DOI:

10.37988/1811-153X_2022_4_6

Three-year results of the Hall technique use for caries treatment in primary molars

Authors

  • A.S. Osokina 1, PhD in Medical Sciences, associate professor of the Pediatric dentistry Department
    ORCID ID: 0000-0002-1519-0172
  • E.E. Maslak 1, PhD in Medical Sciences, full professor of the Pediatric dentistry Department
    ORCID ID: 0000-0003-2011-9714
  • T.G. Khmizova 1, PhD in Medical Sciences, associate professor of the Pediatric dentistry Department
    ORCID ID: 0000-0002-5322-3756
  • 1 Volgograd State Medical University, 400131, Volgograd, Russia

Abstract

The Hall technique is a noninvasive treatment method for carious primary molars using preformed metal crowns which are cemented over carious lesions without local anesthesia and caries removal. The aim of the research was to study the efficiency of the Hall technique for dentine caries treatment in primary molars in children. >. The prospective clinical study involved 41 children aged 4—5 years who underwent noninvasive dentine caries treatment of 100 primary molars by the Hall technique. Before, during and after the treatment the behavior of the children was assessed according to the Frankl scale, and pain perception. The three-year treatment results were assessed in 35 (85.4%) children in 85 (85%) teeth. Positive treatment outcomes or any minor/major complications were analyzed according to various factors. >. The use of the Hall technique for caries treatment did not affect the behavior of the children. The majority (95.1%) of the children did not experience severe pain during the treatment. Treatment success rate was 92.9% after 3 years. The frequency of major complications after the treatment did not depend on the gender, age and behavior of the children, the level of oral hygiene, the degree of caries activity, the level of dmft, the depth and activity of carious lesions, the material for crowns fixation. Only when carious lesions were localized on more than two tooth surfaces, the frequency of major complications after the treatment significantly increased, compared with the lesions which were localized on 1 or 2 surfaces. >. The Hall technique is highly effective and can be considered the method of choice for dental caries treatment in primary molars in children. The Hall technique is less successful when caries affects more than 2 surfaces.

Key words:

caries, non-invasive treatment, primary molars, the Hall technique, children

For Citation

[1]
Osokina A.S., Maslak E.E., Khmizova T.G. Three-year results of the Hall technique use for caries treatment in primary molars. Clinical Dentistry (Russia).  2022; 25 (4): 6—13. DOI: 10.37988/1811-153X_2022_4_6

References

  1. Pitts N.B., Zero D.T., Marsh P.D., Ekstrand K., Weintraub J.A., Ramos-Gomez F., Tagami J., Twetman S., Tsakos G., Ismail A. Dental caries. Nat Rev Dis Primers. 2017; 3: 17030. PMID: 28540937
  2. Shakavets N., Antonenko A.N. Epidemiology, etiology, risk assessment, prevention, education and management of early childhood caries. International reviews: Clinical practice and health. 2019; 3 (35): 28—40 (In Russ.). eLIBRARY ID: 41868902
  3. Kassebaum N.J., Bernabé E., Dahiya M., Bhandari B., Murray C.J., Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015; 94 (5): 650—8. PMID: 25740856
  4. Kuzmina E.M., Yanushevich O.O., Kuzmina I.N., Lapatina A.V. Tendency in the prevalence of dental caries among the Russian population over a 20-year period. Dental Forum. 2020; 3 (78): 2—8 (In Russ.). eLIBRARY ID: 43825063
  5. Duangthip D., Chen K.J., Gao S.S., Lo E.C.M., Chu C.H. Managing early childhood caries with atraumatic restorative treatment and topical silver and fluoride agents. Int J Environ Res Public Health. 2017; 14 (10): E1204. PMID: 28994739
  6. Tahmassebi J.F., Malik M., Berg N., Pavitt S., Gray-Burrows K., O.’Grady A. Using process drama to explore the causes of dental anxiety in primary-school children. Eur Arch Paediatr Dent. 2021; 22 (5): 869—877. PMID: 33893625
  7. Santamaría R.M., Innes N.P.T., Machiulskiene V., Schmoeckel J., Alkilzy M., Splieth C.H. Alternative caries management options for primary molars: 2.5-Year outcomes of a randomised clinical trial. Caries Res. 2017; 51 (6): 605—614. PMID: 29258064
  8. Schwendicke F. Contemporary concepts in carious tissue removal: A review. J Esthet Restor Dent. 2017; 29 (6): 403—408. PMID: 28925550
  9. Chen K.J., Gao S.S., Duangthip D., Lo E.C.M., Chu C.H. Managing early childhood caries for young children in China. Healthcare (Basel). 2018; 6 (1): E11. PMID: 29385684
  10. Araujo M.P., Innes N.P., Bonifácio C.C., Hesse D., Olegário I.C., Mendes F.M., Raggio D.P. Atraumatic restorative treatment compared to the Hall Technique for occluso-proximal carious lesions in primary molars; 36-month follow-up of a randomised control trial in a school setting. BMC Oral Health. 2020; 20 (1): 318. PMID: 33176756
  11. Olegário I.C., Ladewig N.M., Hesse D., Bonifácio C.C., Braga M.M., Imparato J.C.P., Mendes F.M., Raggio D.P. Is it worth using low-cost glass ionomer cements for occlusal ART restorations in primary molars? 2-year survival and cost analysis of a Randomized clinical trial. J Dent. 2020; 101: 103446. PMID: 32758684
  12. Schwendicke F., Frencken J.E., Bjørndal L., Maltz M., Manton D.J., Ricketts D., Van Landuyt K., Banerjee A., Campus G., Doméjean S., Fontana M., Leal S., Lo E., Machiulskiene V., Schulte A., Splieth C., Zandona A.F., Innes N.P. Managing carious lesions: Consensus recommendations on carious tissue removal. Adv Dent Res. 2016; 28 (2): 58—67. PMID: 27099358
  13. Ayedun O.S., Oredugba F.A., Sote E.O. Comparison of the treatment assessments of the conventional stainless-steel crown restorations and the Hall technique. West Afr J Med. 2020; 37 (3): 253—259. PMID: 32476119
  14. Crowder L. Management options of early childhood caries. Evid Based Dent. 2021; 22 (3): 106—107. PMID: 34561662
  15. Innes N.P., Evans D.J., Bonifacio C.C., Geneser M., Hesse D., Heimer M., Kanellis M., Machiulskiene V., Narbutaité J., Olegário I.C., Owais A., Araujo M.P., Raggio D.P., Splieth C., van Amerongen E., Weber-Gasparoni K., Santamaria R.M. The Hall Technique 10 years on: Questions and answers. Br Dent J. 2017; 222 (6): 478—483. PMID: 28336976
  16. Santamaría R.M., Abudrya M.H., Gül G., Mourad M.S., Gomez G.F., Zandona A.G.F. How to intervene in the caries process: Dentin caries in primary teeth. Caries Res. 2020; 54 (4): 306—323. PMID: 32854105
  17. Altoukhi D.H., El-Housseiny A.A. Hall technique for carious primary molars: A review of the literature. Dent J (Basel). 2020; 8 (1): E11. PMID: 31963463
  18. Jackson G. Placement of preformed metal crowns on carious primary molars by dental hygiene/therapy vocational trainees in Scotland: a service evaluation assessing patient and parent satisfaction. Prim Dent J. 2015; 4 (4): 46—51. PMID: 26966773
  19. Santamaría R., Innes N. Sealing carious tissue in primary teeth using crowns: The Hall technique. Monogr Oral Sci. 2018; 27: 113—123. PMID: 29794469
  20. 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 (5): 225—7. PMID: 20932395
  21. Binladen H., Al Halabi M., Kowash M., Al Salami A., Khamis A.H., Hussein I. A 24-month retrospective study of preformed metal crowns: the Hall technique versus the conventional preparation method. Eur Arch Paediatr Dent. 2021; 22 (1): 67—75. PMID: 32342287
  22. Kaptan A., Korkmaz E. Evaluation of success of stainless steel crowns placed using the hall technique in children with high caries risk: A randomized clinical trial. Niger J Clin Pract. 2021; 24 (3): 425—434. PMID: 33723119
  23. Ludwig K.H., Fontana M., Vinson L.A., Platt J.A., Dean J.A. The success of stainless steel crowns placed with the Hall technique: a retrospective study. J Am Dent Assoc. 2014; 145 (12): 1248—53. PMID: 25429038
  24. Jiang Q., Zeng X., Wang Y., Zou J., Zhang Q. Dentists› perception and clinical use of preformed metal crowns to restore primary molar defects in Chengdu city, China: A cross-sectional study. Biomed Res Int. 2021; 2021: 6200083. PMID: 34395620
  25. American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. In: The reference manual of pediatric dentistry. Chicago: American Academy of Pediatric Dentistry, 2021. Pp. 306—324. https://www.aapd.org
  26. Innes N.P., Evans D.J., Stirrups D.R. Sealing caries in primary molars: randomized control trial, 5-year results. J Dent Res. 2011; 90 (12): 1405—10. PMID: 21921249
  27. Santamaria R.M., Innes N.P., Machiulskiene V., Evans D.J., Splieth C.H. Caries management strategies for primary molars: 1-yr randomized control trial results. J Dent Res. 2014; 93 (11): 1062—9. PMID: 25216660
  28. Bhatia H.P., Khari P.M., Sood S., Sharma N., Singh A. Evaluation of clinical effectiveness and patient acceptance of Hall technique for managing carious primary molars: An in vivo study. Int J Clin Pediatr Dent. 2019; 12 (6): 548—552. PMID: 32440073
  29. Midani R., Splieth C.H., Mustafa Ali M., Schmoeckel J., Mourad S.M., Santamaria R.M. Success rates of preformed metal crowns placed with the modified and standard Hall technique in a paediatric dentistry setting. Int J Paediatr Dent. 2019; 29 (5): 550—556. PMID: 30888708
  30. Araujo M.P., Uribe S., Robertson M.D., Mendes F.M., Raggio D.P., Innes N.P.T. The Hall Technique and exfoliation of primary teeth: a retrospective cohort study. Br Dent J. 2020; 228 (3): 213—217. PMID: 32060464
  31. 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—35. PMID: 28862586
  32. Krämer N., Schmidt M., Lücker S., Domann E., Frankenberger R. Glass ionomer cement inhibits secondary caries in an in vitro biofilm model. Clin Oral Investig. 2018; 22 (2): 1019—1031. PMID: 28741172
  33. Maru V. The ‘new normal’ in post-COVID-19 pediatric dental practice. Int J Paediatr Dent. 2021; 31 (4): 528—538. PMID: 34148269
  34. Crystal Y.O., Janal M.N., Yim S., Nelson T. Teaching and utilization of silver diamine fluoride and Hall-style crowns in US pediatric dentistry residency programs. J Am Dent Assoc. 2020; 151 (10): 755—763. PMID: 32979954
  35. Innes N., Evans D., Hall N. The Hall Technique for managing carious primary molars. Dent Update. 2009; 36 (8): 472—4, 477—8. PMID: 19927456
  36. Moradi S., Sabbagh S., Timms L., Ravaghi V. Teaching minimally invasive interventions in paediatric dentistry: A cross-sectional survey of dental schools in Iran. BMC Oral Health. 2021; 21 (1): 368. PMID: 34301216
  37. BaniHani A., Santamaría R.M., Hu S., Maden M., Albadri S. Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. Eur Arch Paediatr Dent. 2021; (Online ahead of print). PMID: 34784027

Received

August 18, 2022

Accepted

December 6, 2022

Published on

December 21, 2022