Silver Modified Hall, GI Strip Crowns and GI Sealants – Dental Care For All International

Part 4 of Dr. John Frachella’s Medical Management of Caries lecture. Complete the quiz at the bottom of the page to earn 1.5 continuing education credits.

Join us for an overview of the most current and effective medical protocols for dental disease management. The course will help you understand bioactive methods, materials and strategies for caries arrest and prevention that are medical vs. surgical. Learn why dental antimicrobial, re-mineralizing and desensitizing medicines are not “alternative” or of a lower standard than treatments that treat symptoms of the disease. We will consider medical measures as initial treatments of choice as being in the best interest of patients in diverse socioeconomic populations. You will learn how, when and why to best employ medical measures for dental disease management before using surgery, sedation or general anesthesia.

Discuss the recommended protocols for long-lasting success in using the Hall Crown Treatment
Understand Silver Modified Hall (SM-Hall) and how it can provide a better, cost-effective and even better way to control and prevent recurrent
caries than conventional Hall
Identify and dispel common myths about Hall Crowns
Compare case studies to be presented on Hall, SM-Hall and GI Strip Crowns
Discuss the benefits of GI sealants over resin sealants for greater caries prevention
Identify the best recommended protocol necessary to place successful GIC sealants for long-term decay-free outcomes
Understand myths generated in much of the dental literature about the importance of sealant retention and how that is of little or no significance
when using GIC sealant material
Interactive, hands-on exercises with teeth set in plaster for all to practice applying SDF+GIC (SMART) followed by Round Table Q&A Discussion with
faculty.

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Silver Modified Hall, GI Strip Crowns and GI Sealants – Dr. John Frachella at Hood River, Part 4

Complete this quiz to earn 1.5 continuing education credits.

To get your CE credits from the Academy of General Dentistry, must pass this quiz and submit your full name, state of licensure, license number, and AGD ID number. You may retake the quiz if necessary.

NameEmailState of LicensureLicense NumberAGD ID Number

1 / 10

1. At any stage of demineralization of teeth short of irreversible pulpitis:

Drill and fill dentistry should be done

Zirconium onlays, inlays and crowns provide the gold- standard of treatment

Re-mineralization with essential medicines that don’t require complete surgical removal of decay – and sometimes require no removal of decay- is possible

Teeth should be made numb and, at the very least, composite resin restorations should be provided

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2. Fissurotomy that removes superficial enamel as a measure taken before applying occlusal sealants:

Improves sealant “retention” which is an important preventive dentistry metric

Is unnecessary and damaging overtreatment

Kills decay-causing microbes by using a bur in rotary drill

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3. GIC and RMGI occlusal sealants:

Prevent interproximal caries

Have poorer retention rates than composite resin sealants- sealant retention being a more important metric than decay-free teeth

Are as technique-sensitive as composite sealants

Require dry-field application with rubber dams and 4- handed dentistry

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4. Restorations with GIC/RMGI when done by a dentist can be coded as:

Temporary fillings

Sedative fillings

Four-surface composites

Four surface composites and IPT

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5. SDF + FV can be applied to anterior teeth to arrest decay as a first measure for caries control, then:

Later, SDF staining can be removed gently with spoon excavators or handburs without LA before placing white GIC/RMGI Strip Crowns

Later, rotary drilling with the use of LA is absolutely necessary to provide patient with a more aesthetic fix

Later, nothing can be done for the unsightly staining of anterior teeth caused by SDF caries arrest.

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6. GIC/RMGI Strip Crowns require:

No conditioning of tooth surfaces before cementation

Acid etching of tooth surfaces before cementation

PAA conditioning of tooth surfaces before cementation

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7. GIC/RMGI Strip Crowns:

Are inferior, in terms of recurrent decay, to Zirconium

Are code-able as temporary or sedative restorations only

Are anti-bacterial, de-sensitizing, re-mineralizing, chemically sealing, child-friendly and are IPT (Indirect Pulp Therapy)

Are not indicated over partially excavated decay

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8. Hall crowns can be coded as:

Temporary fillings

Sedative fillings

SSCs

SSCs plus IPT (Indirect Pulp Therapy)

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9. If a Hall crown perforates due to bruxing or normal wear:

The Hall crown must be replaced with a conventional crown with a thicker gage, a process that requires removing more tooth structure.

The perforations can be filled without using needles or drills by applying GIC or RMGI into areas of wear so the GI material can serve as ”sacrificial” material when and as indicated over time.

SSC perforations will always be a problem and there is no MMC fix.

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10. Open bites after cementing Hall crowns:

Are intolerant for children with primary and mixed dentitions

Cause permanent orthodontic problems later

Self-resolve with no issues in about 6 weeks

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This activity has been planned and implemented in accordance with the standards of the Academy of General Dentistry Program Approval for Continuing Education (PACE) through the joint program provider approval of One Community Health: Hood River and Dental Care For All International. One Community Health: Hood River is approved for awarding FAGD/MAGD credit.

The lectures for this course were filmed on May 1st, 2023, and were reviewed and re-released on this website in June, 2024. This content will expire on June 1st, 2027.

One Community Health | Hood River
Nationally/ Approved PACE Program Provider for FAGD/MAGD credit.
Approval does not imply acceptance by any regulatory authority, or AGD endorsement.
(month/day/year) to (month/day/year). Provider ID <AGD ID Number>