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乳牙龋的霍尔技术:文献综述

Hall Technique for Carious Primary Molars: A Review of the Literature.

作者信息

Altoukhi Doua H, El-Housseiny Azza A

机构信息

Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia.

Pediatric Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria 21526, Egypt.

出版信息

Dent J (Basel). 2020 Jan 17;8(1):11. doi: 10.3390/dj8010011.

DOI:10.3390/dj8010011
PMID:31963463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7148518/
Abstract

The high frequency of caries in primary teeth and its inadequate treatment are major public health problems during childhood. Nowadays, the Hall technique is one of the methods used for biological sealing in carious lesions in primary molars. Thus, the bacteria will be sealed from oral environment and the caries will be inactive. The objective of this article was to provide an updated search on the Hall technique description, indication, contraindication, advantages, concerns, success and failure, cost-effectiveness, acceptability, and preference in pediatric dentistry, and to compare the Hall technique with traditional crown preparation and conventional treatment options for carious primary molars. A discussion of the recently published articles on the Hall technique reveals that the Hall technique is considered a promising restorative option with high acceptability and longevity; with low failure rate for managing carious primary molars compared to conventional treatment modalities used in primary care settings. Furthermore, the survival rate of stainless steel crowns (SSCs) is considered high, whether provided using Hall technique or traditional preparation by a pediatric dentist. Thus, the Hall technique can be an effective addition to the clinician's range of treatment options for carious primary molars. However, it should be chosen in restricted cases.

摘要

乳牙龋齿高发及其治疗不充分是儿童期的主要公共卫生问题。如今,霍尔技术是用于乳牙龋损生物封闭的方法之一。这样,细菌将被与口腔环境隔绝,龋齿将不再发展。本文的目的是对霍尔技术在儿童牙科中的描述、适应证、禁忌证、优点、问题、成功与失败、成本效益、可接受性和偏好进行更新搜索,并将霍尔技术与传统牙冠制备以及乳牙龋齿的传统治疗方法进行比较。对最近发表的关于霍尔技术的文章进行讨论后发现,霍尔技术被认为是一种有前景的修复选择,具有较高的可接受性和持久性;与初级保健环境中使用的传统治疗方式相比,治疗乳牙龋齿的失败率较低。此外,无论儿科牙医是采用霍尔技术还是传统制备方法,不锈钢冠(SSC)的存留率都被认为较高。因此,霍尔技术可以有效地增加临床医生对乳牙龋齿的治疗选择范围。然而,应在有限的病例中选用该技术。

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Hall Technique for Carious Primary Molars: A Review of the Literature.乳牙龋的霍尔技术:文献综述
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2
Comparison of the treatment outcomes of the conventional stainless steel crown restorations and the hall technique in the treatment of carious primary molars.比较常规不锈钢冠修复和 Hall 技术治疗龋齿性乳磨牙的治疗效果。
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Comparison of the Treatment Assessments of the Conventional Stainless-Steel Crown Restorations and the Hall Technique.传统不锈钢冠修复与霍尔技术治疗评估的比较
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Effectiveness of Hall Technique for Primary Carious Molars: A Systematic Review and Meta-analysis.霍尔技术治疗乳牙龋的有效性:一项系统评价和荟萃分析。
Int J Clin Pediatr Dent. 2019 Sep-Oct;12(5):445-452. doi: 10.5005/jp-journals-10005-1666.
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Evaluation of Clinical Effectiveness and Patient Acceptance of Hall Technique for Managing Carious Primary Molars: An Study.霍尔技术治疗乳牙龋的临床疗效及患者接受度评估:一项研究。
Int J Clin Pediatr Dent. 2019 Nov-Dec;12(6):548-552. doi: 10.5005/jp-journals-10005-1699.
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Protocol for the Hall Technique study: A trial to measure clinical effectiveness and cost-effectiveness of stainless steel crowns for dental caries restoration in primary molars in young children.霍尔技术研究方案:一项测量不锈钢冠修复幼儿乳磨牙龋齿的临床有效性和成本效益的试验。
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Atraumatic Restorative Treatment compared to the Hall Technique for occluso-proximal cavities in primary molars: study protocol for a randomized controlled trial.乳牙咬合面-邻面龋的非创伤性修复治疗与霍尔技术对比:一项随机对照试验的研究方案
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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.霍尔技术;一项在普通牙科实践中管理龋损乳磨牙新方法的随机对照临床试验:该技术的可接受性及23个月时的结果
BMC Oral Health. 2007 Dec 20;7:18. doi: 10.1186/1472-6831-7-18.
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The success of stainless steel crowns placed with the Hall technique: a retrospective study.采用霍尔技术放置不锈钢冠的成功率:一项回顾性研究。
J Am Dent Assoc. 2014 Dec;145(12):1248-53. doi: 10.14219/jada.2014.89.

引用本文的文献

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Cureus. 2025 Jul 7;17(7):e87450. doi: 10.7759/cureus.87450. eCollection 2025 Jul.
2
Hall technology and conventional PMC technology: Progress and remaining challenge in extensive caries treatment.霍尔技术与传统乳牙牙髓切断术技术:广泛龋病治疗的进展与尚存挑战
Medicine (Baltimore). 2025 Jul 4;104(27):e43130. doi: 10.1097/MD.0000000000043130.
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Knowledge, practice, and challenges in the use of stainless steel crowns and the Hall technique among Yemeni general dental practitioners: a cross-sectional study.

本文引用的文献

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A randomized clinical trial comparing Hall vs conventional technique in placing preformed metal crowns from Sudan.来自苏丹的一项比较 Hall 技术与传统技术在预成金属冠修复中应用的随机临床试验
PLoS One. 2019 Jun 3;14(6):e0217740. doi: 10.1371/journal.pone.0217740. eCollection 2019.
2
Clinical Trials of Silver Diamine Fluoride in Arresting Caries among Children: A Systematic Review.氟化亚锡在儿童龋齿防治中的临床试验:系统评价
JDR Clin Trans Res. 2016 Oct;1(3):201-210. doi: 10.1177/2380084416661474. Epub 2016 Aug 20.
3
Aesthetic perception, acceptability and satisfaction in the treatment of caries lesions with silver diamine fluoride: A scoping review.
也门普通牙科从业者使用不锈钢冠和霍尔技术的知识、实践与挑战:一项横断面研究。
Front Oral Health. 2025 Jun 20;6:1527355. doi: 10.3389/froh.2025.1527355. eCollection 2025.
4
Rationality of Efficacy of the Treatment Modalities-Modified Atraumatic Restorative Treatment and Hall Technique by Comparing Clinical and Radiographic Parameters along with Posttreatment Behavioral Assessment of Patients through Face Pain Scale-Revised: An Study.通过比较临床和影像学参数以及使用修订的面部疼痛量表对患者进行治疗后行为评估,探讨改良非创伤性修复治疗和霍尔技术治疗方式疗效的合理性:一项研究。
Int J Clin Pediatr Dent. 2025 Apr;18(4):444-451. doi: 10.5005/jp-journals-10005-2996. Epub 2025 May 19.
5
Knowledge and attitudes of dental students and interns on minimally invasive dentistry for pediatric dentistry at King Saud University.沙特国王大学牙科专业学生和实习生对儿童牙科微创牙科的知识与态度
BMC Oral Health. 2025 May 14;25(1):721. doi: 10.1186/s12903-025-06087-y.
6
Combination of Silver Diamine Fluoride and Hall Technique for Caries Management in Primary Molars: A Randomized Controlled Trial.氟化亚锡与霍尔技术联合用于乳牙龋病管理的随机对照试验
Int J Clin Pediatr Dent. 2024 Oct;17(10):1114-1120. doi: 10.5005/jp-journals-10005-2980.
7
Beyond Tradition: Non-surgical Endodontics and Vital Pulp Therapy as a Dynamic Combination.超越传统:非手术牙髓治疗与活髓治疗的动态结合
Cureus. 2023 Aug 25;15(8):e44134. doi: 10.7759/cureus.44134. eCollection 2023 Aug.
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Restor Dent Endod. 2023 May 1;48(2):e19. doi: 10.5395/rde.2023.48.e19. eCollection 2023 May.
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Int J Paediatr Dent. 2019 May;29(3):257-266. doi: 10.1111/ipd.12465. Epub 2019 Mar 13.
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J Dent Res. 2019 Jan;98(1):61-67. doi: 10.1177/0022034518799742. Epub 2018 Sep 14.
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J Dent. 2018 Nov;78:40-45. doi: 10.1016/j.jdent.2018.05.022. Epub 2018 May 30.
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J Am Dent Assoc. 2017 Jul;148(7):510-518.e4. doi: 10.1016/j.adaj.2017.03.013. Epub 2017 Apr 27.
7
A CHANGE IN PRACTICE PROTOCOL: PREFORMED METAL CROWNS FOR TREATING NON-INFECTED CARIOUS PRIMARY MOLARS IN A GENERAL PRACTICE SETTING--A SERVICE EVALUATION.实践方案的改变:在普通诊所环境中使用预成金属冠治疗非感染性乳牙龋齿——一项服务评估。
Prim Dent J. 2015 Nov;4(4):22-6. doi: 10.1308/205016815816682182.
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Conventional treatment, Hall Technique or immediate pulpotomy for carious primary molars: a cost-effectiveness analysis.龋源性乳磨牙的传统治疗、霍尔技术或直接牙髓切断术:成本效益分析
Int Endod J. 2016 Sep;49(9):817-826. doi: 10.1111/iej.12537. Epub 2015 Sep 19.
9
The success of stainless steel crowns placed with the Hall technique: a retrospective study.采用霍尔技术放置不锈钢冠的成功率:一项回顾性研究。
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