Talk:Hall Technique

Scope?

This article seems to currently have wider scope than the hall technique, and also covers other 'biologically orientated strategies for managing dental decay'. Suggest either the article be renamed accordingly or the off topic content be moved to articles such as pulp capping where stepwise caries removal is also discussed. Matthew Ferguson (talk) 22:27, 2 July 2015 (UTC)

La Trobe oral health sutdents- EBP assignment

I am a La Trobe Oral Helath student and as part of one of my subjects, we are required to edit a wikipedia page and add additional information and references to the page. I was thinking of adding to the page additional information such as steps of the procedure, additional information about the history of Hall Technique, current evidence regarding its effectiveness and history of preformed metal crown use. I feel the page has already got a lot of good quality information at present, but using additional citations may also be something which could be added to the page. I thought the following information would be a good addition to the page;

Innes, N. P. T., Evans, D. J. P., & Stirrups, D. R. (2011). Sealing caries in primary molars randomized control trial, 5-year results. Journal of dental research, 90(12), 1405-1410.

The traditional method for management of dental caries has evolved form the exclusive domain of techniques based on complete caries removal prior to tooth restoration. The Hall technique was developed in Scotland by a General Dental Professional, Dr. Norna Hall. In the 1980s Dr. Hall began using preformed metal crowns on carious primary molars. The pre-formed crowns were cemented over carious primary molars using a glass-ionomer luting cement, with no caries removal, tooth preparation, or local anaesthesia. Preformed metal crowns are recommended as the optimum restoration for managing carious primary molars. A potential problem with sealing caries opposed to caries removal is that the caries process might only be slowed, rather than arrested

Clinical trials have shown the Hall Technique to be effective, however it is not an easy quick fix solution to the problem of carious primary molars. The technique is not suited to every tooth, child or clinician, however it can be an effective method of managing carious primary molars. Hall technique should not be used when there are clinical or radiographic signs and symptoms of irreversible pulpitis or dental abscess. Radiographically there should be a clear band of dentine between the carious lesion and pulp for a Hall Technique to be suitable.

Innes, N. P. T., Ricketts, D., Chong, L. Y., Keightley, A. J., Lamont, T., & Santamaria, R. M. (2015). Preformed crowns for decayed primary molar teeth (Review).

Preformed metal crowns have been used for restoring primary molars since the 1950’s. Literature suggests preformed crowns placed on carious primary molar teeth reduce risk of major failure or pain in the long term compared to fillings. There is also evidence to suggest that fitting crowns using the Hall Technique can reduce patient discomfort at the time of treatment in comparison to conventional fillings.

Michaelapitcaithly (talk) 06:32, 6 April 2016 (UTC)

I think adding images to the page would also add value to the topic, possibly an image of a SSC in the mouth of what a preformed SSC looks like? let me know your thoughts Michaelapitcaithly (talk) —Preceding undated comment added 23:55, 26 April 2016 (UTC)

Trikkelle will be adding pictures onto Wikicommons of the procedure of placing a SSC (Hall Technique). these will be uploaded in the procedure section of the page with a short description of each step. Michaelapitcaithly (talk) 23:51, 10 May 2016 (UTC) michaela pitcaithly

Sounds good, let me know when they are uploaded.149.144.115.168 (talk) 23:54, 10 May 2016 (UTC)Tanesha Cecchin

As discussed I have taken images of the Halls technique steps on a tooth model, in collaboration with Simran and Michaela. I have uploaded the images to Wikicommons and will be uploading them to the procedure section with the details of the procedure , such as separator placement, no preperation of the tooth protecting the airway with qauze, and placement of the SSC. We also would have liked to include images of radiographs showing the caries under the SSC however no images appear to be available, and we cannot provide these due to patient privacy. — Preceding unsigned comment added by Trikkelle (talk • contribs) 23:23, 12 May 2016 (UTC)

Awesome thanks guys for doing the photo's, the page starting to come together, I'm thinking we should also add in the reasons behind failure of SSC as well as the success and failure rates, What does everyone think?

Also I'm thinking maybe we can also put in recommendations to help minimise failure such as a guide for proper case selection what are your thoughts? — Preceding unsigned comment added by Igz90 (talk • contribs) 23:48, 12 May 2016 (UTC)

The success and failure rates might be good, that might also come into the advantages/disadvantages section maybe. As long as the failure/success rates are studies on Halls technique and not conventional SCC.

Some other areas to note to cover,are what should the patient expect, such as having to cooperate to bite down, tastes, and increased occlusal height. Other factors to consider could be if parents may be concerned about the black numbering on the SSC so explaining that this will come off. And also that it is important to monitor for abscess etc which could perhaps then link to the following page: https://wiki.riteme.site/wiki/Dental_abscess

Might also be good to very briefly mention alternative treatments? User:Trikkelle Trikkelle (talk) 02:22, 14 May 2016 (UTC)

I like the look of the pictures, but we may need to play around with layout as they spread into two different sections, I might play around and see if I can put them in a better layout. Success and failure rates sounds like a good thing to add.Michaelapitcaithly (talk) 07:52, 16 May 2016 (UTC)

As Trikelle mentioned i will add to the page the advantages and disadvantages including success and failure rates. I will also include patient expectations however i am unsure weather this requires a separate section or if it can be added to the steps of procedure section. Nooshy1 (talk) 08:19, 16 May 2016 (UTC)Tanesha Cecchin

Sounds good Tanesha, let us know once you have uploaded it onto the page and we can review the page to see if anything else needs to be changed or added. Michaelapitcaithly (talk) 11:06, 16 May 2016 (UTC)

I am thinking of adding a small section to the page under Patient expectations, please have a read of the rough version and tell me if you think it is relevant. The child and parent should be fully briefed on the procedure. The child should be shown the crown. Some children respond better to the idea of the crown being a ‘terminator tooth’, shiny helmet tooth or a princess tiara tooth. It is important that the child knows that during the procedure they may be required to bite down to help seat the crown correctly. They must also know that the cement may not taste nice.

After the Hall Technique Crown is placed the child may find that biting feels unusual. This feeling will return to normal in a few days, The gums may appear blanched and feel tight to the child at first but will settle very quickly. The gum may also appear blue around the crown. This is just the colour of the metal sitting under the gum. Avoid giving your child sticky or chewy foods after the procedure as this may displace the crown. It is important that the child still brushes the tooth to help maintain the crown. Nooshy1 (talk) 00:46, 18 May 2016 (UTC)Tanesha Cecchin

I think that you have listed some important information Tanesha, and covered some areas of parent concern. Perhaps the information could go in dot points when uploaded to the page? But that is formatting that can be altered later at least. I can see it would have been beneficial if I could have also photographed the blue "appearance" of gingiva due to the crown sitting below the gum line. However this does not show on the frasaco teeth, and I cannot find anything on Wikicommons. ([{User talk: Trikkelle talk]]) — Preceding unsigned comment added by Trikkelle (talk • contribs) 22:47, 20 May 2016 (UTC)

I have added my section to the page but may need work on formatting. Please let me know what you would like changed and i will adjust it accordinglyNooshy1 (talk) 00:26, 21 May 2016 (UTC)Tanesha Cecchin

Just added section on alternative therapies, the ones I added included: leave, conventional SSC, dental restoration and extraction. Please let me know if anything else is appropriate to add I thought these where the most appropriate, also wanting to add a section for material/instuments used during SSC procedure. Would it be best to have this under procedure section to make a whole new section? (talk) (UTC) Simran Kaur —Preceding undated comment added 16:15, 21 May 2016 (UTC)

I just reviewed the page and reviewed and changed spelling and grammatical errors. Some Adjustments were also made to the procedure steps and the indications and contraindications, fixed some wording in these sections as well.Michaelapitcaithly (talk) 12:01, 23 May 2016 (UTC)michaelapitcaihtly

Great Job guys, I just did a few minor changes, also i'm thinking that we should move the pictures to how they were last time on the right hand side as most wikipedia pages are set out this way. I think by having them on the right hand side it'll have a much cleaner and professional look to it. Also good job on the alternative therapies Sim that looks good. unsigned comment added by Igz90 (talk —Preceding undated comment added 23:35, 23 May 2016 (UTC)

References