Hall技术治疗乳磨牙龋病效果的系统评价

doi:10.13591/j.cnki.kqyx.2022.01.011

摘要/Abstract

摘要： 目的系统评价Hall技术治疗乳磨牙龋病的效果。方法计算机检索维普数据库、中国生物医学、Web of Science、万方数据库、The Cochrane library、中国知网、PubMed、Embase,检索时限是建立数据库至2021年5月。经过筛选文献、质量评估和提取资料,最终分析用 RevMan 5.3 软件进行。结果共纳入14个RCT,包括1 169例患者,2 021颗牙齿。Meta分析结果显示:Hall技术治疗乳磨牙龋病的成功率和传统预成冠相当(P=0.52),比充填治疗效率高(P<0.01),Hall技术治疗时间较传统预成冠短(P<0.01),和充填治疗差异无统计学意义(P=0.65),应用Hall技术治疗的患儿面部疼痛表现较传统预成冠轻(P<0.05),和充填治疗差异无统计学意义(P=0.55),相比Hall技术患儿更配合传统预成冠的治疗(P<0.01),与充填治疗相比差异无统计学意义(P=0.79)。结论现有证据显示,Hall技术治疗乳磨牙龋病临床有效率更高,且医生患儿对治疗的反应好,但受纳入研究数量限制,上述结论尚待更多研究予以验证。

关键词: Hall技术, 金属预成冠, 乳磨牙龋病, Meta分析

Abstract: Objective To systematically review the effect of Hall technique on treating caries of primary molars. Methods Weipu Database, China Biomedicine, Web of Science, Wanfang Database, The Cochrone library, CNKI, PubMed, Embase were electronically searched from inception to May 2021. After screening literature, quality assessment and data extraction, the final analysis was performed with RevMan 5.3 software. Results Fourteen RCTs were included, including 1 169 patients and 2 021 teeth. Results of Meta analysis showed that: the success rate of Hall technique in treating deciduous molar tooth caries was equivalent to that of traditional preformed crowns (P=0.52), which was more efficient than filling treatment (P<0.01). Treatment time of Hall technique was shorter than traditional preformed crowns (P<0.01), with no statistically significant difference from filling treatment (P=0.65), the facial pain of children treated with Hall technique was lighter than that of traditional preformed crowns (P<0.05), with no statistically significant difference from filling treatment (P=0.55). Compared with Hall technique, children were more coordinating with traditional pre-coronal treatment (P<0.01), which was not statistically different from filling therapy (P=0.79). Conclusion Existing evidence shows that Hall technology may be more effective in treating deciduous molar caries, and that doctors and children respond well to treatment. However, due to the limited number of included studies, the above conclusions need to be verified by more studies.

Key words: Hall technique, metal preformed crown, deciduous molar caries, Meta-analysis

中图分类号:

R788.1

王梦琪, 王丽萍, 盛丽, 张蓓, 刘奕杉. Hall技术治疗乳磨牙龋病效果的系统评价[J]. 口腔医学, 2022, 42(1): 62-67.

WANG Mengqi, WANG Liping, SHENG Li, ZHANG Pei, LIU Yishan. A systematic review of the effect of Hall techniqueon treating deciduous molar tooth caries[J]. Stomatology, 2022, 42(1): 62-67.

参考文献

[1] 王兴.第四次全国口腔健康流行病学调查报告[M].北京:人民卫生出版社,2018:50-51.
[2] Colak H, Dülgergil CT, Dalli M, et al. Early childhood caries update: A review of causes, diagnoses, and treatments[J]. J Nat Sci Biol Med, 2013, 4(1):29-38.
[3] Rosenblatt A. The Hall technique is an effective treatment option for carious primary molar teeth[J]. Evid Based Dent, 2008, 9(2):44-45.
[4] Howard Balshem, Mark Helfanda, Holger J.Schunemann, 等. GRADE指南: Ⅲ.证据质量分级[J]. 中国循证医学杂志, 2011, 11(4):451-455.
[5] Santamaria RM, Innes NP, Machiulskiene V,et al. Acceptability of different caries management methods for primary molars in a RCT[J]. Int J Paediatr Dent, 2015, 25(1):9-17.
[6] Santamaria RM, Innes NP, Machiulskiene V,et al. Caries management strategies for primary molars: 1-yr randomized control trial results[J]. J Dent Res, 2014, 93(11):1062-1069.
[7] Santamaría RM, Innes NPT, Machiulskiene V, et al. Alternative caries management options for primary molars: 2.5-year outcomes of a randomised clinical trial[J]. Caries Res, 2017, 51(6):605-614.
[8] Elamin F, Abdelazeem N, Salah I,et al. A randomized clinical trial comparing Hall vs. conventional technique in placing preformed metal crowns from Sudan[J]. PLoS One, 2019, 14(6):e0217740.
[9] Lakshmi SP, Sahana S, Vasa AAK, et al. Atraumatic restorative treatment vs. hall technique for occlusoproximal lesions in primary dentition-an in vivo study[J]. J Clin Diagn Res, 2018,12(2):ZC09-ZC13.
[10] Ebrahimi M, Shirazi AS, Afshari E. Success andbehavior during atraumatic restorative treatment, the hall technique, and the stainless steel crown technique for primary molar teeth[J]. Pediatr Dent, 2020, 42(3):187-192.
[11] 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[J]. Niger J Clin Pract, 2021, 24(4):584-594.
[12] 王帅, 高玉光, 刘玉三, 等. 3种方式修复乳磨牙大面积缺损的临床疗效[J]. 口腔疾病防治, 2018, 26(2):109-112.
[13] 王骥, 邝亦元, 周铸民. Hall技术治疗乳磨牙龋齿的临床研究[J]. 华夏医学, 2017, 30(3):90-92.
[14] 李伯琦, 闫磊, 张轶婕, 等. 儿童乳磨牙龋不同修复方式的临床疗效比较[J]. 临床口腔医学杂志, 2018, 34(10):602-605.
[15] 刘磊, 金巍, 金叶, 等. 儿童乳磨牙龋不同修复方式的有效性对照分析[J]. 中外医疗, 2021, 40(8):40-42.
[16] Boyd DH, Thomson WM, Leon de la Barra S,et al. A primary care randomized controlled trial of hall and conventional restorative techniques[J]. JDR Clin Trans Res, 2021, 6(2):205-212.
[17] Innes NP, Evans DJ, Stirrups DR. Sealing caries in primary molars:Randomized control trial, 5-year results[J]. J Dent Res, 2011, 90(12):1405-1410.
[18] Kaptan A, Korkmaz E. Evaluation of success of stainless steel crowns placed using the hall technique in children with high caries risk: A randomized clinical trial[J]. Niger J Clin Pract, 2021, 24(3):425-434.
[19] Innes NP, Stirrups DR, Evans DJ,et al. A novel technique using preformed metal crowns for managing carious primary molars in general practice-A retrospective analysis[J]. Br Dent J, 2006, 200(8):451-454.
[20] Santamaría R, Innes N. Sealing carious tissue in primary teeth using crowns: The hall technique[J]. Monogr Oral Sci, 2018, 27: 113-123.
[21] Dhar V, Hsu KL, Coll JA,et al. Evidence-based update of pediatric dental restorative procedures: Dental materials[J]. J Clin Pediatr Dent, 2015, 39(4):303-310.
[22] Seale NS, Randall R. The use of stainless steel crowns:A systematic literature review[J]. Pediatr Dent, 2015, 37(2):145-160.
[23] Hutcheson C, Seale NS, McWhorter A,et al. Multi-surface composite vs stainless steel crown restorations after mineral trioxide aggregate pulpotomy: A randomized controlled trial[J]. Pediatr Dent, 2012, 34(7):460-467.
[24] Ludwig KH, Fontana M, Vinson LA,et al. The success of stainless steel crowns placed with the Hall technique: A retrospective study[J]. J Am Dent Assoc, 2014, 145(12):1248-1253.
[25] Schwendicke F, Krois J, Splieth CH,et al. Cost-effectiveness of managing cavitated primary molar caries lesions: A randomized trial in Germany[J]. J Dent, 2018, 78: 40-45.
[26] van der Zee V, van Amerongen WE. Short communication: Influence of preformed metal crowns (Hall technique) on the occlusal vertical dimension in the primary dentition[J]. Eur Arch Paediatr Dent, 2010, 11(5):225-227.
[27] Nair K, Chikkanarasaiah N, Poovani S,et al. Digital occlusal analysis of vertical dimension and maximum intercuspal position after placement of stainless steel crown using hall technique in children[J]. Int J Paediatr Dent, 2020, 30(6):805-815.
[28] Innes NP, Evans DJ, Stirrups DR. The Hall Technique; a randomized controlled clinical trial of a novel method of managing carious primary molars in general dental practice:Acceptability of the technique and outcomes at 23 months[J]. BMC Oral Health, 2007, 7: 18.