Only low quality evidence available for effectiveness of interdental toothbrushes

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Good oral hygiene to ensure the effective removal of dental plaque is key to maintaining good oral health.  While toothbrushing is the most commonly used method, dental floss and interdental brushes are both widely available and recommended adjuncts to toothbrushing.  A 2011 Cochrane review by Sambunjak et al assessed the evidence for dental floss (Dental [read the full story…]

Seasons Greetings

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Christmas and the New Year is a busy period for us Elves, so we will be taking a short break from blogging over the festive period. Our monthly newsletter will be going out to subscribers later today and we will be back on the 6th January 2014. Many thanks to all our readers and followers [read the full story…]

Limited evidence for the role of lateral cephalometric radiographs in orthodontic treatment

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Lateral cephalometric radiographs were introduced in the 1930s and together with their related analysis have been a standard element of orthodontic treatment planning.  However their role in assessment and treatment planning has been questioned.    The aims of this review were to evaluate the existing evidence about the validation of lateral cephalometric radiograph in orthodontics and [read the full story…]

Review suggests that Cone Beam Computed Tomography may have role in diagnosis of root fractures

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While Computed Tomography (CT) is a well-established diagnostic tool in many areas of medicine it is only since the development of Cone Beam Computed Tomography (CBCT) that is use in dentistry is beginning to be explored.  2012 saw the publication of new European evidence-based guidelines on CBCT for dental and maxillofacial radiology as a result [read the full story…]

Review suggests that disinfection methods could be an adjunct or alternative to antifungal medications in the treatment of denture stomatitis

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Denture stomatitis is relatively common with studies suggesting that it can affect 35-50% of complete denture wearers.  It is characterised by mild inflammation and redness of the oral mucosa and about 90% are associated with Candida.   The aim of this review was compare the efficacy of antifungal therapy with any other alternative methods used for [read the full story…]

All -ceramic posterior crowns fractured at a higher rate than anterior crowns – ADA-EBD critical summary

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This ADA-EBD critical summary has looks at a 2012 systematic review by Wang et al.  The aim of the review was to evaluate the clinical fracture incidence of tooth-supported all-ceramic crowns according to restored tooth type. The appraiser considered the reviews search strategy to be thorough but noted that the studies were not assessed for [read the full story…]

Periodontal treatment improved several biomarkers of atherosclerotic disease

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In recent years that has been increasing interest in the associations between periodontal disease and a range of systematic diseases.  Towards the end of last year a joint workshop organized by the European Federation of Periodontology (EFP) and the American Academy of Periodontology (AAP) took place in Spain.  The full papers from that meeting are [read the full story…]

Chronic periodontitis is associated with a characteristic bacterial profile of saliva

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Periodontal disease is common and here in the UK 10-15% of adults have chronic periodontal disease.  It is a multifactorial disease and subgingival bacteria play an important role in the pathogenesis of the disease. The aim of this study was to see if chronic periodontitis is associated with a characteristic bacterial saliva profile, and if [read the full story…]

Detailed review finds that restricting free sugar intake reduces caries development

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Over the years a large number of reports have been conducted into the links between sugar and dental caries.  In 2002 the Joint WHO/FAO Expert Consultation on ‘Diet, Nutrition and the Prevention of Chronic Diseases’ (WHO/FAO 2003), recommendation that free sugars should provide no more than 10% of Energy (E), was largely based on data [read the full story…]

Chlorhexidine reduces plaque and inflammation but causes staining – new ADA-EBD critical summary

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The latest ADA-EBD critical summary looks at a  2012 systematic review by Van Strydonck et al which looked at the effectiveness of Chlorhexidine (CHX) mouthrinse against plaque growth, gingival inflammation as well as the degree of staining.  We have blogged about this review earlier (Dental Elf – 21st Sept 2012) As this new  appraisal highlights, [read the full story…]