Congenital bleeding disorders and dental extractions

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This Cochrane review looked at the effectiveness of haemostatic regimens for patients with bleeding disorders. Two small trials involving 59 patients demonstrated the efficacy of antifibrinolytic agents acid in people with bleeding disorders having dental extractions.

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Air polishing- glycine powder has less potential for harm suggests review

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This review included 17 studies the majority (12) of which were in vitro; and all at risk of bias to greater or lesser extent. The results suggest that glycine powder air polishing had less potential for harm of oral hard and soft tissues than sodium bicarbonate powders.

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Oral piercings-tooth and gum damage common suggests review

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Twelve observational studies were included in this review which suggested that lip and tongue piercings increased the risk of gum and tooth damage . The relative risk for tooth damage with lip piercings was 1.33 (95%CI; 0.74 to 2.41) and 2.44 (95%CI;1.35 to 4.41) for tongue piercings.

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Composite resin restorations- which adhesive system?

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This study compared Class II nanohybrid resin composite restorations bonded with a one-step self-etch or a two-step etch-and-rinse adhesive after 8 years, finding no difference between the two approaches.

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Dental Elf in New York

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The Dental Elf is off to New York this week end for the ADA/NYUCD Advanced Evidence-Based Dentistry Workshop  As this is a very busy week for participants there will be no blogs until the 17th February.      

Hypodontia: prevalence about 6% overall and higher in females

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This review of observational studies identified 93 studies and estimates overall prevalence of hypodontia at 6.4% (95%CI; 5.7 to 7.2%) . Prevalence was higher in females and varies across continents.

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Periodontal treatment using air polishing had good patient perception

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This review focused on patients perception of air polishing for periodontal treatment. Nine studies involving 291 patients were identified suggesting that polishing with powders consisting of glycine seems to be associated with less discomfort during non-surgical periodontal therapy, that is supra- and subgingival air polishing.

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Overdentures: trial suggests no difference between 1 or 2 dental implant support

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This trial compared patient satisfaction with 1 or 2 implants supporting a mandibular overdenture. No significant differences between the groups were seen after 5 years.

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Prosthetic joints: prophylactic antibiotics not recommended before dental procedures

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The latest recommendation from the ADA indicates that prophylactic antibiotics are not needed for patients with prosthetic joints undergoing dental treatments. The finding are based on 4 case-controlled trials that are considered to provide moderate evidence of no association.

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