THE HALL TECHNIQUE IN PAEDIATRIC DENTISTRY: A REVIEW OF THE LITERATURE
AND AN “ALL HALL” CASE REPORT WITH A-24 MONTH FOLLOW UP
214
Table 3. Sequence of appointments.
Appointment 1 Assessment, radiographs, explain treatment options,
OHI, diet sheet, orthodontic separator 64 (as parents
opted for HT)
Appointment 2 (one week later) 2 SSCs placed Diet advice, remove separator 64. Place and cemented
SSC using HT on 64 and 84 (spaced already), place new
separators on 55 and 75
Appointment 3 (one week later) 2 SSCs placed OHI reinforced, remove separators, cement SSC HT on
55 and 75
Appointment 4 (one week later) Place new separators on 65 and 85
Appointment 5 (one week later) 2 SSCs placed Remove separators and cement SSCs HT on 65 and 85
Appointment 6 (one week later) Place separators, 54 and 74
Coincidently 51 noted to be discoloured, no known
history of trauma. X-ray taken. Opted to manage this
tooth conservatively although pulpectomy or extraction
of 51 not ruled out
Appointment 5 (One week later) 2 SSCs placed Reinforce OH. Placed SSCs HT on 54 and 74. Restore
Upper anterior teeth using GIC restorations as interim
restorations
Appointment 6 (One week later) Check occlusion. Reinforce OHI and polish upper
anterior teeth
Recall 3 months No complaints. Check occlusion and OH
Recall 6 months later All Es and Ds SSCs in situ. No symptoms. Bitewings
taken. No clinical or radiographic signs of pathology.
Occlusion had settled (No open bite). Good gingival
health
Recall 9, 12, 15, 18 months later No complaints. OH excellent. Occlusion normal. Good
gingival health. Radiographs taken. Fluoride. Consider
if cooperation improves, anterior strip crowns with
composite (in addition to pulp therapy for 51)
Review at 24 months No complaints. Bitewings taken show no pathology. 26
noted to be impacted against 65 SSC. Dissimpacted 26
by removing SCC. 26 erupted . Replaced SSC 65
young age, anxiety, the number of molars involved,
pre-cooperation, the limited financial capacity of
the parents to afford general anaesthesia. However,
the parents’ dedication to attend to multiple
appointments, motivation and great support to their
child made it successful. Modelling techniques had
worked successfully to reduce the patient’s dental
anxiety, where he observed and learned appropriate
behaviour from his parents and sister. Separation
anxiety is very common at this age and having the
parent or his sister around was helpful. He had a high
risk dental caries status, so his primary molars were
treated using SSCs, although other options such as
complete caries removal and composite restorations,
partial caries removal or even non restorative caries
treatment (NRCT) were possible. 7 The patient was a
good candidate for the HT, as his molars were carious,
asymptomatic, had no signs of irreversible pulpitis or sepsis, no clinical or radiographic signs of pulpal
involvement or inter-radicular pathology and had a
good amount of tooth structure for crown retention.
In other words, the molar lesions were “captured”
before they became pulpally involved. The HT was
effective as it sealed the caries under the crown
without LA, tooth preparation or caries removal.
Priority was given to tooth 84 as it had the deepest
lesion compared to the rest. The patient accepted
the minute occlusal changes after cementation of
each HT crown. The occlusion clinically appeared
to have re-established itself in a very short time (see
Fig. 7 using the primary canines as indices) and this
was always checked before proceeding with the next
phase. Managing the upper anterior cavities with
permanent restorations would have been impossible
in this case due to the child’s lack of cooperation.
Therefore, temporization of open cavities with GIC
Stoma Edu J. 2017;4(3): 208-217
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