This review of whether ultrasonic irrigation results in less postoperative root canal treatment pain than conventional irrigation included 6 RCTs. The suggests less pain with ultrasonic irrigation for the first 48 hours but no difference at 72 hours.
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This review of different bleaching agents used for internal bleaching of endodontically treated discoloured teeth included 8 studies. While the findings suggest all agents had a positive effect the quality of the avaiiable studies is low so the findings should be interpreted cautiously.
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This review of the most effective method of anaesthesia for mandibular posterior teeth with symptomatic irreversible pulpitis included 22 RCTs. The findings suggest that buccal infiltraion and inferior alveolar nerve block ,Vazirani-Akinosi nerve block and introsseus injections performed better but the evidence was only of low to very low certainty.
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Mark-Steven Howe looks at this is diagnostic test accuracy review comparing conventional and cone-beam computed tomography for detecting persistent apical disease after root canal treatment.
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This Cochrane review update of different materials used for retrograde root filling in children and adults requiring retrograde filling included 8 RCTs. However the studies are all at high risk of bias so provide insufficient evidence for the benefits of any one material.
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This review assessing the safety and efficacy of articaine for routine dental treatment compared to lidocaine included 12 RCTs involving a total of 919 patients. The findings indicate that articaine is is a safe and efficacious local anaesthetic for all routine dental procedures.
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This review of the influence of different regenerative techniques and materials on the outcome of endodontic surgery includes 11 RCTs. The findings suggest that regenerative approaches improve periapical lesion healing after endodontic surgery. However the studies are small and only 2 are at low risk of bias.
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This review evaluating the evidence to support the possibility that orthodontic tooth movements could induce pulp necrosis included 12 studies. While the findings indicate there is evidence that these treatments do not induce pulp necrosis it has low to very low quality.
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This review of the prevalence of orofacial trauma in wheeled non-motor sports athletes included 5 cross-sectional studies involving 132,132 participants. Analyses showed the overall prevalence of orofacial trauma = 21.7% (95%CI; 8.7 to 34.7%) however the evidence was of very low certainty.
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This review of the diagnostic accuracy of ultrasound in differentiating periapical lesions of endodontic origin in comparison with histopathology included 12 studies. While the findings suggest good levels of sensitifity and specificity for diagnosing periapical cysts and granulomasthere are concerns regarding the quality of the evidence.
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