Presented By:

(2nd year Post-Graduate Student)

Department of Pedodontics And Preventive dentistry

Dr. Syamala Reddy Dental College,Hospital and Research Center.

Dental decay : Major health problem

In India 52% of 5-year-oldshave atleast one decayed

primary molar tooth.

Several methods available: Pit and fissure sealants, conventional restorative techniques using

Amalgam, Composite or Compomer

Hall’s Technique is a novel method of managing carious primary molars by

cementing Preformed Metal

Crowns over them.

The technique does not require local anaesthesia, caries removal or any tooth preparation.

CARIES

Tooth

Time

Micro-organisms

Food

Hall’s Technique

Seal the tooth

Manipulates the plaque’s environment

Separating it from

substrates

Basically the NUTRITION

Bacterial profille in caries changes

lesion will not progress

A General dental practitioner from

Scotland, who developed and

used the technique for over 15 years until she retired in 2006

Carious lesions

extending only till Dentine

Very incipient lesions

Grossly decayed teeth

Teeth with Irreversible Pulpal Involvement

Pulp polyps

“To determine the efficacy of the Hall’s technique in

the management of carious primary molars with

caries extending only to dentine.”

Study design: 3 year study

( Department of Pedodontics And Preventive dentistryDr. 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.

were placed using

Follow up was done by :o Questionnaire given to the parentso Visual analogue scale given to the patients.

“Quick and easy" “No Drills" “Comfortable" “Less Stress" “No Needles"

230 patients were

HAPPY with the

technique

24 parents objected on ESTHETICS

39 complaint of

DISCOMFORT

7 came with the DISPLACEMENT

of the crown

A MINIMAL INTERVENTION and CHILD FRIENDLY

approach of managing the carious primary molar.

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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 paediatricdentistry. Eur Arch Paediatr Dent 13 (1): 41-6.

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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.

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