DentaltownUK March 2018 - 10
paediatric dentistry
The Hall Technique
Treating carious deciduous molars with the noninvasive
Hall technique, in which decay is sealed under preformed
(stainless steel) crowns, avoiding injections and drilling
by Dr. Natalie Bradley
Natalie Bradley BDS MFDS
RCSEd qualified from
Newcastle University in 2014
and is now a community
dental officer working in
East London. She also works
part time in general practice
as a dental associate and
is a study club director for
Dentinal Tubules. She has
her own blog at atoothgerm.co.uk
Table 1: Indications and
contraindications for
using the Hall technique
Introduction
Stainless steel crowns (SSCs) are
preformed crowns, which have been
used in paediatric dentistry since 1950.
Until relatively recently, however, the
uptake of use in primary care has been
unpopular. This was primarily due to the
need to extensively prepare primary teeth,
the risk of damage to adjacent permanent
teeth and the challenge of administering
the local anaesthetic in a young child.
Dr. Norma Hall popularised a nonpreparatory technique which over the past
10 years has increased in popularity and
support, as a result of research papers from
Innes and Evans. The technique involves
no preparation or caries removal, and aims
to arrest caries by sealing it from the oral
environment.
No (or little) preparation reduces the
risk of damage to other teeth, and often
removes the need for local anaesthetic.
A modif ied technique could be
considered in some cases-for example,
breaking through a contact point to create
space if separators are not available or
have fallen out.
Case selection is essential in deciding whether to provide SSCs, as well as
ensuring that any questions are answered
in order that parents/guardians can give
informed consent.
Indications
Contraindications
Approximal lesions in primary molars.
Approximal or occlusal lesions where there is
no intact band of dentine visible radiographically
between the pulp and the carious lesion.
Occlusal lesions in primary molars
where a conventional restoration
is not possible due to compliance.
Pulpal pathology.
Protection of primary molars in high-risk
individuals-e.g., erosion, dental anomalies.
Apical disease.
Band of intact dentine visible radiographically
between the pulp and the carious lesion.
Unusual crown morphology.
Insufficient coronal tissue to retain a crown.
Uncooperative child.
Second primary molars where the first permanent
molar has partially erupted or risk of impaction.
10
MARCH 2018 // dentaltownuk.com
http://www.atoothgerm.co.uk
http://www.dentaltownuk.com
Table of Contents for the Digital Edition of DentaltownUK March 2018
Cover
Mike Gow editorial
Howard Speaks
Continuing Education Update
The Hall Technique
Message Board - Am I too Conservative?
Top 10 Tips for starting a successful clinic
Message Board - Knock to a Front Tooth 12yo
The British Dental Confeerence and Dentistry Show 2018
Anterior Surgical Crown Lengthening
Cover Story - The Dancing Dentist
Posterior Composite Stratification
Indirect vs. Direct Restorations
Orthodontic Restorative Interface
BACD News
Through the Keyhole
Lifestyle
Dental Aid Network
Students
Wish List
Quiz
DentaltownUK March 2018 - Cover
DentaltownUK March 2018 - Cover2
DentaltownUK March 2018 - 3
DentaltownUK March 2018 - 4
DentaltownUK March 2018 - Mike Gow editorial
DentaltownUK March 2018 - Howard Speaks
DentaltownUK March 2018 - 7
DentaltownUK March 2018 - Continuing Education Update
DentaltownUK March 2018 - 9
DentaltownUK March 2018 - The Hall Technique
DentaltownUK March 2018 - 11
DentaltownUK March 2018 - 12
DentaltownUK March 2018 - Message Board - Am I too Conservative?
DentaltownUK March 2018 - 14
DentaltownUK March 2018 - Top 10 Tips for starting a successful clinic
DentaltownUK March 2018 - Message Board - Knock to a Front Tooth 12yo
DentaltownUK March 2018 - 17
DentaltownUK March 2018 - 18
DentaltownUK March 2018 - The British Dental Confeerence and Dentistry Show 2018
DentaltownUK March 2018 - 20
DentaltownUK March 2018 - Anterior Surgical Crown Lengthening
DentaltownUK March 2018 - 22
DentaltownUK March 2018 - 23
DentaltownUK March 2018 - Cover Story - The Dancing Dentist
DentaltownUK March 2018 - 25
DentaltownUK March 2018 - 26
DentaltownUK March 2018 - 27
DentaltownUK March 2018 - Posterior Composite Stratification
DentaltownUK March 2018 - 29
DentaltownUK March 2018 - 30
DentaltownUK March 2018 - Indirect vs. Direct Restorations
DentaltownUK March 2018 - 32
DentaltownUK March 2018 - 33
DentaltownUK March 2018 - Orthodontic Restorative Interface
DentaltownUK March 2018 - 35
DentaltownUK March 2018 - 36
DentaltownUK March 2018 - BACD News
DentaltownUK March 2018 - Through the Keyhole
DentaltownUK March 2018 - 39
DentaltownUK March 2018 - Lifestyle
DentaltownUK March 2018 - 41
DentaltownUK March 2018 - Dental Aid Network
DentaltownUK March 2018 - 43
DentaltownUK March 2018 - 44
DentaltownUK March 2018 - 45
DentaltownUK March 2018 - 46
DentaltownUK March 2018 - Students
DentaltownUK March 2018 - 48
DentaltownUK March 2018 - Wish List
DentaltownUK March 2018 - Quiz
DentaltownUK March 2018 - Cover3
DentaltownUK March 2018 - Cover4
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