Derek
Root caries: review suggests potential benefits from 5000ppm fluoride, chlorhexidine and silver diamine varnishes
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The prevalence of root caries is expected to rise and this review looked at a range of agents for non-invasive management. While 30 studies were identified they consider a large number of agents. While the review suggested that 5000ppm fluoride dentifrice was effective the number of available trials for this and the other agent was small and of limited quality.
[read the full story...]Caries: review suggests complete removal not best approach
This review of caries excavation strategies identified 28 studies including 19 RCTs. None were considered to be at low risk of bias . The results suggest that not attempting to remove all softened or stainable dentine could reduce the risk of complications
[read the full story...]Caries experience: risk higher in those from lower socioeconomic positions
This review included 155 observational studies, which although of low quality consistently found caries parameters to be significantly higher in those from lower socioeconomic positions
[read the full story...]Mouthrinses: trial finds alcohol-free rinses have similar effects on plaque levels to those containing alcohol
This equivalence trial compared two alcohol free mouthrinses with an alcohol containing rinse and toothbrushing alone. At 8 weeks all 4 interventions reduced interproximal bleeding with plaque reductions being significantly greater in the mouthrinse groups. There was more staining in the 3 mouthrinse groups.
[read the full story...]Dental implants: only low quality evidence for implants placed in maxillary tuberosity
This review looks at dental implants placed in the maxillary tuberosity only 5 low quality studies involving 113 patients were found in total. While good survival rates were found these should be interpreted with caution.
[read the full story...]Direct pulp capping: trial finds good short-term outcome success rate for new material in permanent teeth
This small study found good short term success rates for a new MTA derived pulp capping material in permanent teeth. Larger well-conducted longer-term studies are necessary to establish its clinical utility.
[read the full story...]Tooth erosion: review suggests an association with eating disorders
While this new review of observational studies does suggest an increase in tooth erosion in those suffering with eating disorders concerns of the quality of the available evidence means that this is not sufficient to support a causal role for eating disorders in tooth erosion.
[read the full story...]Dental Implants : higher failure rates in patients with aggressive periodontitis?
Another review of failure rates of dental implants shows increased failure rates in patients with generalised aggressive periodontitis. Six studies (5 from the same research group ) involving 290 patients and 834 implants were included.
[read the full story...]Dental Implants: review suggests failure rates higher in periodontally compromised patients but evidence is low quality
This new review identified 22 studies but no randomised trials and found a higher dental implant failure rate in periodontally compromised patients than health ones. However concerns over study quality means the findings should be interpreted with caution.
[read the full story...]Mandibular condylar fractures: is surgical or non-surgical approach best?
Review of 36 studies at high risk of bias suggests that surgical treatment of mandibular condylar fractures provides a better clinical outcome for post-treatment malocclusion, protrusion, laterotrusion, and lateral deviation during maximal incisal opening in comparison to non-surgical treatment. But more patients affected by post-treatment infection.
[read the full story...]