Currently insufficient evidence to decide if antibiotics are effective in treating irreversible pulpitis
Irreversible pulpitis often presents as an acute and intense pain and is a frequent reason for emergency dental visits. Treatment involves accessing the root canal of the tooth to remove the inflamed pulp (nerve) and cleaning the root canal. The aim of this review was to assess the effects of systemic antibiotics for irreversible pulpitis. [read the full story…]
Use of higher concentration fluoride toothpaste (5000 ppm F) had a beneficial effect on root caries
The aim of this clinical trial was to test the effectiveness of high-fluoride toothpaste (5000 ppm F) on root caries lesions in adults and to test the hypothesis that high concentration fluoride tooth- paste would effectively improve the surface hard- ness in root caries lesions in adult patients. Adult patients (18-75yrs) with 10 or more [read the full story…]
Periodontitis is a risk factor for dental implant loss and peri-implantitis
Dental implants are increasingly common and a key factor in their long-term success is maintaining the health of the tissues that support them. The aim of this review was to assess the scientific evidence regarding the risks of implant loss, implant bone loss, and peri-implantitis incidence in subjects with a history of periodontal disease (PD), [read the full story…]
Review found that screw- and cement-retained implant-supported fixed restorations had similar outcomes
Screw retained restorations were the main approach during the early years of dental implant treatment but the cement-retained restoration gradually becoming more popular. The aim of this review is to compare the outcomes of screw- and cement-retained implant restorations. The Medline, Embase, the Cochrane Oral Health Group Trials Register, and the Cochrane Central Register of [read the full story…]
Trial suggests that post extraction use of warm saline mouth rinse reduces complications
The use of warm salt water mouthrinses as part of a post extraction regimen is a commonly taught, yet as the authors of this trial found there seems to be little objective evidence for its effectiveness. The aim of this study was to determine the beneficial effect of different warm saline rinse regimens on the [read the full story…]
Insufficient evidence of an association between crowding and caries – ADA-EBD critical summary
This ADA Critical Summary looked at a 2012 systematic review by Hafez et al. The aim of the review was to assess the relationship between dental crowding and the development of caries. The summariser notes that the search was comprehensive but the inclusion criteria were not clear. Studies were assessed for quality and all the [read the full story…]
Study suggests use of resin-bonded bridgework more cost effective than removable dental prostheses in older partially dentate patients
The aim of this study was to assess the cost-effectiveness analysis of two different tooth replacement strategies for partially dentate older patients; partial removable dental prostheses (RDP) and functionally orientated treatment based on the shortened dental arch concept (SDA). Partially dentate patients aged 65 years and older seeking replacement of missing natural teeth, had a [read the full story…]
Cochrane Protocols December 2013
Shortly before Christmas two new protocols for Cochrane review from the Oral Health Group appeared on the Cochrane Library. The first one is:- Taylor J, Brocklehurst P, Glenny AM, Walsh T, Tickle M, Lewis MA, Riley P, Yates JM, Pemberton MN. Topical interventions for recurrent aphthous stomatitis (mouth ulcers) (Protocol). Cochrane Database of Systematic Reviews [read the full story…]
No evidence to support or disprove the effectiveness of antibacterial agents in composite into fillings to prevent further caries
This is an update of a Cochrane review first published in 2009. The aim of the review was to assess the effects of antibacterial agents incorporated into composite restorations for the prevention of dental caries. Searches were conducted in the Cochrane Oral Health Group’s Trials Register the Cochrane Central Register of Controlled Trials (CENTRAL) Medline, [read the full story…]
Early orthodontic treatment may reduce incisal trauma in children with class II malocclusions
This is the latest update of a Cochrane review looking at the treatment of class II malocclusion. This is a common problem affecting about one in four of 12 year-olds in the UK. The aim of the review was to assess the effects of orthodontic treatment for prominent upper front teeth (Class II malocclusion) when [read the full story…]