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Hall Technique
The Hall Technique is a non-invasive treatment for decayed baby back (molar) teeth. Decay is sealed under preformed (stainless steel) crowns, avoiding injections and drilling. It is one of a number of biologically orientated strategies for managing dental decay.
The technique has an evidence-base showing that it is acceptable to children, parents and dentists and it is preferred over standard filling techniques.〔Innes NPT, Evans DJP, 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 2007 7:18. http://www.biomedcentral.com/1472-6831/7/18〕 Crowns placed using the Hall Technique have good long term outcomes (pain/infection and need for replacement) compared with standard fillings.〔Innes NPT, Evans DJP, Stirrups DR. Sealing Caries in Primary Molars; Randomized Control Trial, 5-year Results. J Dent Res 2011 90(12) 1405-10. http://jdr.sagepub.com/content/90/12/1405.abstract〕〔Innes NPT, Marshman Z, Vendan R. A Group of General Dental Practitioners’ Views of Preformed Metal Crowns after Participation in the Hall Technique Clinical Trial; A Mixed-Method Evaluation. Primary Dental Care 2010 Jan; 17(1):33-7 http://www.ingentaconnect.com/content/fgdp/pdc/2010/00000017/00000001/art00017?crawler=true〕〔Gilchrist F, Howell J, Gavern D, North S, Innes NPT, Rodd HD. Clinical outcomes for preformed metal crowns placed by dental undergraduates. Int J Paediatr Dent 2011, 21 (Suppl. 2): 1〕
== History ==
The Hall Technique is named after Norna Hall, a dentist working in Scotland, who has developed a simplified technique where the crown is simply cemented over the carious primary molar, with no local anaesthesia, caries removal, or tooth preparation of any kind.〔Innes NPT, Stirrups DR, Evans DJP, Hall N. A Novel Technique Using Preformed Metal Crowns for Managing Carious Primary Molars in General Practice – a retrospective analysis Brit Dent J 2006; 200(8):451-4 & 444 http://www.nature.com/bdj/journal/v200/n8/abs/4813466a.html〕
The Hall Technique has been included in a guideline of the Scottish Dental Clinical Effectiveness Programme (SDCEP)〔Scottish Dental Clinical Effectiveness Programme “Prevention and management of dental caries in children”. Published April 2010. http://www.sdcep.org.uk/index.aspx?o=2858〕 and has helped to drive change in how dentists manage decay in primary teeth from the traditional invasive surgical approach to the less-invasive biological management of decay.〔Morgan AG, Gilchrist F, Cowlam J, Rodd HD. Comparative outcomes for Hall vs conventionally placed preformed metal crowns. Int J Paediatr Dent 2012; 22(Suppl. 2):17-18.〕〔McKinney A, Britton, KFM, Innes NPT, Cairns A. The success of Hall Technique crowns on a student outreach clinic. Int J Paediatr Dent 2011; 21(Suppl. 2): 8-9.〕〔Foley JI. Short communication: a pan-European comparison of the management of carious primary molar teeth by postgraduates in paediatric dentistry. Eur J Paediatr Dent 2012; 13(1):41-6.〕〔Innes NPT, Evans DJP. Modern approaches to caries management of the primary dentition. Brit Dent J. 2013, 214(11) 559-566.〕〔Bark JE, Dean AA, Cairns AM. Opinion and usage of the “Hall Technique” amongst paediatric dental specialists in Scotland. Int J Paediatr Dent 2009; 19(Suppl. 2):11〕
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
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