Results: 353

For: caries

Fluorescence-based caries detection methods need more work to establish diagnostic accuracy

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Earlier this week (Dental Elf 15th Oct 2013) we looked at a systematic review that looked at a range of the newer aids for detecting caries.  The aim of this review was to synthesize the findings about the accuracy of fluorescence-based methods in detecting caries lesions on occlusal, approximal and smooth surfaces of both permanent [read the full story…]

Limited evidence available for caries risk assessment systems

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Predicting an individuals risk of caries is considered to be an important element in managing the condition and recommending appropriate care and treatment. A range of methods are currently used, included for example socio-demographic, socio economic, dietary factors, and oral hygiene practices.  The aim of this review was to assess the accuracy and the quality [read the full story…]

Little evidence for the diagnostic accuracy of new caries detection aids

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Caries is one of our commonest diseases and increasing emphasis is being placed on identifying its earliest stages in order to employ effective interventions.   Visual examination and radiographs have been the traditional approaches to caries detection but newer adjunctive methods based on fiber-optics, fluorescence or electrical impedance have been developed and introduced during the past [read the full story…]

Teaching toothbrushing with fluoride toothpaste – are we doing it well?

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Toothbrushing at least twice a day with fluoride toothpaste is an effective way of reducing caries. This is confirmed by good systematic review evidence, so teaching patient effective toothbrushing with fluoride toothpaste is a key preventive strategy.  The aim of this qualitative study was to explore oral health professionals (OHPs) perspectives regarding their strategies, considerations [read the full story…]

Evidence on the adverse effects of interproximal dental stripping is limited

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Interproximal dental stripping or interproximal enamel reduction (IER) was originally suggested back in the 1940s as a method of gaining space in the lower incisor region.  The aim of this review was to investigate the enamel roughness resulting from IER as well as the cariogenicity of IER in orthodontic patients. The databases, PubMed, Scopus, The [read the full story…]

Latest Cochrane Protocol

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September has seen the publication of one new protocol from the Cochrane Oral Health Group. Sharif MO, Ahmed F, Worthington HV. Xylitol-containing products for preventing dental caries in children and adolescents (Protocol). Cochrane Database of Systematic Reviews 2013, Issue 9. Art. No.: CD010743. DOI: 10.1002/14651858.CD010743.   The aim of the review is to assess the [read the full story…]

Trial suggests that root canal treatments with and without additional ultrasonic activation of the irrigant are equally effective

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Irrigation procedures and protocols are a key stage in root canal therapy. The aim of this study was to compare the effectiveness of root canal treatments with and without additional ultrasonic activation of the irrigant by evaluating the endodontic outcome. Patients with a single-rooted maxillary or mandibular incisor, canine, or premolar tooth the required root [read the full story…]

Study suggests that text reminders may improve oral hygiene compliance during orthodontic treatment

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Compliance with oral hygiene measures during orthodontic treatment is important in order to prevent white spot lesions (WSL) developing.  The aim of this study was to determine if there is a relationship between reminding patients of the importance of oral hygiene via weekly text message reminders sent to their parents/guardians and demonstrated oral hygiene compliance. [read the full story…]

Partial removal of caries as effective as stepwise removal in deep cavities

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There has been a lot of interest in how to best manage deep carious lesions to maintain pulp vitality. Different approaches have included the partial removal of caries only, stepwise removal and full removal. In the stepwise approach, caries is partially removed and the remainder sealed in for a period of 1-6 months. The lesion [read the full story…]

Atraumatic restorative treatment had good 1-year survival and cost effectiveness in older adults

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The proportion of older people in the population is rising and because of improvement in oral health more of them as retaining their teeth. Consequentially more people in this age group will have more teeth at risk of caries. Dental service utilization is also lower in older age groups and chronic medial conditions; poly-pharmacy, frailty [read the full story…]