The use of topical fluoride together with fluoridated water and fissure sealants are mainstays of caries management. A range of non-fluoride agents caries preventive agents are also in use and these are reviewed to provide evidence-based clinical recommendations. The authors evaluated studies of sucrose-free polyol chewing gums, xylitol dentifrices, chlorhexidine, chlorhexidine in combination with thymol, [read the full story…]
While root caries can be seen in young people its frequency increases with age. The growing older populations in many developing countries means that root caries is likely to be an increasing problem. The aim of this review was to see if chlorhexidine varnish (CHX-V) is effective for treating root caries. The authors searched Medline, [read the full story…]
While dental caries in usually associated with children it is still a common problem for adults. Several systematic reviews have evaluated the use of fluorides for the prevention of caries in children but fewer of fluoride use in adults. The aim of this review was to evaluate the research regarding professional and/or supplemental self-applied fluoride [read the full story…]
In the Hall Technique carious primary molars are managed by sealing decay under preformed metal crowns without any caries removal, tooth preparation, or local anaesthesia. The aim of the study was to compare the clinical/radiographic failure rates of the Hall Technique (HT) against General Dental Practitioners’ (GDPs) standard (control) restorations. This split-mouth study involved 132 [read the full story…]
Despite continuing improvements in dental health considerable inequalities remain with highest levels of disease amongst children living in the most materially disadvantaged areas. The main aim this study was to assess the caries-preventive efficacy of a 2 years twice weekly supervised brushingprogramme using a self-applied gel containing 12,500 ppm fluoride on schooldays compared with weekly [read the full story…]
The aim of this single-blind cross-over study was to compare the performance of three different toothbrush models in the control of dental biofilm and maintaining a healthy gingival condition. The sample was randomly divided into three groups (A, B and C), each of which used one of the three toothbrushes tested. The brushes had bristles [read the full story…]
A systematic review has identified 106 potential risk factors to be associated with the prevalence or incidence of dental caries in primary teeth. The aim of this study was to describe the development of new caries over 2 years and to identify risk factors that can predict new caries development. A random sample of preschool [read the full story…]
Asthma and caries are two of the commonest health problems affecting children. This review and meta-analysis was conducted to synthesize the evidence on the relation between asthma and caries. The authors searched Medline, Government reports and conference proceedings for case-control, cohort, or cross sectional studies that provided relevant and applicable quantitative information on the relation [read the full story…]
The aim of this study was to assess the efficacy and cost-effectiveness of a non-invasive approach to dental caries management in private dental practice. The Caries Management System is a 10-step non-invasive strategy to arrest and remineralize early lesions. The main principle is that caries management must include consideration of the patient at risk, the [read the full story…]
Clinicians regularly encounter deep carious cavities which can lead to pulp exposure if the caries is completely removed. This may lead to pulpectomy and root canal treatment. However the pulp possess a regenerative ability so stepwise approaches to caries removal have been investigated. The aim of this review was to investigate the best possible methods [read the full story…]
