Use of the Hall technique by specialist paediatric dentists: a global perspective

Hussein, Iyad; Halabi, Manal Al; Kowash, Mawlood; Salami, Anas; Ouatik, Nabil; Yang, Yeon-Mi; Duggal, M. S.; Chandwani, Neeta; Nazzal, Hani; Albadri, Sondos; Roberts, Amanda J.; Al-Jundi, S. H.; Nzomiwu, C L; Shahawy, Osama El; Attaie, Ali; Mohammed, O; Al‐Sane, Mona

doi:10.1038/s41415-019-1100-2

Cited by 26 publications

(29 citation statements)

References 24 publications

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“…6 Charts showing the use of, type of, training obtained and confidence in using paediatric dental specialists in the Arabian region prevented the calculation of an exact response rate. Therefore, the number of Arabian paediatric dentists was estimated based on the method described by Hussein et al (2020) in which approximately 68000 paediatric dentists are serving 7.7 billion people world-wide; therefore, using proportional calculation, around 3700 paediatric dentists would serve the Arabian population of 423 million. This estimate is very close to the number of the ArAPD Facebook page members of 3726 whom the survey was disseminated to.…”

Section: Discussionmentioning

confidence: 99%

The use of behaviour management techniques amongst paediatric dentists working in the Arabian region: a cross-sectional survey study

Nazzal

Shahawy

Al-Jundi

et al. 2020

Eur Arch Paediatr Dent

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Purpose The purposes of this study were to investigate paediatric dental practitioners’ training and confidence in using dental behaviour management techniques in the Arabian region and to assess the factors influencing the application of advanced behaviour management techniques. Methods: An online questionnaire was distributed to paediatric dental practitioners in the Arabian region. Data were analysed using descriptive statistics and Pearson Chi Square. Results A total of 113 responses were obtained. Of these, the majority were from Egypt (45%, n = 51). Just over half of the respondents were registered as specialists at the country where they were practicing paediatric dentistry (53%, n = 60). The use of behaviour management techniques varied amongst participants with tell-show-do (95%, n = 107) and positive reinforcement (89%, n = 101) being the most routinely used techniques. The majority of participants reported using voice control (83%) and parental separation (68%) techniques. Hand over mouth exercise (HOME) was only used by 24% (n = 27) of participants, whilst just over half of the participants, 53%, reported using protective stabilisation. A significant association was shown between country of practice, country of obtaining paediatric dental training, speciality status and the use of advanced behaviour management techniques, whilst confidence in using HOME and sedation were associated with work setting and country of practice, respectively. Conclusion The use of advanced behaviour management techniques was found to be high amongst respondents in the Arabian region. The lack of training in using these techniques, however, is of concern. Further assessment of the factors affecting the use of and confidence in applying advanced behaviour management techniques in the Arabian region is needed.

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Section: Discussionmentioning

confidence: 99%

The use of behaviour management techniques amongst paediatric dentists working in the Arabian region: a cross-sectional survey study

Nazzal

Shahawy

Al-Jundi

et al. 2020

Eur Arch Paediatr Dent

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“…Investigators studied the practices of 709 pediatric dentists from 65 different countries and found that although 54% reported using Hall-style crowns, practitioners largely consider this technique a treatment option, not the reference standard. 12 The authors also reported that for a cooperative 6-year-old patient, 75% of respondents would choose a conventional SSC over a Hall-style crown. 12 This is consistent with our findings, in which most programs teach the technique didactically and utilization it clinically in a limited number of patients.…”

Section: Discussionmentioning

confidence: 98%

“… 12 The authors also reported that for a cooperative 6-year-old patient, 75% of respondents would choose a conventional SSC over a Hall-style crown. 12 This is consistent with our findings, in which most programs teach the technique didactically and utilization it clinically in a limited number of patients.…”

Section: Discussionmentioning

confidence: 98%

“…This may be partly because familiarity with use of conventional SSCs make it a fast and easy procedure to perform with minimal patient discomfort. 12 The conventional procedure can be completed in 1 visit and it avoids problems like transient open bite and traumatic occlusion. Teaching of the conventional SSC technique has changed considerably over time, as modern preformed crowns require minimal tooth preparation, and most programs have embraced the concept of partial caries removal with indirect pulp therapy, which has reduced the need for pulpotomies before SSC placement.…”

Section: Discussionmentioning

confidence: 99%

“… 11 Some researchers have reported modifications of the technique that include partial caries removal, proximal tooth slicing, or both. 12 , 13 In our study, we used the term Hall-style crowns to allow modifications of the technique to be included in the responses.…”

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confidence: 99%

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Teaching and utilization of silver diamine fluoride and Hall-style crowns in US pediatric dentistry residency programs

Crystal¹,

Yim²,

Nelson³

2020

The Journal of the American Dental Association

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Background Nonsurgical caries management, particularly silver diamine fluoride (SDF) and Hall-style crowns, present alternative options for populations that have barriers to traditional treatment. The authors aimed to assess changes in the teaching and utilization of these modalities in pediatric dental residency programs. Methods The authors e-mailed a 29-question electronic survey regarding the utilization and teaching of nonsurgical caries management agents to US pediatric dentistry residency program directors. Data were compared with results from a similar survey conducted in 2015 to analyze trends, report protocols, barriers for utilization, and possible reasons for changes. Results Respondents from 82 programs completed the surveys (89% response rate). Although only 26% of respondents reported using SDF in 2015, 100% reported its utilization in 2020 ( P < .001). The Hall-style crown technique is taught didactically in 90% of programs, and 69.5% of respondents use it at least sporadically in their clinics. Long wait times for the operating room (4 weeks-14 months) and sedation (1 week-12 months) motivate increased utilization of SDF, interim therapeutic restorations, and Hall-style crowns. Guidelines supporting off-label utilization of SDF have also resulted in its increased utilization. Conclusions US pediatric residency programs have universally adopted SDF for caries arrest in the primary dentition, and this trend seems to extend to other nonsurgical caries management agents. These changes are likely driven by diverse barriers to delivery of traditional restorative care. Practical Implications The rapid increases in teaching and utilization of minimal intervention techniques provide clinicians with more options for caries management in patients with barriers to traditional treatment.

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A 24-month retrospective study of preformed metal crowns: the Hall technique versus the conventional preparation method

Binladen

Halabi

Kowash

et al. 2020

Eur Arch Paediatr Dent

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Use of the Hall technique by specialist paediatric dentists: a global perspective

Cited by 26 publications

References 24 publications

The use of behaviour management techniques amongst paediatric dentists working in the Arabian region: a cross-sectional survey study

The use of behaviour management techniques amongst paediatric dentists working in the Arabian region: a cross-sectional survey study

Teaching and utilization of silver diamine fluoride and Hall-style crowns in US pediatric dentistry residency programs

A 24-month retrospective study of preformed metal crowns: the Hall technique versus the conventional preparation method

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