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Hall technique for primary teeth: A systematic review and meta-analysis.
Shijia Hu1, Alaa BaniHani2, Sarah Nevitt3
1Faculty of Dentistry, National University of Singapore, Singapore.
The Japanese Dental Science Review
|October 3, 2022
Summary
The Hall Technique (HT) is a successful approach for managing dentine caries in primary teeth, especially for multi-surface lesions. This method is well-tolerated by children and accepted by parents, with minimal adverse effects observed.
Area of Science:
- Pediatric Dentistry
- Cariology
- Restorative Dentistry
Background:
- The efficacy of the Hall Technique (HT) for treating carious primary molars remains a subject of debate.
- Assessing HT as a standard management technique is crucial for pediatric dental care.
Purpose of the Study:
- To systematically review and summarize the existing evidence on the effectiveness of the Hall Technique (HT) in managing dentine caries in primary teeth.
- Evaluate the success rates and potential adverse effects associated with HT.
Main Methods:
- A comprehensive literature search was conducted across MEDLINE, Embase, CENTRAL, and Epistemonikos databases for studies published between 2007 and 2021.
- Clinical studies evaluating HT in primary teeth were included, with data extraction and quality assessment performed independently by two reviewers.
- A meta-analysis was conducted on a subset of the included studies.
Main Results:
- Eleven publications from eight unique studies were included, with four demonstrating a low risk of bias.
- The Hall Technique (HT) showed a 49% higher likelihood of success compared to other methods (RR 1.49 [95% CI: 1.15-1.93]).
- HT success rates were significantly higher than direct restorations (80% more likely) but comparable to conventional preformed metal crowns, with a substantially lower failure rate (over 6 times less likely).
Conclusions:
- The Hall Technique (HT) is a highly successful option for managing caries in primary teeth, particularly for complex proximal or multi-surface dentine lesions.
- HT is well-tolerated by children and accepted by parents, with only mild adverse effects reported, supporting its clinical applicability.
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