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The Hall Technique

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Pediatric Restorative Dentistry

Abstract

The contemporary view of caries management focuses on treating carious lesions using less invasive treatment options. The Hall Technique is an innovative, less invasive, operative management option, in which preformed metal crowns (PMCs) are used to seal carious lesions with dentin involvement in primary molars using a glass ionomer luting cement. Thus, removal of carious tissue, tooth preparation, or the use of local anesthesia are not required for the Hall Technique. The PMCs are simply pushed over the tooth, to isolate and seal the carious lesions from the oral cavity, resulting in reduction of the nutrient supply and consequently carious lesion arrest. This makes the Hall Technique a technically simple procedure to perform, in terms of clinical skills, and is well accepted by dentists, children, and their parents. However, it should not be considered as a quick solution to the problem of treating all carious primary molars in children who are unable to cooperate with more invasive treatment. For success, the Hall Technique requires careful case selection, precise carious lesion and pulpal diagnosis, good patient management, and parental cooperation. The Hall Technique is an effective treatment option for management of asymptomatic dentin carious lesions in primary molars with long-term high success rates and is, with a strong evidence base, recommended as part of our armamentarium for everyday use in pediatric dentistry.

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References

  1. Kidd E, Fejerskov O. Changing concepts in cariology: forty years on. Dent Update. 2013;40(4):277–8, 280–2–5–6.

    Article  Google Scholar 

  2. Kidd E. The implications of the new paradigm of dental caries. J Dent. 2011;39(Suppl 2):3–8.

    Article  Google Scholar 

  3. Fejerskov O, Nyvad B, Kidd EA. Pathology of dental caries. In: Fejerskov O, Nyvad B, Kidd EAM, editors. Dental caries: the disease and its clinical management. 3rd ed. Oxford: Wiley; 2015. p. 7–10.

    Google Scholar 

  4. Schwendicke F. Contemporary concepts in carious tissue removal: a review. J Esthet Restor Dent. 2017;12(6):403–8.

    Article  Google Scholar 

  5. Schwendicke F, Frencken JE, Bjorndal L, Maltz M, Manton DJ, Ricketts D, Van Landuyt K, Banerjee A, Campus G, Domejean S, Fontana M, Leal S, Lo E, Machiulskiene V, Schulte A, Splieth C, Zandona AF, Innes NP. Managing carious lesions: consensus recommendations on carious tissue removal. Adv Dent Res. 2016;28:58–67.

    Article  Google Scholar 

  6. Kidd EA. How “clean” must a cavity be before restoration? Caries Res. 2004;38(3):305–13.

    Article  Google Scholar 

  7. Ricketts D, Lamont T, Innes NP, Kidd E, Clarkson JE. Operative caries management in adults and children. Cochrane Database Syst Rev. 2013;3:CD003808.

    Google Scholar 

  8. Innes NP, Evans DJ, Stirrups DR. The Hall Technique; a randomized controlled clinical trial of a novel method of managing carious primary molars in general dental practice: acceptability of the technique and outcomes at 23 months. BMC Oral Health. 2007;7:18.

    Article  Google Scholar 

  9. Innes NP, Evans DJ, Stirrups DR. Sealing caries in primary molars: randomized control trial, 5-year results. J Dent Res. 2011;90:1405–10.

    Article  Google Scholar 

  10. Santamaria RM, Innes NP, Machiulskiene V, Evans DJ, Splieth CH. Caries management strategies for primary molars: 1-year randomized control trial results. J Dent Res. 2014;93:1062–9.

    Article  Google Scholar 

  11. Santamaría RM, Innes NPT, Machiulskiene V, Schmoeckel J, Alkilzy M, Splieth CH. Alternative caries management options for primary molars: 2.5-year outcomes of a randomised clinical trial. Caries Res. 2017;51(6):605–14.

    Article  Google Scholar 

  12. Narbutait J, Innes NPT, Santamaria RM, Splieth CH, Machiulskiene V. One-year outcomes of dental caries management using different approaches in primary molars of lithuanian children. Caries Res. 2017;51:323.

    Google Scholar 

  13. Araujo MP, Olegario IC, Hesse D, Innes NP, Bonifacio CC, Raggio DP. ART versus hall technique in primary molars: 1-year survival and cost analysis of a RCT. Caries Res. 2017;51:330.

    Google Scholar 

  14. Ludwig KH, Fontana M, Vinson LA, Platt JA, Dean JA. The success of stainless steel crowns placed with the Hall Technique. J Am Dent Assoc. 2014;145(12):1248–53.

    Article  Google Scholar 

  15. BaniHani A, Duggal M, Toumba J, Deery C. Outcomes of the conventional and biological treatment approaches for the management of caries in the primary dentition. Int J Paediatr Dent. 2018;28(1):12–22.

    Article  Google Scholar 

  16. Clark W, Geneser M, Owais A, Kanellis M, Qian F. Success rates of Hall Technique crowns in primary molars: a retrospective pilot study. Gen Dent. 2017;65(5):32–5.

    PubMed  Google Scholar 

  17. Innes NP, Evans DJ, Bonifacio CC, Geneser M, Hesse D, Heimer M, Kanellis M, Machiulskiene V, Narbutaité J, Olegário IC, Owais A, Araujo MP, Raggio DP, Splieth C, van Amerongen E, Weber-Gasparoni K, Santamaria RM. The Hall Technique 10 years on: questions and answers. Br Dent J. 2017;24(6):478–83.

    Article  Google Scholar 

  18. van Bochove JA, van Amerongen WE. The influence of restorative treatment approaches and the use of local analgesia, on the children’s discomfort. Eur Arch Paediatr Dent. 2006;7:11–6.

    Article  Google Scholar 

  19. Clinical AAPD. Affairs Committee-Behavior Management Subcommittee; AAPD Council on Clinical Affairs. Guideline on behavior guidance for the pediatric dental patient. Pediatr Dent. 2009;30:125–33.

    Google Scholar 

  20. Goumans C, Veerkamp JS, Aartman IH. Dental anxiety and behavioural problems: what is their influence on the treatment plan? Eur J Paediatr Dent. 2004;5:15–8.

    PubMed  Google Scholar 

  21. Santamaria RM, Innes NP, Machiulskiene V, Ev- ans DJ, Alkilzy M, Splieth CH. Acceptability of different caries management methods for primary molars in an RCT. Int J Paediatr Dent. 2015;25:9–17.

    Article  Google Scholar 

  22. Bell SJ, Morgan AG, Marshman Z, Rodd HD. Child and parental acceptance of preformed metal crowns. Eur Arch Paediatr Dent. 2010;11(5):218–24.

    Article  Google Scholar 

  23. Maciel R, Salvador D, Azoubel K, Redivivo R, Maciel C, da Franca C, Amerongen E, Colares V. The opinion of children and their parents about four different types of dental restorations in a public health service in Brazil. Eur Arch Paediatr Dent. 2017;18(1):25–9.

    Article  Google Scholar 

  24. Foster Page LA, Boyd DH, Davidson SE, Thomson WM, Innes NPT. Acceptability of the Hall Technique in New Zealand. N Z Dent J. 2014;110:12–7.

    Google Scholar 

  25. Schwendicke F, Stolpe M, Innes N. Conventional treatment, Hall Technique or immediate pulpotomy for carious primary molars: a cost-effectiveness analysis. Int Endod J. 2016;49(9):817–26.

    Google Scholar 

  26. Al-Yaseen W, Evans DJ, Innes NP. How deep is too deep?. A retrospective study of the relationship between radiographic caries lesion depth and successful outcomes with the Hall Technique. Glasgow: IAPD; 2015.

    Google Scholar 

  27. van der Zee V, van Amerongen WE. Short communication: influence of preformed metal crowns (Hall Technique) on the occlusal vertical dimension in the primary dentition. Eur Arch Paediatr Dent. 2010;11(5):225–7.

    Article  Google Scholar 

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Correspondence to Ruth M. Santamaría .

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Santamaría, R.M., Splieth, C.H., Robertson, M., Innes, N. (2019). The Hall Technique. In: Coelho Leal, S., Takeshita, E. (eds) Pediatric Restorative Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-319-93426-6_13

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  • DOI: https://doi.org/10.1007/978-3-319-93426-6_13

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-93426-6

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