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Clinical and patient-reported outcomes in children with learning disabilities treated using the Hall Technique: a cohort study.
British Dental Journal ( IF 2.6 ) Pub Date : 2020-01-01 , DOI: 10.1038/s41415-019-1166-x
Mark D Robertson 1 , Jenny C Harris 2 , John R Radford 1 , Nicola P T Innes 1
Affiliation  

Introduction Preformed metal crowns (PMC) placed using the Hall Technique (HT) are effective for managing carious lesions in primary molars and might be tolerable and successful for children with learning disabilities (CLD), possibly avoiding the need for sedation/ anaesthesia.Aim To investigate the effectiveness of the HT for management of carious lesions in children with learning disabilities through a prospective service evaluation.Methods Sixteen, 4-12-year-old CLD had 27 carious lesions managed using the HT and were followed-up. Outcomes were: 1) incidence of dental pain/infection; 2) success of treatment outcomes as judged by patients and parents/carers; and 3) adverse outcomes.Results Twenty seven teeth treated with HT were followed up for five to 87 months (mean = 24) with no episodes of pain and/or infection in treated teeth. Treatment was rated as causing no discomfort in 80% of children and as successful by 98% of children; 96% of parents/carers, and 100% of dentists. Other adverse outcomes; occlusal surface perforation (n = 8; 30%).Conclusion The HT was acceptable to, and effective in treating carious lesions in CLD who were unable to accept traditional restorative treatment. This alternative treatment option may avoid the need for general anaesthesia.

中文翻译:

使用霍尔技术治疗的学习障碍儿童的临床和患者报告结局:一项队列研究。

简介使用霍尔技术(HT)放置的预制金属冠(PMC)可有效处理原发性磨牙中的龋齿病变,对于学习障碍儿童(CLD)可能是可以耐受并成功的,从而可能避免了镇静/麻醉的需要。方法通过前瞻性服务评估来评估HT治疗学习障碍儿童龋病的效果。方法16名4-12岁的CLD接受了HT治疗的27例龋病,并进行了随访。结果是:1)牙齿疼痛/感染的发生率;2)由患者和父母/护理人员判断的治疗结果是否成功;结果是,对27颗经HT治疗的牙齿进行了随访,随访时间为5到87个月(平均= 24),治疗后的牙齿无疼痛和/或感染发作。80%的儿童没有引起不适,而98%的儿童则认为成功。96%的父母/照料者和100%的牙医。其他不良后果;咬合面穿孔(n = 8; 30%)。结论HT是不能接受传统修复治疗的CLD龋病可接受且有效的治疗方法。这种替代治疗选择可以避免全身麻醉的需要。
更新日期:2020-01-24
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