisfaction with treatment undertaken
    • Dentist's ease of treatment provision
    • Perceived duration of the procedure
    • Willingness to choose the same treatment option again

    Measured: At the time of treatment visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Apr 2024
  2. Study start6 Dec 2023
  3. Primary completion27 Jul 2025
  4. Study completion1 Aug 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
A binary outcome non-inferiority randomised trial.
Masking
Single blind
Who is masked
Care provider
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06350578
Sponsor's protocol ID
BUHOOTH-D-23-00073
Status last verified
Mar 2025
First submitted
24 Mar 2024
Last updated
25 Sep 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Alshoraim MA, El-Housseiny AA, Farsi NM, Felemban OM, Alamoudi NM, Alandejani AA. Effects of child characteristics and dental history on dental fear: cross-sectional study. BMC Oral Health. 2018 Mar 7;18(1):33. doi: 10.1186/s12903-018-0496-4.

    PubMed 29514657
  • Araujo MP, Innes NP, Bonifacio CC, Hesse D, Olegario IC, Mendes FM, Raggio DP. Atraumatic restorative treatment compared to the Hall Technique for occluso-proximal carious lesions in primary molars; 36-month follow-up of a randomised control trial in a school setting. BMC Oral Health. 2020 Nov 11;20(1):318. doi: 10.1186/s12903-020-01298-x.

    PubMed 33176756
  • Ayedun OS, Oredugba FA, Sote EO. Comparison of the treatment outcomes of the conventional stainless steel crown restorations and the hall technique in the treatment of carious primary molars. Niger J Clin Pract. 2021 Apr;24(4):584-594. doi: 10.4103/njcp.njcp_460_20.

    PubMed 33851682
  • Badar SB, Tabassum S, Khan FR, Ghafoor R. Effectiveness of Hall Technique for Primary Carious Molars: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent. 2019 Sep-Oct;12(5):445-452. doi: 10.5005/jp-journals-10005-1666.

    PubMed 32440052
  • Barretto Ede P, Ferreira e Ferreira E, Pordeus IA. Evaluation of toothache severity in children using a visual analogue scale of faces. Pediatr Dent. 2004 Nov-Dec;26(6):485-91.

    PubMed 15646909
  • Boutron I, Moher D, Altman DG, Schulz KF, Ravaud P; CONSORT Group. Methods and processes of the CONSORT Group: example of an extension for trials assessing nonpharmacologic treatments. Ann Intern Med. 2008 Feb 19;148(4):W60-6. doi: 10.7326/0003-4819-148-4-200802190-00008-w1.

    PubMed 18283201
  • Boyd DH, Page LF, Thomson WM. The Hall Technique and conventional restorative treatment in New Zealand children's primary oral health care - clinical outcomes at two years. Int J Paediatr Dent. 2018 Mar;28(2):180-188. doi: 10.1111/ipd.12324. Epub 2017 Aug 8.

    PubMed 28787534
  • Boyd DH, Thomson WM, Leon de la Barra S, Fuge KN, van den Heever R, Butler BM, Leov F, Foster Page LA. A Primary Care Randomized Controlled Trial of Hall and Conventional Restorative Techniques. JDR Clin Trans Res. 2021 Apr;6(2):205-212. doi: 10.1177/2380084420933154. Epub 2020 Jun 19.

    PubMed 32559403
  • Chua DR, Tan BL, Nazzal H, Srinivasan N, Duggal MS, Tong HJ. Outcomes of preformed metal crowns placed with the conventional and Hall techniques: A systematic review and meta-analysis. Int J Paediatr Dent. 2023 Mar;33(2):141-157. doi: 10.1111/ipd.13029. Epub 2022 Oct 17.

    PubMed 36151937
  • Ebrahimi M, Shirazi AS, Afshari E. Success and Behavior During Atraumatic Restorative Treatment, the Hall Technique, and the Stainless Steel Crown Technique for Primary Molar Teeth. Pediatr Dent. 2020 May 15;42(3):187-192.

    PubMed 32522320
  • Elamin F, Abdelazeem N, Salah I, Mirghani Y, Wong F. A randomized clinical trial comparing Hall vs conventional technique in placing preformed metal crowns from Sudan. PLoS One. 2019 Jun 3;14(6):e0217740. doi: 10.1371/journal.pone.0217740. eCollection 2019.

    PubMed 31158253
  • Erdemci ZY, Cehreli SB, Tirali RE. Hall versus conventional stainless steel crown techniques: in vitro investigation of marginal fit and microleakage using three different luting agents. Pediatr Dent. 2014 Jul-Aug;36(4):286-90.

    PubMed 25197992
  • Eriksson AL, Paunio P, Isotupa K. Restoration of deciduous molars with ion-crowns: retention and subsequent treatment. Proc Finn Dent Soc. 1988;84(2):95-9. No abstract available.

    PubMed 3134654
  • Fayle SA. UK National Clinical Guidelines in Paediatric Dentistry. Stainless steel preformed crowns for primary molars. Faculty of Dental Surgery, Royal College of Surgeons. Int J Paediatr Dent. 1999 Dec;9(4):311-4. doi: 10.1046/j.1365-263x.1999.00153.x. No abstract available.

    PubMed 10815591
  • Frencken JE. Atraumatic restorative treatment and minimal intervention dentistry. Br Dent J. 2017 Aug 11;223(3):183-189. doi: 10.1038/sj.bdj.2017.664.

    PubMed 28798450

Questions about this trial

What is this clinical trial studying?

A study testing Hall Crown Technique and Conventional SSC Technique in people with Approximal Dental Caries (ICDAS 3-5) in Primary Molars of Children, run by Primary Health Care Corporation, Qatar at 1 site in Qatar.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Qatar. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Restoration survival over 12 months (time frame: At 1 month, 6 months, 9 months, and 12 months post-treatment). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06350578, which also lists 38 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2025; AzTrials last refreshed its copy on 30 Oct 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in