Hall Technique for Carious Primary Molars: A Review of the Literature

Doua H Altoukhi, Azza A El-Housseiny, Doua H Altoukhi, Azza A El-Housseiny

Abstract

The high frequency of caries in primary teeth and its inadequate treatment are major public health problems during childhood. Nowadays, the Hall technique is one of the methods used for biological sealing in carious lesions in primary molars. Thus, the bacteria will be sealed from oral environment and the caries will be inactive. The objective of this article was to provide an updated search on the Hall technique description, indication, contraindication, advantages, concerns, success and failure, cost-effectiveness, acceptability, and preference in pediatric dentistry, and to compare the Hall technique with traditional crown preparation and conventional treatment options for carious primary molars. A discussion of the recently published articles on the Hall technique reveals that the Hall technique is considered a promising restorative option with high acceptability and longevity; with low failure rate for managing carious primary molars compared to conventional treatment modalities used in primary care settings. Furthermore, the survival rate of stainless steel crowns (SSCs) is considered high, whether provided using Hall technique or traditional preparation by a pediatric dentist. Thus, the Hall technique can be an effective addition to the clinician's range of treatment options for carious primary molars. However, it should be chosen in restricted cases.

Keywords: Hall technique; carious; pediatric dentistry; primary molars; use.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
A four-year-old boy treated with Hall preformed metal crowns (PMCs) showing: (a) A pre-treatment lateral photograph showing the patient’s occlusion, (b) a post-treatment lateral photograph showing the patient’s occlusion (taken immediately after cementation of the last PMC), and (c) a one-year-recall photograph showing correction of the OVD.

References

    1. Gaidhane A.M., Patil M., Khatib N., Zodpey S., Zahiruddin Q.S. Prevalence and determinant of early childhood caries among the children attending the Anganwadis of Wardha district, India. Indian J. Dent. Res. 2013;24:199–205.
    1. Congiu G., Campus G., Luglie P.F. Early childhood caries (ECC) prevalence and background factors: A review. Oral Health Prev. Dent. 2014;12:71–76.
    1. Ismail A.I., Lim S., Sohn W., Willem J.M. Determinants of early childhood caries in low-income African American young children. Pediatr. Dent. 2008;30:289–296.
    1. SIGN Preventing Dental Caries in Children at High Caries Risk: Targeted Prevention of Dental Caries in the Permanent Teeth of 6–16 Year Olds Presenting for Dental Care. [(accessed on 4 November 2019)]; Available online: .
    1. Macpherson L.M., Pine C.M., Tochel C., Burnside G., Hosey M.T., Adair P. Factors influencing referral of children for dental extractions under general and local anaesthesia. Community Dent. Health. 2005;22:282–288.
    1. Gao S., Zhao I., Hiraishi N., Duangthip D., Mei M., Lo E., Chu C. Clinical Trials of Silver Diamine Fluoride in Arresting Caries among Children: A Systematic Review. JDR Clin. Trans. Res. 2016;1:201–210. doi: 10.1177/2380084416661474.
    1. Tickle M.K., Milsom K.M., King D., Kearney-Mitchell P., Blinkhorn A. The fate of the carious primary teeth of children who regularly attend the general dental service [comment] Br. Dent. J. 2002;192:219–223. doi: 10.1038/sj.bdj.4801338.
    1. Scotland’s National Dental Inspection Programme 2003. [(accessed on 11 January 2020)]; Available online: .
    1. O’Brien M. Children’s Dental Health in the United Kingdom. [(accessed on 11 January 2020)]; Available online: .
    1. Milsom K., Tickle M., Blinkhorn A. Dental pain and dental treatment of young children attending the general dental service. Br. Dent. J. 2002;192:280–284. doi: 10.1038/sj.bdj.4801355.
    1. Fayle S. UK National Clinical Guidelines in Paediatric Dentistry. Stainless steel preformed crowns for primary molars. Faculty of Dental Surgery, Royal College of Surgeons. Int. J. Paediatr. Dent. 1999;9:311–314. doi: 10.1046/j.1365-263x.1999.00153.x.
    1. Threlfall A.G., Pilkington L., Milsom K.M., Blinkhorn A.S., Tickle M. General dental practitioners’ views on the use of stainless steel crowns to restore primary molars. Br. Dent. J. 2005;199:453–455; discussion 441. doi: 10.1038/sj.bdj.4812746.
    1. Innes N.P., Evans D.J., Stirrups D.R. Sealing caries in primary molars: Randomized controlled trial—5-year results. J. Dent. Res. 2011;90:1405–1410. doi: 10.1177/0022034511422064.
    1. Innes N.P., Stirrups D.R., Evans D.J., Hall N., Leggate M. A novel technique using preformed metal crowns for managing carious primary molars in general practice: A retrospective analysis. Br. Dent. J. 2006;200:451–454. doi: 10.1038/sj.bdj.4813466.
    1. Kidd E.A. How ‘clean’ must a cavity be before restoration? Caries Res. 2004;38:305–313. doi: 10.1159/000077770.
    1. Liddell A., Locker D. Changes in levels of dental anxiety as a function of dental experience. Behav. Modif. 2000;24:57–68. doi: 10.1177/0145445500241003.
    1. Duggal M.S., Nooh A., High A. Response of the primary pulp to inflammation: A review of the Leeds studies and challenges for the future. Eur. J. Paediatr. Dent. 2002;3:111–114.
    1. Torabzadeh H., Asgary S. Indirect pulp therapy in a symptomatic mature molar using calcium enriched mixture cement. J. Conserv. Dent. 2013;16:83–86.
    1. Ricketts D., Lamont T., Innes N.P., Kidd E., Clarkson J.E. Operative caries management in adults and children. Cochrane Database Syst. Rev. 2013;28 doi: 10.1002/14651858.CD003808.pub3.
    1. Innes N.P., Evans D.J., Hall N. The Hall Technique for managing carious primary molars. Dent. Update. 2009;36:472–478. doi: 10.12968/denu.2009.36.8.472.
    1. Proffit W.R., Fields H.W., Jr., Sarver D.M. Contemporary Orthodontics. 4th ed. Mosby, Elsevier Inc.; St. Louis, MO, USA: 2007. p. 412.
    1. Innes N.P., Evans D.J., Stirrups D.R. 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. doi: 10.1186/1472-6831-7-18.
    1. Rosenblatt A. The Hall technique is an effective treatment option for carious primary molar teeth. Evid.-Based Dent. 2008;9:44–45. doi: 10.1038/sj.ebd.6400579.
    1. Ludwig K.H., Fontana M., LaQuia A., Jeffrey A.P., Jeffrey A.D. The success of stainless steel crowns placed with the Hall technique. JADA. 2014;145:1248–1253. doi: 10.14219/jada.2014.89.
    1. Schwendicke F., Krois J., Robertson M., Splieth C., Santamaria R., Innes N. Cost-effectiveness of the Hall Technique in a Randomized Trial. J. Dent. Res. 2018;98:61–67. doi: 10.1177/0022034518799742.
    1. Schwendicke F., Stolpe M., Innes N.P. Conventional treatment, Hall Technique or immediate pulpotomy for carious primary molars: A cost-effectiveness analysis. Int. Endod. J. 2015;49 doi: 10.1111/iej.12537.
    1. Zimmerman J.A., Feigal R.J., Till M.J., Hodges J.S. Parental attitudes on restorative materials as factors influencing current use in pediatric dentistry. Pediatr. Dent. 2009;31:63–70.
    1. Van der Zee V., van Amerongen W.E. Short communication: Influence of preformed metal crowns (Hall technique) on the occlusal vertical dimension in the primary dentition. Eur. Arch. Paediatr. Dent. 2010;11:225–227. doi: 10.1007/BF03262751.
    1. McDowell E.H., Baker I.M. The skeletodental adaptations in deep bite correction. Am. J. Orthod. Dentofac. Orthop. 1991;100:370–375. doi: 10.1016/0889-5406(91)70076-9.
    1. Al-Sehaibany F., White G. Posterior bite raising effect on the length of the ramus of the mandible in primary anterior crossbite: Case report. J. Clin. Pediatr. Dent. 1996;21:21–26.
    1. Luther F. TMD and occlusion part II. Damned if we don’t? Functional occlusal problems: TMD epidemiology in a wider context. Br. Dent. J. 2007;202:E3. doi: 10.1038/bdj.2006.123.
    1. Elamin F., Abdelazeem N., Salah I., Mirghani Y., Wong F. A randomized clinical trial comparing Hall vs. conventional technique in placing preformed metal crowns from Sudan. PLoS ONE. 2019;14:e0217740. doi: 10.1371/journal.pone.0217740.
    1. McDonald S.P., Sheiham A. A clinical comparison of non-traumatic methods of treating dental caries. Int. Dent. J. 1994;44:465–470.
    1. Farooq N.S., Coll J.A., Kuwabara A., Shelton P. Success rates of formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth. Pediatr. Dent. 2000;22:278–286.
    1. Ribeiro C.C., Baratieri L.N., Perdigao J., Baratieri N., Ritter A. A clinical, radiographic, and scanning electron microscopic evaluation of adhesive restorations on carious dentin in primary teeth. Quintessence Int. Dent. J. 1999;30:591–599.
    1. Foley J.I., Evans D.J.P., Blackwell A. Partial caries removal and cariostatic materials in carious primary molar teeth: A randomised controlled clinical trial. Br. Dent. J. 2004;197:697–701. doi: 10.1038/sj.bdj.4811865.
    1. Chadwick B., Dummer P., Dunstan F. How long do fillings last? Evid.-Based Dent. 2002;3:96–99.
    1. Chadwick B.L., Evans D.J. Restoration of class II cavities in primary molar teeth with conventional and resin modified glass ionomer cements: A systematic review of the literature. Eur. Arch. Paediatr. Dent. 2007;8:14–21. doi: 10.1007/BF03262565.
    1. Santamaria R.M., Innes N.P., Machiulskiene V., Evans D.J., Splieth C.H. Caries Management Strategies for Primary Molars. J. Dent. Res. 2014;93:1062–1069. doi: 10.1177/0022034514550717.
    1. Magno M., Silva L., Ferreira D., Barja-Fidalgo F., Fonseca-Gonçalves A. Aesthetic perception, acceptability and satisfaction in the treatment of caries lesions with silver diamine fluoride: A scoping review. Int. J. Paediatr. Dent. 2019;29:257–266. doi: 10.1111/ipd.12465.
    1. Husereau D., Drummond M., Petrou S., Carswell C., Moher D., Greenberg D., Augustovski F., Briggs A., Mauskopf J., Loder E., et al. Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement. BMJ. 2013;25:f1049. doi: 10.1136/bmj.f1049.
    1. Schwendicke F., Krois J., Splieth C., Innes N., Robertson M., Schmoeckel J., Santamaria R. Cost-effectiveness of managing cavitated primary molar caries lesions: A randomized trial in Germany. J. Dent. 2018;78:40–45. doi: 10.1016/j.jdent.2018.05.022.
    1. Yee R., Holmgren C., Mulder J., Lama D., Walker D., van Palenstein Helderman W. Efficacy of silver diamine fluoride for arresting caries treatment. J. Dent. Res. 2009;88:644–647. doi: 10.1177/0022034509338671.
    1. Goumans C., Veerkamp J., Aartman I.H. Dental anxiety and behavioural problems: What is their influence on the treatment plan? Eur. J. Paediatr. Dent. 2004;5:15–18.
    1. van Bochove J.A., van Amerongen W.E. The influence of restorative treatment approaches and the use of local analgesia, on the children’s discomfort. Eur. Arch. Paediatr. Dent. 2006;6:11–16. doi: 10.1007/BF03320809.
    1. Santamaria R., Innes N., Machiulskiene V., Evans D., Alkilzy M., Splieth C. Acceptability of different caries management methods for primary molars in a RCT. Int. J. Paediatr. Dent. 2015;25:9–17. doi: 10.1111/ipd.12097.
    1. Kindelan S., Day P., Nichol R., Willmott N., Fayle S. UK National Clinical Guidelines in Paediatric Dentistry: Stainless steel preformed crowns for primary molars. Int. J. Paediatr. Dent. 2008;18:20–28. doi: 10.1111/j.1365-263X.2008.00935.x.
    1. Taylor G. A Change in Practice Protocol: Preformed Metal Crowns for Treating Non-Infected Carious Primary Molars in a General Practice Setting; A Service Evaluation. Prim. Dent. J. 2015;4:22–26. doi: 10.1308/205016815816682182.
    1. Dean A.A., Bark J.E., Sherriff A., Macpherson L.M., Cairns A. Use of the ‘Hall technique’ for management of carious primary molars among Scottish general dental practitioners. Eur. Arch. Paediatr. Dent. 2011;12:159–162. doi: 10.1007/BF03262798.
    1. Foley J.I. Short communication: A pan-European comparison of the management of carious primary molar teeth by postgraduates in paediatric dentistry. Eur. Arch. Paediatr. Dent. 2012;13:41–46. doi: 10.1007/BF03262840.
    1. Crystal Y., Janal M., Hamilton D., Niederman R. Parental perceptions and acceptance of silver diamine fluoride staining. J. Am. Dent. Assoc. 2017;148:510–518.e4. doi: 10.1016/j.adaj.2017.03.013.

Source: PubMed

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