Hall technique for primary teeth: A systematic review and meta-analysis

Background: There has been a debate about the use of Hall Technique (HT), whether it can be considered as a standard technique for the management of carious primary molars. Aim: To summarise the evidence on HT for managing dentine caries in primary teeth. Design: MEDLINE, Embase, CENTRAL and Epistem...

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Main Authors: Shijia Hu, Alaa BaniHani, Sarah Nevitt, Michelle Maden, Ruth M. Santamaria, Sondos Albadri
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Japanese Dental Science Review
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1882761622000217
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author Shijia Hu
Alaa BaniHani
Sarah Nevitt
Michelle Maden
Ruth M. Santamaria
Sondos Albadri
author_facet Shijia Hu
Alaa BaniHani
Sarah Nevitt
Michelle Maden
Ruth M. Santamaria
Sondos Albadri
author_sort Shijia Hu
collection DOAJ
description Background: There has been a debate about the use of Hall Technique (HT), whether it can be considered as a standard technique for the management of carious primary molars. Aim: To summarise the evidence on HT for managing dentine caries in primary teeth. Design: MEDLINE, Embase, CENTRAL and Epistemonikos databases were searched for clinical studies conducted from 2007 to 2021 evaluating HT in primary teeth. Two reviewers independently screened, data extracted and quality assessed the studies. Results: Eleven publications from eight unique studies were included. Four were of low risk of bias overall and five studies were included in a meta-analysis. Overall, HT was 49 % (RR 1.49 [95 % CI: 1.15–1.93], I2 =89.5 %, p < 0.001) more likely to succeed. When compared to direct restorations, HT was 80 % more likely to succeed; while similar success was found when compared to conventional preformed metal crowns. HT was also over 6 times (RR 0.16 [95 %CI: 0.10–0.27], I2 =0 %, p < 0.001) less likely to fail. Most of the studies included proximal or multi-surface lesions. Conclusions: HT is successful option for the management of caries in primary teeth, particularly for proximal or multi-surface dentine lesions. It is well-tolerated by children and acceptable to parent, with mild adverse effects reported.
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spelling doaj.art-a479a901be204fbbb265a5f726dd2caa2022-12-25T04:17:30ZengElsevierJapanese Dental Science Review1882-76162022-11-0158286297Hall technique for primary teeth: A systematic review and meta-analysisShijia Hu0Alaa BaniHani1Sarah Nevitt2Michelle Maden3Ruth M. Santamaria4Sondos Albadri5Faculty of Dentistry, National University of Singapore, SingaporeDepartment of Paediatric Dentistry, School of Dentistry, University of Leeds, UKLiverpool Reviews &amp; Implementation Group, University of Liverpool, UKLiverpool Reviews &amp; Implementation Group, University of Liverpool, UKDepartment of Preventive and Paediatric Dentistry, University of Greifswald, Greifswald, GermanySchool of Dentistry, University of Liverpool, UK; Correspondence to: School of Dentistry University of Liverpool, Pembroke Place, Liverpool L3 5PS, UK.Background: There has been a debate about the use of Hall Technique (HT), whether it can be considered as a standard technique for the management of carious primary molars. Aim: To summarise the evidence on HT for managing dentine caries in primary teeth. Design: MEDLINE, Embase, CENTRAL and Epistemonikos databases were searched for clinical studies conducted from 2007 to 2021 evaluating HT in primary teeth. Two reviewers independently screened, data extracted and quality assessed the studies. Results: Eleven publications from eight unique studies were included. Four were of low risk of bias overall and five studies were included in a meta-analysis. Overall, HT was 49 % (RR 1.49 [95 % CI: 1.15–1.93], I2 =89.5 %, p < 0.001) more likely to succeed. When compared to direct restorations, HT was 80 % more likely to succeed; while similar success was found when compared to conventional preformed metal crowns. HT was also over 6 times (RR 0.16 [95 %CI: 0.10–0.27], I2 =0 %, p < 0.001) less likely to fail. Most of the studies included proximal or multi-surface lesions. Conclusions: HT is successful option for the management of caries in primary teeth, particularly for proximal or multi-surface dentine lesions. It is well-tolerated by children and acceptable to parent, with mild adverse effects reported.http://www.sciencedirect.com/science/article/pii/S1882761622000217CrownsHall TechniqueMeta-analysisMinimal intervention dentistrySystematic reviewTooth, Deciduous
spellingShingle Shijia Hu
Alaa BaniHani
Sarah Nevitt
Michelle Maden
Ruth M. Santamaria
Sondos Albadri
Hall technique for primary teeth: A systematic review and meta-analysis
Japanese Dental Science Review
Crowns
Hall Technique
Meta-analysis
Minimal intervention dentistry
Systematic review
Tooth, Deciduous
title Hall technique for primary teeth: A systematic review and meta-analysis
title_full Hall technique for primary teeth: A systematic review and meta-analysis
title_fullStr Hall technique for primary teeth: A systematic review and meta-analysis
title_full_unstemmed Hall technique for primary teeth: A systematic review and meta-analysis
title_short Hall technique for primary teeth: A systematic review and meta-analysis
title_sort hall technique for primary teeth a systematic review and meta analysis
topic Crowns
Hall Technique
Meta-analysis
Minimal intervention dentistry
Systematic review
Tooth, Deciduous
url http://www.sciencedirect.com/science/article/pii/S1882761622000217
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