This study is designed to compare major failure rate between ART ( excavation of caries with hand instruments and placing glass ionomer restoration without the use of rotary instruments) versus hall technique ( placing a stainless steel crown on the decayed primary molar without prepartion or caries removal)
Age: From 4 to 6 years.
Cooperative children
Children with no systemic disease, occlusal problems or bad habits.
Primary molars with vital pulp.
Presence of signs and symptoms of necrosis (Fistula, abscess, mobility or furcation involvement).
Root caries.
History of Spontaneous pain.
Parallel
Atraumatic Restorative Treatment
Procedure/SurgeryCaries excavation with hand instruments only and restoration with Glass ionomer filling
Hall technique
Procedure/SurgeryCrown placement without tooth preparation
Major failure
Irreversible pulpitis, Dental abscess or fistula, Restoration loss, Tooth cannot be restored, Tooth fracture.
Canine overbite
Postoperative pain and discomfort
Face pain scale-revised Its a self report measure of pain intenisty from 0 to 10 with 0 being least painful and 10 being most painful
Child anxiety
Venham anxiety rating scale is a scale from 0 to 5 assessing the anxiety of children in dental setting with 0 being most relaxed and smiling and 5 being most anxious and out of contact with the reality of the threat.
Child behavior
Venham behavior rating scale Its a scale from 0-5 with 0 being total cooperation and 5 being total uncooperation and physical restraint is required.
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