Orthodontic appliances: may help break thumb-sucking habits

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This Cochrane review included 6 small studies at high risk of bias and found that orthodontic appliances or psychological intervention seems to be effective to help children stop sucking that does not have a feeding purpose.

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Class II malocclusion: an overview of reviews of functional treatment

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This overview brings together 14 systematic reviews of varying quality on a range of appliances for the management of class II malocclusions. There is some evidence of some benefit from some types of appliance but more studies of a higher quality are needed.

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Easter Break

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The Dental Elf is taking a short Easter break and will be back on the 8th April.

Intentionally replanted teeth: a possible treatment option?

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This review found a significantly higher mean survival for implant supported crowns (97%) compared with Intentionally replanted (IR) teeth (88%). Evidence for IR teeth was limited, being heterogeneous, old and potential suffering from publication bias.

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Periodontal disease: compliance with treatment improves outcomes

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When regularly compliant periodontal patients were compared with erratic compliers in this systematic review, they were found to have significantly lower risk of tooth loss during supportive periodontal treatment

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Implants improve clinical outcomes for Kennedy class I patients

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This review of the use of dental implants to support removable partial dentures in Kennedy class I cases identified only 15 small observational studies. The review suggests that implant use improved patient satisfaction and masticatory ability. However, these findings should be interpreted with caution.

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Xylitol in toothpaste may provide small additional benefit over fluoride toothpastes

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This Cochrane review included 10 studies and found low quality evidence that fluoride toothpaste containing xylitol may be more effective than fluoride-only toothpaste for preventing caries in the permanent teeth. The evidence for other xylitol products is insufficient to assess effectiveness.

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Atraumatic restorative treatment for older adults

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This randomised controlled trial compares atraumatic restorative treatment in older patients to conventional care finding no statistically significant difference at 2 years.

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Crown preparation – limited high quality evidence available

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This review pulls together 117 studies on biological parameters, preparation geometry, and technical conditions of crown preparation. However only 23 of the studies are clinical providing limited evidence for crown preparation.

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Passive smoking: linked with non-syndromic orofacial clefts

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This review included 15 retrospective case-controlled studies and found that Maternal passive smoking was associated with an increased risk in non-syndromic orofacial clefts OR= 2.11, (95% CI: 1.54-2.89)

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