Cite this article:Ghaith B, Hussein I. The Hall Technique in paediatric dentistry: a review of the literature and an "All Hall" case report with a 24 month follow up. Stoma Edu J. 2017;4(3):208-217.Aim: This paper highlights a non-invasive treatment option for primary molars, where decay is sealed under preformed stainless steel crowns (SSC). Summary: Restoring the carious primary molar in children using the "Hall Technique (HT)" is an internationally controversial but evidence-based new treatment modality. It started in the United Kingdom (UK) in 2007 where it is now considered the "Gold Standard" for managing the multi-surface asymptomatic carious primary molar. We review the literature and report a two year follow up of a case treated in Dubai, United Arab Emirates (UAE) where we restored all eight carious primary molars in a 3-year-old child by using the Hall Technique. This approach avoided the need for treatment under local analgesia general anesthesia in this very young child. It is relevant to general dental practitioners, with an interest in children's dentistry in addition to specialists in pediatric dentistry. Key learning points: -SSCs placed using the HT are not suitable for all child patients with caries; -There are selection criteria that should be assessed before considering this technique; -There should be a clear radiolucent band between the carious lesion and pulp of the tooth intended to be restored with the HT; -There should be no signs or symptoms of pulpal pathosis; -All teeth treated with the HT should be followed up clinically and radiographically following the same protocols as conventional treatments.
Objectives: The purpose of this study was to assess the oral health status in Down syndrome (DS) children in Dubai, United Arab Emirates. Materials and Methods: A total of 106 DS children (mean age = 9.3 ± 2.8) and 125 healthy children (mean age = 11.7 ± 4.4) were recruited from both special needs centers and private/public schools in Dubai. A dental examination for decayed-missing-filled teeth (DMFT) in deciduous dentition/DMFT in permanent dentition indices, simplified oral hygiene index, calculus index (CI), were carried out. In addition, occlusal, dentofacial, soft-tissue abnormalities, and erosion were assessed. Statistical analysis was conducted using SPSS for Windows, version 20.0 (SPSS Inc., Chicago, IL, USA). Results: The mean number of DMFT in DS children was significantly higher than that in healthy children. DS children in the primary dentition group had higher restorative index and Met Need Index scores than the control group. On the other hand, CI was found to be significantly higher among children with DS compared to healthy controls ( P < 0.004). DS children had a significantly higher proportion of open bite and other occlusal problems. Class III molar angle malocclusion was significantly higher in DS (66%) compared to controls (11.2%). Erosion was significantly higher among DS children compared to healthy control (34% vs. 15.3%). Conclusions: DS children in Dubai had higher caries rate compared to healthy children. DS group received more restorations and dental treatment compared to the control group. More to add, DS children had significantly more calculus, erosion, and malocclusion problems.
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