STOMATOLOGY EDU JOURNAL 2017, Volume 4, Issue 3 SEJ_3-2017_Online - Page 61

Figure 6. The SSC crown on 84 immediately post fit. Note the slight blanching of the gingiva and opening of the bite. case when using the HT. The 2015 operating manual of the HT stated that β€œHall crowns are not a universal answer to managing all carious primary molars and does not suit every carious primary molar in that child”. 9 As a result, it became acceptable clinical practice, by those who advocate the use of the HT, to avoid restoring all the primary molars in one child using this approach. To elaborate further, restoring all carious Ds and Es in one single child, using the HT was not standard recommendation. The justification had not been clarified by HT advocates but it may have possibly been due to worries about subsequent long term effects on the occlusion. The sequelae of the HT on the occlusion had been studied in the past. It was found that children’s occlusion tended to undergo slight opening of the bite (1-2 mm average) which subsided as a result of dento- alveolar compensation 14 or physical intrusion 15 of the crowned tooth. The aforementioned effects were studied when one or two crowns were placed, however, to date, no study had shown the effect of restoring all Ds and Es in one child, on the occlusion. Keeping the above in mind, we report a case during which the HT was utilised to full capacity, contrary to the usual HT clinical doctrine, to restore all eight primary molars in one single child. There were no known complications and the occlusion was deemed satisfa Ρ½Ι丁Q‘₯́…Ν”‘…́‰••Έ‘Υ‰‰•Ρ‘”ƒŠq±°!…±³Št)…Ν”Έ€ΔΨ(ΤΈƒŠq±°!…±³Št€ΘΠ΅΅½ΉΡ ™½±±½ά΅Υΐ…Ν”Ι•Α½ΙΠ)Q‘”ΝΡΥ‘δΑΙ½Ρ½½°έ…́ɕΩ₯•έ•…Ή…ΑΑΙ½Ω•‰δ)Ρ‘”!…΅‘…Έ ½±±•”•ΉΡ…°5•‘₯₯Ή”%ΉΝΡ₯ΡΥΡ₯½Ή…°)Ρ‘₯…° ½΅΅₯ΡΡ•”…Ёё”5½‘…΅΅• ₯ΈI…Ν‘₯)UΉ₯Ω•ΙΝ₯Ρ䁽˜5•‘₯₯Ή”…Ή!•…±Ρ M₯•Ή•Μ€‘5 IT€)₯ΈΥ‰…€€‘U€…Ή₯Έ…½Ι‘…Ή”έ₯Ρ Ρ‘”!•±Ν₯Ή­€)•±…Ι…Ρ₯½Έ½˜€ΔδάΤ°…́ɕΩ₯Ν•₯Έ€ΘΐΐΐΈ(ΤΈΔΈ …Ν”‘•Ρ…₯±Μ)™₯Ё…Ή‘•…±Ρ‘δΡ‘Ι•”΅ε•…ȁ½±΅…±”‘₯±έ…Μ)‰Ι½Υ‘Ё‰δ‘₯́™…Ρ‘•ΘΡΌΡ‘”•Α…ΙΡ΅•ΉΠ½˜A…•‘₯…ΡΙ₯Œ)•ΉΡ₯ΝΡΙ䁅Ёё”!…΅‘…Έ ½±±•”•ΉΡ…°5•‘₯₯Ή”…Π)Ρ‘”5½‘…΅΅• ₯ΈI…Ν‘₯UΉ₯Ω•ΙΝ₯Ρ䁽˜5•‘₯₯Ή”)…Ή!•…±Ρ M₯•Ή•Μ€‘5 IT€₯ΈΥ‰…€€‘U€ΈQ‘”)™…Ρ‘•ΘΙ•Α½ΙΡ•Ρ‘…Ё‘₯́ͽΈ‘…Ρ½½Ρ ‘•…δ‰ΥЁ‘…)ΝΥ™™•Ι•ΉΌ‘₯͍½΅™½ΙΠΈ™Ρ•Θ±₯Ή₯…°…ΉΙ…‘₯½Ι…Α‘₯Œ)•α…΅₯Ή…Ρ₯½Έ°Ρ‘”Α…Ρ₯•ΉΠέ…́‘₯…Ή½Ν•…́‘…Ω₯Ήœ)ΉΥ΅•Ι½Ύ…Νε΅ΑΡ½΅…Ρ₯Œ…Ι₯½ΎΑΙ₯΅…Ι䁡½±…Θ)…Ή₯Ή₯ͽȁѕ•Ρ ™₯ΡΡ₯Ήœέ₯Ρ Ρ‘”‘₯…Ή½Ν₯́½˜M•Ω•Ι”)…Ι±δ ‘₯±‘‘½½ …Ι₯•Μ€‘L΅ €ΈQ‘”Α…Ρ₯•ΉΣŠé•₯‘Π)…Ι₯½ΎΑΙ₯΅…Ι䁡½±…ΙΜ€ ΤΤ°€ΤΠ°€ΨΠ°€ΨΤ°€άΤ°€άΠ°€ΰΠ€˜(ΰΤ€έ•Ι”Νε΅ΑΡ½΄™Ι•”Έ ±₯Ή₯…°…ΉΙ…‘₯½Ι…Α‘₯Œ)Ν₯ΉΜ½˜ΑΥ±ΐΑ…Ρ‘½±½δέ•Ι”…‰Ν•ΉΠΈM•”₯ΥΙ”€ά)™½ΘΑΙ”΅½Α•Ι…Ρ₯Ω”±₯Ή₯…°™•…ΡΥɕ́…Ή₯ΥΙ”€ΰ™½Θ)ΑΙ”΅½Α•Ι…Ρ₯Ω”Ι…‘₯½Ι…Α‘₯Œ™₯Ή‘₯ΉΜΈ)!”…±ΝΌ‘…₯Ή₯Ρ₯…°…Ι₯•Μ½Έ€ΤΜ°€ΤΘ°€ΤΔ°€ΨΔ°€ΨΘ€˜(ΨΜΈQ‘•Ι”έ…́ΉΌ­Ή½έΈΡΙ…Υ΅„‘₯ΝΡ½Ι丁!₯́₯Ή₯Ρ₯…°)½½Α•Ι…Ρ₯½Έέ…́…Ρ•½Ι₯镐…ΜƒŠqΑΙ”΅½½Α•Ι…Ρ₯Ω—ŠtΈ)Q‘”Α…Ρ₯•ΉΣŠé‰•‘…Ω₯½ΥΙ…°Ν…±”έ…́…ΝΝ•ΝΝ•ΡΌ)‰”Ή•…Ρ₯Ω”₯Ή₯Ρ₯…±±δ‰ΥЁ₯΅ΑΙ½Ω•‘Ι…΅…Ρ₯…±±δΡΌ)Α½Ν₯Ρ₯Ω”‰•‘…Ω₯½Υȁ…́ΡΙ•…Ρ΅•ΉΠΑΙ½Ι•ΝΝ•ΈQ‘”)ΡΙ•…Ρ΅•ΉΠ½ΑΡ₯½ΉΜ™½ΘΡ‘”…Ι₯½ΎΑΙ₯΅…Ι䁡½±…ΙΜ)Ρ‘…Ёݕɔ‘₯͍ΥΝΝ•…Ή•αΑ±½Ι•έ₯Ρ ‘₯́™…Ρ‘•Θ)έ•Ι”μΑΙ•Ω•ΉΡ₯½Έ½Ή±δ°½ΉΩ•ΉΡ₯½Ή…°Ι•ΝΡ½Ι…Ρ₯Ω”)ΡΙ•…Ρ΅•ΉΠΥΝ₯Ήœ1°Ρ‘”ƒŠq!…±°Q•‘Ή₯ΕΥ—Štέ₯Ρ ΉΌ1(‘…ΉΙ•ΝΡ½Ι…Ρ₯½ΉΜ½˜Ρ‘”ΥΑΑ•ΘΑΙ₯΅…Ιδ₯Ή₯Ν½ΙΜ€½Θ)™Υ±°΅½ΥΡ Ι•‘…‰₯±₯Ρ…Ρ₯½ΈΥΉ‘•Θ•Ή•Ι…°…Ή…•ΝΡ‘•Ν₯„(‘€ΈQ‘”Α…Ρ₯•ΉΣŠé™…Ρ‘•Θέ…́­••Έ™½Θ‘₯́ͽΈΡΌ)Ι••₯Ω”‘•ΉΡ…°ΡΙ•…Ρ΅•ΉΠ₯ΈΡ‘”‘•ΉΡ…°‘…₯ȁɅё•Θ)Ρ‘…ΈΥΉ‘•Θ‘Υ”ΡΌ΅…ΉδΙ•…Ν½ΉΜ₯Ή±Υ‘₯Ήœ)™₯Ή…Ή₯…°½ΉΝΡΙ…₯ΉΡΜ€‘‘₯±‘Ι•»Šé‘•ΉΡ…°₯́Ή½Π)Ι½ΥΡ₯Ή•±δΑΙ½Ω₯‘•‰δ„™Ι•”ΑΥ‰±₯ŒΝ•ΙΩ₯”€΄…Ω…₯±…‰±”)ΡΌ•Ω•Ιε½Ή”€΄₯ΈΡ‘”U…́₯Ё₯́₯ΈΡ‘”U,™½Θ•α…΅Α±”€Έ)™Ρ•ΘΝΥ™™₯₯•ΉΠ½ΉΝ₯‘•Ι…Ρ₯½Έ°Ρ‘”™…Ρ‘•Θ½ΉΝ•ΉΡ•)™½ΘΡ‘”!P…́ё”‘₯±“Šé½½Α•Ι…Ρ₯½Έ™½Θ1έ…́Ή½Π)™½ΙΡ‘½΅₯Ήœ…Ή‘”έ…́…‘…΅…ΉΠ…‰½ΥЁ…Ω½₯‘₯Ήœ)Έ)Q!!10Q !9%EU%8A%QI% 9Q%MQId聁IY%\=Q!1%QIQUI)98ƒŠq10!13Št MIA=IP]%Q ΄ΘЁ5=9Q =11=\U@)Q…‰±”€ΘΈ±°!…±°…Ν”θQΙ•…Ρ΅•ΉΠΑ±…ΈΈ(ΔΈAΙ•Ω•ΉΡ₯Ω”…Ι”Α‘…Ν”(΄±₯΅…Ρ₯Ν…Ρ₯½Έ…ΉΉ½Έ€΄Α‘…Ι΅…½±½₯…°‰•‘…Ω₯½ΥΙ…°΅…Ή…•΅•ΉΠ(΄=Ι…°‘ε₯•Ή”₯ΉΝΡΙՍΡ₯½ΉΜ€‘=!%Μ€(΄I•½ΙΑ±…ΕΥ”Ν½Ι”…Ё•… Ω₯Ν₯Π(΄₯•Π…Ή…±εΝ₯́…Ή…‘Ω₯”(΄±Υ½Ι₯‘”…ΑΑ±₯…Ρ₯½Έ(ΘΈI•ΝΡ½Ι…Ρ₯Ω”ΡΙ•…Ρ΅•ΉΠΑ±…Έ)„ΈI•ΝΡ½Ι”Ρ‘”Α½ΝΡ•Ι₯½Θ…Ι₯½Ύѕ•Ρ έ₯Ρ ΝΡ…₯Ή±•Ν́ΝΡ••°Ι½έΉΜΥΝ₯ΉœΡ‘”!…±°Q•‘Ή₯ΕΥ”€‘!P€θ€ΤΤ°(ΤΠ°€ΨΠ°€ΨΤ°€άΠ°€άΤ°€ΰΠ°€ΰΤ)ˆΈ%ΉΡ•Ι₯΄Ρ‘•Ι…Α•ΥΡ₯ŒΙ•ΝΡ½Ι…Ρ₯½ΉΜ€‘%QH€ΥΝ₯Ήœ±…Ν́%½Ή½΅•Θ •΅•ΉΠ€‘% €Ι•ΝΡ½Ι…Ρ₯½ΉΜ™½Θθ(ΤΜ°ΤΘ°ΤΔ°ΨΔ°ΨΘ°ΨΜ(ΜΈI•…±°…ΉΙ•Ω₯•έΜθΙ•Υ±…Ȁ́΅½ΉΡ Ι•…±±Μ°Ι…‘₯½Ι…Α‘́•Ω•Ιδ€Ψ΅½ΉΡ‘́…Ή™±Υ½Ι₯‘”Ω…ΙΉ₯Ν )…ΑΑ±₯…Ρ₯½Έ€ΠΡ₯΅•Μ„ε•…Θ€ Μ°€Ψ°€δ°€ΔΘ°€Δΰ°€ΘЁ΅½ΉΡ‘́ё•Ι•…™Ρ•Θ€(ΠΈ•™₯Ή₯Ρ₯Ω”ΡΙ•…Ρ΅•ΉΠ™½ΘΥΑΑ•Θ…ΉΡ•Ι₯½ΘΡ••Ρ ½Ή”½½Α•Ι…Ρ₯½Έ…±±½έ•Έ)MΡ½΅…Ρ½±½δ‘ԁ)½ΥΙΉ…°(ΘΔΔ