Hall technique for primary teeth: A systematic review and meta-analysis

Hu, Shijia; BaniHani, Alaa; Nevitt, Sarah J; Maden, Michelle; Santamaría, Ruth M.; Albadri, Sondos

doi:10.1016/j.jdsr.2022.09.003

Cited by 9 publications

(5 citation statements)

References 29 publications

(84 reference statements)

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“…In our study, when evaluating patient satisfaction, there were no complaints or aesthetic dissatisfaction in children who underwent this technique, even if slight deteriorations occurred in ART restorations. Although HT in primary molars was shown to be well-tolerated by children and acceptable by parents, objections to the appearance of crowns were reported by around 5% of parents [ 14 42 43 44 ]. Although children were not deceived by appearances and had a positive attitude about crowns, 10% of the school-age children with any complaints were not satisfied with the appearance of crowns and demanded that the crowns be removed in the study [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

The clinical success of ART restorations and Hall technique in primary molars: a randomized 18-month follow-up study

2023

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Objectives The aim of the study was to evaluate the clinical and radiographic success of the Hall technique (HT) and atraumatic restorative treatment (ART) restorations using high-viscosity glass-ionomer cement for the management of occlusal carious lesions in primary molars. Materials and Methods This randomized clinical study observed 40 children (aged 5–6 years). For each child, one tooth was treated with HT and one with ART. The primary outcome measures for HT restorations were successful, minor, and major failure rates. Clinical evaluations of ART restorations were performed according to the modified United States Public Health Service criteria during 18-month follow-up. McNemar test was used for statistical analysis. Results Thirty of 40 (75%) participants returned for 18 months of follow-up. In the clinical evaluations of teeth that were treated with HT, the patients did not have complaints of pain or other symptoms, all crowns remained in the oral cavity, the gums were healthy, and the teeth were functional in all evaluations. At the end of the 18-month follow-up, the surface texture and marginal integrity criteria of ART restorations were recorded as 26.7% and 33.3%, respectively. In the radiographic evaluation of 30 patients treated with ART and HT, all restorations were considered successful. Conclusions The 18-month clinical and radiographic results after treatments applied to single-surface cavities in anxious children showed that both treatment methods were successful.

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Section: Discussionmentioning

confidence: 99%

The clinical success of ART restorations and Hall technique in primary molars: a randomized 18-month follow-up study

2023

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“…[ 45 46 47 48 49 50 51 ] The most recent systematic reviews and meta-analyses reconfirmed the superiority of the HT compared to conventional restorations in managing active cavitated dentinal lesions in primary molars. [ 28 52 ] Given this evidence base, clinicians still reluctant to offer this treatment option need to examine why they are treating a child more invasively when a less invasive option is available.…”

Section: Biological Carious Lesion Management Approaches: Features An...mentioning

confidence: 99%

The revolutionary evolution in carious lesion management

Philip¹,

Suneja²

2023

J Conserv Dent

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Contemporary paradigms of dental caries management focus on the biological approaches to treating the disease and its principal symptom, the carious lesion. This narrative review traces the evolution of carious lesion management from the operative and invasive approaches of G. V. Black's era to the current period of minimally invasive biological approaches. The paper explains the rationale for adopting biological approaches to dental caries management and lists the five core principles of this management approach. The paper also details the aims, features, and the most recent evidence base for the different biological carious lesion management approaches. Based on current practice guidelines, collated clinical pathways for lesion management are also presented in the paper to aid clinicians in their decision-making. It is hoped that the biological rationale and evidence summarized in this paper will bolster the shift to modern biological carious lesion management approaches among dental practitioners.

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“…-Hall technique. This MID-cost-effective intervention involves the sealing of deep carious cavities in primary molars by placing preformed metallic crowns, without local anesthesia and any type of caries removal, or coronal reduction [14,32,79]. Hall technique (HT) concept combines the biological management of carious lesions through both sealing pathogenic bacteria and depriving their nutrition sources.…”

Section: Non-restorative Cavity Control Atraumatic Restorative Treatm...mentioning

confidence: 99%

“…Hu and co-workers [32] recently developed a systematic review with meta-analysis to assess the available evidence on HT for treating dentine caries in the primary dentition, in which 5 unique publications with low risk of bias were included in the statistical analysis. They concluded that HT crowns showed similar successful outcomes when compared to traditional preformed crowns and superior rates regarding direct restorations.…”

Section: Non-restorative Cavity Control Atraumatic Restorative Treatm...mentioning

confidence: 99%

“…However, in another clinical trial, HT was significantly more successful clinically than NRCC after one year of follow-up [74]. This procedure has shown high success rates in the clinical setting as a restorative option for arresting caries and preserving the pulp vitality, with significant longevity until tooth shedding [16,21,32,74]. However, poor esthetics is still a concern for clinicians and parents [32,74].…”

Section: Non-restorative Cavity Control Atraumatic Restorative Treatm...mentioning

confidence: 99%

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Clinical interventions for caries management through minimal intervention procedures in young children: an updated evidence-based review

2023

Journal of Clinical Pediatric Dentistry

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This review aimed to summarize the preventive, non-restorative and restorative minimal intervention dentistry (MID) interventions for managing dental caries during the primary dentition stage, after selecting the highest quality evidence. A comprehensive literature search for relevant studies was performed in PubMed (MEDLINE), Embase, Cochrane Library and Google Scholar, published between 2007 and 2022. Only clinical randomized controlled trials, clinical guidelines with literature review, systematic reviews and meta-analyses conducted in the primary dentition were included. One hundred fifty-three MID-associated references were found, and 63 of them were considered for the present review. Of these, 24 were clinical randomized controlled trials, 21 were systematic reviews, 3 umbrella reviews and 11 practice guidelines with a literature review. The retrieved evidence was divided into (and discussed) three general caries management strategies: (i) carious lesion diagnosis and individual risk assessment; (ii) preventive measurements and non-cavitated lesions management; and (iii) cavitated lesions management. MID is an attractive alternative management that promotes prevention rather than intervention to achieve a long-lasting oral health in young children through easy and cost-benefit preventive, non-invasive, minimally invasive or conservative invasive restorative measures. This philosophy of management is suitable for treating young children, considered friendlier and less anxiety-provoking than traditional methods.

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Hall technique for primary teeth: A systematic review and meta-analysis

Cited by 9 publications

References 29 publications

The clinical success of ART restorations and Hall technique in primary molars: a randomized 18-month follow-up study

The clinical success of ART restorations and Hall technique in primary molars: a randomized 18-month follow-up study

The revolutionary evolution in carious lesion management

Clinical interventions for caries management through minimal intervention procedures in young children: an updated evidence-based review

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