Presented By : DR. RASHMI PUNHANI (2 nd year Post-Graduate Student) Department of P edodontics And Preventive dentistry Dr. Syamala Reddy Dental College,Hospital and Research Center. “HALL’S TECHNIQUE ” - Food for Thought
Introduction Dental decay : Major health problem In India 52% of 5-year-olds have atleast one decayed primary molar tooth . Several methods available: Pit and fissure sealants, conventional restorative techniques using A malgam , Composite or C ompomer
W hat is Hall’s Technique ??
The technique does not require local anaesthesia , caries removal or any tooth preparation.
Basic concept Behind HALL’S TECHNIQUE
SALIVA SALIVA SALIVA SALIVA
DR. NORNA HALL
When can Hall crowns be a suitable management option for carious primary molars?
When there is NO NEED to fit Hall crowns?
Contra-Indications of Hall’s T echnique Grossly decayed teeth Teeth with Irreversible P ulpal I nvolvement Pulp polyps
AIM
Materials and Methods Study design: 3 year study ( Department of Pedodontics And Preventive dentistry Dr. Syamala Reddy Dental College , Hospital and Research Center .) 300+ children 5-9 years of age Carious primary molars with caries extending only to dentine.
Parental consent was taken before the commencement of the study . Preformed metal crowns were placed using Hall’s Technique. F ollow up was done after 4 weeks by : Q uestionnaire given to the parents V isual analogue scale given to the patients.
Questionnaire for the parents “Quick and easy" “No D rills " “Comfortable " “Less S tress" “No N eedles "
Visual analogue scale for patients
Procedure
RESULTS:
CONCLUSION
REFERENCES F. Gilchrist, A. G. Morgan, M. Farman and H. D. Rodd. Impact of the Hall technique for preformed metal crown placement on undergraduate paediatric dentistry experience. Eur J Dent Educ 17 (2013) e10–e15. S.M. Hashim Nainar . Success of Hall Technique Crowns Questioned. Pediatric dentistry v 34 / no 2 Mar / Apr 2012. Foley JI (2012). Short communication: a pan-European comparison of the management of carious primary molar teeth by postgraduates in paediatric dentistry. Eur Arch Paediatr Dent 13 (1): 41-6 . Innes NP, Evans DJ, Stirrups DR. Sealing Caries in Primary Molars: Randomized Control Trial, 5-year Results. J Dent Res. 2011 Sep 15. Innes NP, Marshman Z, Vendan RE. A group of general dental practitioners’ views of preformed metal crowns after participation in the Hall technique clinical trial: a mixed-method evaluation. Prim Dent Care 2010: 17: 33–37.
Innes NPT, Evans DJP. Hall N., 2009. The Hall Technique for managing carious primary molars . Dental Update, 36:472-478. Kindelan SA, Day P, Nichol R, Willmott N, Fayle SA. UK National Clinical Guidelines in Paediatric Dentistry: stainless steel preformed crowns for primary molars. Int J Paediatr Dent 2008: 18 ( Suppl 1):20–28. J.P. Murphy. The Hall technique . British Dental Journal Vol.205 NO. 4 Aug 23 2008. Innes NP, Evans DJ, Stirrups DR. 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. Innes NPT, Ricketts DNJ, Evans DJP. Preformed metal crowns for decayed primary molar teeth. Cochrane Database Syst Rev 2007, Issue 1. Art. No.: CD005512. DOI:10.1002/14651858.CD00512.pub2.