Hall Technique for Carious Primary Molars: A Review of the Literature
Open accessAbstract
The high frequency of caries in primary teeth and its inadequate treatment are major public health problems during childhood. Nowadays, the Hall technique is one of the methods used for biological sealing in carious lesions in primary molars. Thus, the bacteria will be sealed from oral environment and the caries will be inactive. The objective of this article was to provide an updated search on the Hall technique description, indication, contraindication, advantages, concerns, success and failure, cost-effectiveness, acceptability, and preference in pediatric dentistry, and to compare the Hall technique with traditional crown preparation and conventional treatment options for carious primary molars. A discussion of the recently published articles on the Hall technique reveals that the Hall technique is considered a promising restorative option with high acceptability and longevity; with low failure rate for managing carious primary molars compared to conventional treatment modalities used in primary care settings. Furthermore, the survival rate of stainless steel crowns (SSCs) is considered high, whether provided using Hall technique or traditional preparation by a pediatric dentist. Thus, the Hall technique can be an effective addition to the clinician’s range of treatment options for carious primary molars. However, it should be chosen in restricted cases.
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87% of parents prefer the Hall technique due to its minimally invasive approach, reduced treatment time, and lower discomfort levels.
“Studies indicate that 87% of parents prefer the Hall technique, due to its minimally invasive approach, reduced treatment time, and lower discomfort levels [52].”
From Minimally Invasive Techniques for Managing Dental Caries in Children: Efficacy, Applications, and Future Directions (2025) · cites this paper as [52]
Section 3.7 reports that parents generally prefer the Hall technique, but gives 83% of caregivers—not 87% of parents—and does not establish the stated reasons for that preference. It reports similar pain perception across treatment groups. Section 3.1 reports no considerable difference in treatment time between Hall crowns and traditional restorations, rather than a reduction. (LLM, conf=0.88)
Experimental — accuracy not yet measuredConcerns regarding the aesthetic appearance of stainless steel crowns, especially on visible posterior teeth, remain a challenge.
“However, concerns regarding the aesthetic appearance of stainless steel crowns, especially on visible posterior teeth, remain a challenge [52].”
From Minimally Invasive Techniques for Managing Dental Caries in Children: Efficacy, Applications, and Future Directions (2025) · cites this paper as [52]
Section 3.7 (page not provided) says the appearance of metal crowns can concern children and parents, supporting the aesthetic-concern claim. It discusses primary posterior teeth but does not say the concern is especially pronounced for visible posterior teeth. (LLM, conf=0.83)
Experimental — accuracy not yet measuredChallenges of the Hall technique include aesthetic factors, constraints in case selection, and transient alterations in occlusion.
“However, it is essential to consider challenges such as aesthetic factors, constraints in case selection, and transient alterations in occlusion [52,53].”
From Minimally Invasive Techniques for Managing Dental Caries in Children: Efficacy, Applications, and Future Directions (2025) · cites this paper as [52]
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Okuji, D. M., Tran, A., Caracci, J., Phan, B., & Jeffries, L. (2025) · medRxiv · doi:10.1101/2025.05.18.25327863
Al-Rai, S., Alyousefy, M. A., Al-Twaili, Z., Anqa, E., Amin, M. A., Al-Bateit, J., Al-Mogahed, H., & Al-Batayneh, O. B. (2025) · Frontiers in Oral Health · doi:10.3389/froh.2025.1527355
Zeng, X., He, P., & Kang, B. (2025) · Medicine · doi:10.1097/md.0000000000043130
Abd-Elhaleium, M. M. A. Z., Elhendawy, F. A. A., Elghareb, L. A., & Abo-Ali, S. Y. (2025) · Tanta Dental Journal · doi:10.4103/tdj.tdj_95_24
Milchmolarenkronen in der Kinderzahnmedizin
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Discepolo, K. E. (2025) · Springer eBooks · doi:10.1007/978-3-031-40858-8_288-1
Sinadinos, A., Spencer, R. J., McDerra, E. J., Leavy, P., & Nichol, R. (2026) · BDJ · doi:10.1038/s41415-025-9303-1
Dönertas, A. D., & Erçel, N. Ö. (2026) · Clinical and Experimental Health Sciences · doi:10.33808/clinexphealthsci.1618014
La técnica EQUIA como opción en el tratamiento de restauración dental
Centeno, J. E. O., Centeno, M. O., Castillo, V. M., Sotelo, R. N. G., Díaz, J. E. L., & Martínez-Martínez, E. A. (2025) · Revista de la Facultad de Odontología · doi:10.25014/revfacodont271.2025.35.2.26
Almaaita, A. O., Alshdefat, A., Almaaitah, H. M., Altarawneh, H. A., Aloran, S., Al-Ababneh, O., & Hammouri, E. H. (2026) · Cureus · doi:10.7759/cureus.113679
Alharbi, M. S., Bakhurji, E. A., Shetty, A. C., Alsaati, M., & Alyousef, Y. M. (2026) · Dentistry Journal · doi:10.3390/dj14090566
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- Authors
- Altoukhi, D. H., & El-Housseiny, A. A.
- Affiliations
- King Abdulaziz University (SA)
- Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia
- Venue
- Dentistry Journal
- Publisher
- MDPI AG
- Published
- 2020-01-17
- Volume
- 8
- Issue
- 1
- Pages
- 11
- ISSN
- 2304-6767 (ISSN-L)
- PMC
- PMC7148518
- OpenAlex
- W2998948405
- Cited by
- 73
- References
- 48
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 7 · 2023: 11 · 2022: 31 · 2021: 4 · 2020: 2
- FWCI
- 2.91
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Dentistry Journal (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Health Sciences › Dentistry › Oral Surgery › Endodontics and Root Canal Treatments
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Keywords
- Hall technique, pediatric dentistry, stainless steel crowns, crown preparation, caries treatment, treatment failure rate, cost-effectiveness
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