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Temporomandibular dysfunction assessment in children treated with the Hall Technique: A pilot study.
Mustafa Sarp Kaya1, Pınar Kınay Taran1, Meltem Bakkal1
1Faculty of Dentistry, Department of Pediatric Dentistry, Bezmialem Vakif University, İstanbul, Turkey.
International Journal of Paediatric Dentistry
|January 29, 2020
Summary
The Hall technique (HT) for primary teeth does not appear to cause temporomandibular dysfunction (TM-D) in children. Monitoring of TM-D signs and symptoms showed no significant changes after HT treatment.
Area of Science:
- Pediatric Dentistry
- Dental Public Health
- Orthodontics
Background:
- The Hall technique (HT) is a method for treating asymptomatic carious primary teeth using stainless steel crowns without preparation or excavation.
- This technique is applied to healthy children aged 5-9 years with dentin caries.
Purpose of the Study:
- To investigate the potential manifestation of temporomandibular dysfunction (TM-D) in children following the Hall technique (HT).
Main Methods:
- A cohort clinical trial monitored TM-D signs (using the clinical dysfunction index, Di) and symptoms (via questionnaire) in 39 children over 12 months post-HT.
- Statistical analysis involved McNemar's tests to compare pre-treatment and follow-up data.
Main Results:
- Four children exhibited TM-D signs (muscle pain, clicking), and four reported symptoms (jaw joint sounds, bite discomfort).
- No statistically significant differences in Di scores or TM-D symptoms were observed between pre-treatment and follow-up assessments (P > .05).
Conclusions:
- The Hall technique (HT) does not appear to be associated with the development of temporomandibular dysfunction (TM-D) in children.
- Future research could explore advanced TM-D assessment tools for a more comprehensive evaluation of non-persistent symptoms.
