Browse > Article
http://dx.doi.org/10.5933/JKAPD.2012.39.2.199

THE STAINLESS STEEL CROWN RESTORATION OF CARIOUS PRIMARY MOLARS WITH HALL TECHNIQUE : A CASE REPORT  

Yu, Seong-Goo (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
Jeong, Tae-Sung (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
Kim, Shin (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.39, no.2, 2012 , pp. 199-205 More about this Journal
Abstract
Although the stainless steel crowns have been recognized as the most effective and durable form of restoration for primary molars, they have been regarded by many dentists as having definite demerits such as invasive nature of procedural complexity and behavioral aspects of children. As an alternative to conventional technique of stainless steel crown restoration, the Hall technique was first introduced in 1988, which is characterized by just pushing the pre-contoured, cement filled crown form onto the abutment molar with no local anesthesia, no caries removal, no tooth preparation. According to several reports, this can slow, arrest, or even reverse the progress of caries. In addition, its atraumatic feature gives less discomfort and stress to children than conventional one, which is thought excellent especially in younger children. Also, It has been reported to be effective and acceptable to dentist, child patients and their parents. In this case study, three children with age of 4 years 5 months, 4 years 10 months, 6 years 4 months were treated with stainless steel crowns using Hall technique on first primary molar respectively. The teeth were free from pulpal, periapical pathology. After follow up of about 3 to 6 months period, the results showed clinically successful outcomes without any marked complication in pulp, tooth or soft tissue till now. But, it should be kept in mind that this technique is not proper to every child, every carious molar, or every dentist. Thorough distinction of indicated cases and continuous follow-up check is highly required. Conclusively, Hall technique might be an effective and realistic minimally invasive alternative for the carious primary molars especially in younger or disabled children, despite potential doubts on its efficacy and some definite limitations.
Keywords
Hall Technique; Minimally invasive; Stainless steel crowns;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Humphrey W : Uses of chrome steel in children's dentistry. Dent. Survey, 26:945-949, 1950.
2 Kindelan SA, Day P, Nichol R, et al. : UK National Clinical Guidelines in Paediatric Dentistry: Stainless steel preformed crowns for primary molars. Int J Paediatr Dent, 18:Suppl 1:20-28, 2008.   DOI
3 이선경, 김종철, 이광수 : 기성금속관수복 유구치의 변연 적합도에 관한 연구. 대한소아치과학회지, 26(2):389-400, 1996.
4 Threlfall AG, Pilkington L, Milsom KM, et al. : general dental practitioners views on the use of stainless steel crowns to restore primary molars. Br Dent J, 199(7):453-455, 2005.   DOI
5 Randall RC : Preformed metal crowns for primary and permanent molar teeth: review of the literature. Pediatr Dent, 24(5):489-500, 2002.
6 N. Sue Seale : The use of stainless steel crowns. Pediatr Dent, 24(5):501-505, 2002.
7 배익현, 정태성, 김신 : 제2유구치 기성금속관 수복에 따른 제 1대구치의 의원성 손상. 대한소아치과학회지, 31(2):153-158, 2004.
8 Innes NP, Stirrups DR, Evans DJ, et al. : A novel technique using preformed metal crowns for managing carious primary molars in general practice - a retrospective analysis. Br Dent J, 200(8):451-454, 2006.   DOI
9 Innes NP, Stirrups DR, Evans DJ, Hall N, et al. : The Hall technique: a pilot trial of a novel use of preformed metal crowns for managing carious primary teeth. Br Dent J, 200(8):451-454, 2006.   DOI
10 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, 7:18, 2007.   DOI
11 Innes N, Evans D, Hall N : The Hall technique for managing carious primary molars. Dent Update, 36(8):472-474, 477-478, 2009.
12 Innes N, Evans D : The Hall Technique: A user manual. http://www.scottishdental.org/index.aspx?o=2802.
13 Rahimtoola S, van Amerongen E, Maher R et al. : Pain related to different ways of minimal intervention in the treatment of small caries lesions. ASDC J Dent Child, 67(2):123-127, 2000.
14 van Bochove JA, van Amerongen WE : The influence of restorative treatment approaches and the use of local analgesia, on the children's discomfort. Eur Arch Paediatr Dent, 7(1):11-16, 2006.
15 대한소아치과학회 : 소아치과학 교과서. 신흥인터네셔날, 서울, 2007.
16 Luther F : TMD and occlusion part II. Damned if we don't? Functional occlusal problems: TMD epidemiology in a wider context. Br Dent J, 202(1):1-6, 2007.   DOI
17 Marsh PD : Dental plaque as a microbial biofilm. Caries Res, 38(3):204-211, 2004.   DOI
18 Ricketts DN, Kidd EA, Innes N, et al. : Complete or ultraconservative removal of decayed tissue in unfilled teeth. Cochrane Database Syst Rev, 2006.
19 Fejerskov O, Kidd EAM : Dental Caries. The Disease and its Clinical Management. Blackwell Munksgaard, Denmark, 267-291, 2003.
20 Croll TP : Preformed stainless steel crowns: an update. Compend Contin Educ Dent, 20:89-92, 94-96, 98-100, 1999.
21 Croll TP, Epstein DW, Castaldi CR : Marginal adaptation of stainless steel crowns. Pediatr Dent, 25(3):249-252, 2003.
22 우주형, 장철호, 김정욱 등 : 유구치 기성 금속관의 변연 적합도에 관한 연구. 대한소아치과학회지, 34(1):27-35, 2007.