Unit of Dental and Oral Health, Dundee Dental School, University of Dundee, Park Place, DD1 4HN, UK.
Br Dent J. 2013 Jun;214(11):559-66. doi: 10.1038/sj.bdj.2013.529.
When prevention of dental caries fails, and a child is exposed to the risk of pain and infection, the disease must be managed to reduce this risk. There is growing evidence supporting more 'biological' and fewer 'surgical' approaches to managing dental caries in primary teeth. These biological methods include partial and stepwise caries removal procedures, as well as techniques where no caries is removed. An overview of clinical trials comparing these biological methods to complete caries removal shows that they perform as well as traditional methods and have the advantage of reducing the incidence of iatrogenic pulpal exposures. The Hall Technique is one biological approach to managing caries in primary molars which involves sealing caries beneath preformed metal (stainless steel) crowns. The crown is cemented over the tooth without caries removal, tooth preparation or use of local anaesthesia. The clinical steps for the Hall Technique are straightforward but, as with all dental care provision, appropriate treatment planning for the procedure requires skill. The Hall Technique offers another method of managing early to moderately advanced, active carious lesions in primary molars, with good evidence of effectiveness and acceptability. This evidence aligns with the positive findings of other studies on biological strategies for managing caries in primary teeth.
当预防龋齿失败，儿童面临疼痛和感染的风险时，必须对疾病进行治疗以降低这种风险。越来越多的证据支持在处理乳牙龋齿时采用更多的“生物学”方法，减少“手术”方法。这些生物学方法包括部分和逐步的龋齿去除程序，以及不去除龋齿的技术。对比较这些生物学方法与完全去除龋齿的临床试验进行的综述表明，它们与传统方法一样有效，并且具有减少医源性牙髓暴露发生率的优势。Hall 技术是一种处理乳牙龋齿的生物学方法，涉及在预成型金属（不锈钢）冠下密封龋齿。在不进行龋齿去除、牙齿预备或使用局部麻醉的情况下，将冠粘在牙齿上。Hall 技术的临床步骤很简单，但与所有牙科护理一样，适当的治疗计划需要技能。Hall 技术为处理早期至中度进展、活跃的乳牙龋齿提供了另一种方法，具有良好的有效性和可接受性证据。这一证据与其他关于处理乳牙龋齿的生物学策略的研究的积极发现一致。
