Protocol for the Hall Technique study: A trial to measure clinical effectiveness and cost-effectiveness of stainless steel crowns for dental caries restoration in primary molars in young children

BACKGROUND: The Hall Technique (HT) is a carious primary molar treatment that does not require local analgesia, carious tissue removal or tooth preparation. The carious lesions in carefully selected teeth are sealed with a stainless steel crown (preformed metal crown). The study aims are to determine the clinical effectiveness, acceptability and cost-effectiveness of the HT for management of carious lesions in young dental patients. METHODS/DESIGN: Children, aged 3-7years, with a primary molar tooth with a carious lesion extending no further than the middle third of dentine, with no signs or symptoms of pulp inflammation or infection, and attending one of three community agencies are recruited. Target sample size is 220. A control tooth with an intra-coronal restoration is sourced from the same mouth. The primary outcome is the period of time free from further treatment. The assessments are scheduled at 6, 12 and 24months. In addition to the clinical assessment, acceptability of the HT will be assessed via questionnaires among patients and their primary carers at baseline, 6, 12 and 24months. Cost-outcome description and cost-effectiveness analysis from healthcare provider and societal perspective will be conducted. DISCUSSION: The clinical effectiveness, acceptability and cost-effectiveness of the HT in the community dental setting will be evaluated. The results of this study will determine the implementation of HT in the management of dental caries in young children.

Plastic deformation in Zr41 Ti14 Cu12.5 Ni10 Be22.5 bulk metal glass under vickers indenter

Vickers indentation was conducted on an as-cast Zr41Ti14Cu12.5Ni10Be22.5 bulk metal glass (BMG) to study shear band formation using a bonded interface technique. The results indicate that the plastic deformation in the BMG is accommodated by the semi-circular (primary) and radial (secondary) shear bands. The inter-band spacing of the semi-circular shear bands is found to be independent of the applied load. The measured size of the deformation zone is in good agreement with the prediction of the theoretical model proposed by Zhang et al.

Plastic deformation in the annealed Zr41Ti14Cu12.5Ni10Be22.5 bulk metal glass under indenter

Vickers and nanoindentationswere carried out on an annealed Zr₄₁Ti₁₄Cu_12.5Ni₁₀Be_22.5 bulk metallic glass (BMG), and the evolution of the shear bands in the annealed BMG was investigated and compared to that in the as-cast alloy. Results indicate that the plastic deformation in the BMG with the structure relaxation is accommodated by the semicircular (primary) and radial (secondary) as well as tertiary shear bands. Quantitatively, the shear band density in the annealed alloywas much lower than that in the as-cast alloy. The load-displacement curve of nanoindentation test for the annealed alloy exhibited a more flat serrated flow. The annihilation of free volume caused by the annealing was responsible for the embrittlement of the annealed sample.