Bhatia Hind P, Khari Puneet M, Sood Shveta, Sharma Naresh, Singh Akshara
Department of Pedodontics and Preventive Dentistry, Manav Rachna Dental College, Faridabad, Haryana, India.
Int J Clin Pediatr Dent. 2019 Nov-Dec;12(6):548-552. doi: 10.5005/jp-journals-10005-1699.
Hall technique (HT) is a biological approach where decay is sealed under preformed metal crowns without any caries removal, tooth preparation or local anesthesia. Dental caries is one of the most common prevailing chronic condition that affect both adults and children. Since children are anxious and apprehensive to dental treatment, their uncooperative behavior might cause hindrance in the treatment, which often leads to manage them in general anesthesia. To better address the dental care needs in pediatric patients, dental surgeons require some alternatives for management of caries and restorative treatment in children. The Hall technique is one such conservative treatment approach developed by Dr Norna Hall in 1980s.
The purpose of this study was to assess the clinical effectiveness and patient acceptance of Hall technique for managing carious primary molars.
84 children in the age group 6-10 years with class I and class II carious lesions limited to dentin were selected for the study. Occlusal vertical dimension (OVD) was measured preoperatively, postoperatively and after 6 months. Discomfort level was assessed by facial pain rating scale and by questionnaires filled on the day of placement of SS crown, 1 week after placement and 6 months after placement.
The Hall technique was found to be successful, as there was no failure clinically as well as radiographically within 6 months of placement of SS crown. The increased OVD postoperatively returned to its normal values within 6 months, the mean change in the OVD was found to be statistically significant ( = 0.02).
The Hall technique proved to be clinically effective and acceptable by maximum number of children.
Bhatia HP, Khari PM, Sood S, Evaluation of Clinical Effectiveness and Patient Acceptance of Hall Technique for Managing Carious Primary Molars: An Study. Int J Clin Pediatr Dent 2019;12(6):548-552.
霍尔技术（HT）是一种生物学方法，即在不进行任何龋洞去除、牙齿预备或局部麻醉的情况下，将龋坏密封于预先制作的金属冠内。龋齿是影响成人和儿童的最常见的普遍慢性病之一。由于儿童对牙科治疗感到焦虑和恐惧，他们不合作的行为可能会妨碍治疗，这常常导致需要对他们进行全身麻醉。为了更好地满足儿科患者的牙科护理需求，牙科外科医生需要一些治疗儿童龋齿和修复治疗的替代方法。霍尔技术就是20世纪80年代由诺娜·霍尔博士开发的一种这样的保守治疗方法。
本研究的目的是评估霍尔技术治疗龋坏乳磨牙的临床效果和患者接受度。
选取84名6 - 10岁患有局限于牙本质的I类和II类龋损的儿童进行研究。术前、术后及6个月后测量咬合垂直距离（OVD）。通过面部疼痛评分量表以及在放置不锈钢冠当天、放置后1周和放置后6个月填写的问卷来评估不适程度。
发现霍尔技术是成功的，因为在放置不锈钢冠后的6个月内，临床和影像学上均无失败病例。术后增加的OVD在6个月内恢复到正常水平，OVD的平均变化具有统计学意义（P = 0.02）。
霍尔技术被证明在临床上是有效的，并且被大多数儿童所接受。
Bhatia HP, Khari PM, Sood S, 评估霍尔技术治疗龋坏乳磨牙的临床效果和患者接受度：一项研究。《国际临床儿科牙科学杂志》2019；12(6):548 - 552。
