Fluoride gel applications reduce caries

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The update of the 2002 Cochrane review of fluoride included 28 trials finding an average 28% reduction (95% CI; 19-36%) in decayed, missing and filled tooth surfaces. There is little information about adverse effects or how well children and young people were able to cope with the gel application.

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Posterior resin restorations: high survival at 4 years

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This review of 8 studies involving 910 posterior resin restorations in 420 patients found a survival rate at 4 years = 0.93 (95% CI; 0.91- 0.95). However, the overall quality of the evidence was low.

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Oral health promotion during pregnancy: little evidence available

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This review of oral health promotion in pregnancy included 7 studies with the majority (5) focused on improving knowledge. The description of the interventions was generally vague and just one was based on a recognised health behaviour theory.

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Does panoramic radiography predict nerve injury after third molar extraction?

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This review included 9 studies assessing the predictive value of panoramic radiography on inferior alveolar nerve (IAN) injury after third molar extraction. Results suggest that darkening of the root had a high specificity in predicting IAN injury.

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Radiographic caries detection is highly accurate for cavitated proximal lesions

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This review of 117 studies, which were mainly in vitro studies (93), found radiographic caries detection to be highly accurate for cavitated proximal lesions and also suitable to detect dentine caries lesions.

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Caries detection: visual detection has good accuracy

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This review included 102 studies the majority (77%) being laboratory-based findings that visual inspection had good caries detection accuracy in primary and permanent teeth, with a trend for higher specificity than sensitivity.

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Dental Implants placed in fresh sockets have poorer survival

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This review included 44 studies involving a total of 1170 patients and 1974 implants finding significant better outcome in favour of the implants placed in healed ridges (99.4% implant survival) compared with post-extraction implants (95.6% implant survival).

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Caries removal with a chemo mechanical system effective

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10 studies of limited quality were included in this review and they suggest that there is no difference in complete caries removal with chemo-mechanical systems and rotary instruments. While chemo-mechanical removal was less painful, it took longer to carry out.

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Dental implants: patient experiences

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This review of qualitative studies of patients’ experiences of dental implants used a textual narrative synthesis and included 10 studies. Patients chose implants to improve confidence and resolve existing functional problems

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Lateral occlusion schemes: review suggests no difference

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26 studies were included in this review of lateral occlusion schemes. The findings suggest that while there are immediate differences between the different lateral occlusion schemes, patients have the capability to successfully adapt to canine-guided or group function occlusion.

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