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CompletedNCT07186673HTCC-SMUpdated Sep 15, 2026

Hall Technique vs Conventional Crown Restoration in Permanent Molars: Split-Mouth Trial in Children

An interventional study of Stainless steel crown placement using Hall Technique and Stainless steel crown placement using conventional method in Permanent Molars, Dental Caries and Tooth Decay, sponsored by Latakia University. Completed at 2 sites in Syria. Open to participants aged 8 Years to 15 Years. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by Latakia University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
8 Years to 15 Years
Sex
All
01

Study summary

The aim of this study is to compare the clinical and radiographic success of stainless steel crowns placed using the Hall Technique versus the conventional method in the restoration of permanent first molars in children, and to evaluate their effects on occlusal relationships, crown adaptation, and patient satisfaction.

Study Outcomes The primary outcome of this study was to evaluate the clinical and radiographic success of stainless steel crowns placed on permanent first molars using the Hall Technique in comparison to the conventional crown placement method. The secondary outcomes included assessment of the marginal fit and adaptation of preformed crowns using both techniques, analysis of changes in occlusal relationships-specifically the vertical dimension of occlusion and overbite-and evaluation of patient satisfaction. Patient satisfaction was measured using a five-point Likert scale at multiple time points: immediately post-treatment, and at one, three, and six months.

Read the detailed description

Detailed Description of the Study

This clinical study is designed to evaluate and compare the clinical and radiographic effectiveness of the Hall Technique and the conventional crown placement method for restoring permanent first molars in children using a split-mouth design. The study will be conducted at the Department of Pediatric Dentistry, Faculty of Dentistry, Tishreen University.

A total of 10 pediatric patients will be recruited according to specific inclusion and exclusion criteria. Each child will present with at least two eligible permanent first molars requiring full coronal restoration with stainless steel crowns. In the split-mouth design, each child will serve as their own control: one molar will be treated using the Hall Technique (HT), and the contralateral molar will be restored using the conventional method. The allocation of which technique will be applied to which side will be randomized for each patient to minimize bias.

Inclusion criteria will include:

  • Permanent first molars with carious lesions affecting two or more surfaces or presenting Molar Incisor Hypomineralization (MIH).
  • Absence of clinical signs or symptoms of irreversible pulpitis.
  • Radiographic confirmation of an intact dentin layer and absence of internal or external root resorption or periapical pathology.

Exclusion criteria will include:

  • Known allergy to nickel.
  • Severely broken-down molars not suitable for SSC placement.
  • Missing opposing teeth.
  • Pulpal exposure during treatment.

In the HT group, stainless steel crowns will be placed without local anesthesia, without caries removal, and without any tooth preparation. Orthodontic separators will be placed if necessary during the first visit, and crown cementation will be performed using glass ionomer cement (GIC) during the follow-up visit.

In the conventional group, local anesthesia will be administered, and standard tooth preparation will be carried out (occlusal and proximal reduction), followed by fitting and cementation of the stainless steel crown using GIC.

Clinical and radiographic evaluations will be conducted at multiple time points: at baseline, 1 week, 1 month, 3 months, and 6 months post-treatment. These evaluations will aim to assess the success of the restoration based on crown integrity, presence of clinical symptoms, and radiographic signs of pulpal or periapical pathology.

Patient satisfaction will be measured using a five-point Likert scale, recorded immediately after treatment and again at 1 month, 3 months, and 6 months.

The primary outcome of the study will be the clinical and radiographic success of the restorations.

The secondary outcomes will include assessment of marginal fit and crown adaptation, changes in occlusal relationships (overbite), and patient satisfaction.

02

Conditions studied

  • Permanent Molars
  • Dental Caries
  • Tooth Decay
  • Permanent First Molar Caries

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Keywords

  • Hall Technique
  • Stainless Steel Crowns
  • Permanent First Molars
  • Dental Caries
03

In context

Dental Caries

1,171 studies on the registry are indexed under Dental Caries; 209 are open to participants now.

This study's enrollment of 10 is below the median of 60 across 967 interventional studies indexed under Dental Caries.

Browse Dental Caries studies →

Lead sponsor

Latakia University is the lead sponsor of 20 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
8 Years to 15 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria (Clinical):

  • No signs or symptoms of irreversible pulpitis
  • Molars with carious lesions affecting two or more surfaces
  • Permanent first molars with developmental defects

Inclusion Criteria (Radiographic):

  • First molars with an intact dentin layer visible radiographically
  • No signs of internal or external resorption
  • No evidence of periradicular bone resorption

Exclusion Criteria:

  • Patients with known nickel allergy
  • Severely damaged molars not restorable with preformed crowns
  • First molars without opposing teeth
  • Pulp exposure during caries excavation
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Outcomes assessor)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Hall Technique

    Permanent first molars are restored using the Hall Technique. No local anesthesia, caries removal, or tooth preparation is performed. Orthodontic separators are placed if needed, followed by stainless steel crown (SSC) cementation using glass ionomer cement.

    Device: Stainless steel crown placement using Hall Technique

  • Active comparator
    Conventional Crown Preparation

    Permanent first molars are restored using the conventional method. Local anesthesia is administered, and the tooth is prepared with occlusal and proximal reduction before placement and cementation of a stainless steel crown using glass ionomer cement.

    Device: Stainless steel crown placement using conventional method

Interventions

  • DeviceStainless steel crown placement using Hall Technique

    Preformed stainless steel crowns are placed on permanent first molars without local anesthesia, caries removal, or tooth preparation. Orthodontic separators are used as needed, and crowns are cemented with glass ionomer cement

  • DeviceStainless steel crown placement using conventional method

    Preformed stainless steel crowns are placed after administering local anesthesia and performing standard tooth preparation, including occlusal and proximal reduction. Crowns are cemented with glass ionomer cement.

06

What researchers measure

Primary outcomes

  1. Clinical and Radiographic Success

    Clinical and Radiographic Success Definition: Absence of clinical symptoms (pain, swelling, mobility) and absence of radiographic signs of pathology (periapical radiolucency, internal/external resorption).

    Time frame: Baseline, 1 month, 3 months, and 6 months

Secondary outcomes

  1. - Marginal Fit and Adaptation - Changes in Occlusion ( Overbite) - Patient Satisfaction (Likert Scale)

    Secondary Outcome Measures Marginal Fit and Adaptation of Crown Definition: Clinical assessment of marginal adaptation (good, acceptable, poor). Time Frame: Post-treatment, 1 month, 3 months, and 6 months Changes in Occlusion (Overbite) Definition: Measurement of changes in vertical dimension of occlusion and overbite using clinical examination. Time Frame: Post-treatment, 1 month, 3 months, and 6 months Patient Satisfaction (Five-Point Likert Scale) Definition: Patient-reported satisfaction using a 5-point Likert scale (1 = very dissatisfied, 5 = very satisfied). Higher scores indicate greater satisfaction. Time Frame: Immediately post-treatment, 1 month, 3 months, and 6 months

    Time frame: Time Frame: Immediately post-treatment, 1 month, 3 months, and 6 months

07

Study locations

2 sites
  • Faculty of Dentistry, Latakia University
    Latakia, Syria
  • Faculty of Dentistry, Tishreen University
    Latakia, Syria
08

References and documents

Individual participant data

Plan to share: No — The decision regarding IPD sharing has not been finalized. Will follow institutional and regulatory guidelines.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2025 to primary completion in Aug 2026, 8 months.

Of 469 non-industry interventional studies with no phase under Dental Caries, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 30. This study's 8 months is below that.

Counting every sponsor, half of 502 studies reached it within 15 months; a quarter within 7 and three quarters within 29.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 7, 2025
First posted
Sep 22, 2025
StartActual
Dec 1, 2025
Primary completionActual
Aug 1, 2026
CompletionActual
Aug 15, 2026
Last update
Sep 15, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07186673
Lead sponsor
Latakia University
Responsible party
Sponsor
First posted
Sep 22, 2025
Start date
Dec 1, 2025
Primary completion
Aug 1, 2026
Completion
Aug 15, 2026
Last update
Sep 15, 2026

Study contacts

Nabih Raslan
study chair · Latakia University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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