When Less is More: Minimally Invasive, Evidence-Based Treatments for Dentine Caries in Primary Teeth - The Hall Technique and Silver Diamine Fluoride

Prim Dent J. 2021 Dec;10(4):33-42. doi: 10.1177/20501684211067354.

Abstract

Evidence supports minimally invasive dentistry, and we have a better understanding of dental caries as a biofilm-mediated disease. These factors, together with the current need to reduce aerosol generation, make treatment approaches such as the Hall Technique and the use of silver diamine fluoride (SDF) more relevant than ever.Successful treatment planning depends on carious lesions being detected, their status accurately assessed, and a correct diagnosis made. Choosing the most appropriate treatment options for the tooth and child relies on marrying this with a precise history and an understanding of indications and contraindications for treatments.This article outlines the optimal use of the Hall Technique and SDF, allowing dental practitioners and therapists to use these modalities as less invasive approaches to provide the highest quality treatment for children with dental caries; less is more.

Keywords: Hall Technique; caries; primary teeth; restorations; silver diamine fluoride.

MeSH terms

  • Cariostatic Agents / therapeutic use
  • Child
  • Dental Caries Susceptibility
  • Dental Caries* / drug therapy
  • Dental Caries* / prevention & control
  • Dentin
  • Dentists
  • Fluorides, Topical / therapeutic use
  • Humans
  • Professional Role
  • Quaternary Ammonium Compounds
  • Silver Compounds
  • Tooth, Deciduous

Substances

  • Cariostatic Agents
  • Fluorides, Topical
  • Quaternary Ammonium Compounds
  • Silver Compounds
  • silver diamine fluoride