Tooth grinding in children and adolescents with neurodevelopmental disorders

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This review of the prevalence of tooth grinding and/or clenching in children and adolescents with neurodevelopmental disorders and other developmental anomalies included 77 studies from 2 countries. However a large proportion of the studies were at high risk of bias so the findings need to be interpreted with caution.

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Periodontal treatment and glycaemic control in people with diabetes mellitus

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This Cochrane review of the effects of periodontal treatment on glycaemic control in people with diabetes mellitus and periodontitis updates the 2015 version. The earlier conclusions have changed and there is now moderate‐certainty evidence that periodontal treatment using subgingival instrumentation improves glycaemic control in those with periodontitis and diabetes.

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Easter Break

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  The Dental Elves are taking a break over the Easter holiday period and will be back on the 25th April.      

Orthodontic force and dental pulp changes

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This review of the clinical and radiographic findings of orthodontic force application on the dental pulp included 26 studies. While increase in pulpal sensibility clinical response, an immediate decrease in pulpal blood flow, changes in pulp cavity volume, and an increase in the incidence of pulp stone formation the studies were mostly small and of low quality so the certainty of the available evidence is graded as very low.

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Traumatic dental injuries in primary teeth – prevalence of clinical and radiographic sequalae

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This review of the prevalence of clinical and radiographic sequelae following traumatic dental injuries to primary teeth included 25 cross-sectional studies. Crown discolouration followed by pulp necrosis with infection were the most common sequelae but the findings should be viewd with caution because the evidence is of very low certainty.

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Occlusal schemes for complete dentures

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This overview of reviews of the influence of occlusal schemes on the clinical performance of and patient satisfaction with complete dentures included 10 systematic reviews. While the findings suggest that occlusal schemes might interfere with the clinical performance the results should be carefully considered because of the low quality of the systematic reviews included.

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Photodynamic therapy for denture stomatitis

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This review of comparing photodynamic therapy (PDT) and antifungals or the treatment of denture stomatitis included 5 studies involving a total of 218 patients. While the findings suggest that PDT is effective none of the the studies was at low risk of bias and the treatment protocols investigated differ.

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Air polishing or hand and/or power-driven instruments in supportive periodontal therapy

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This review of air polishing devices (APDs) in comparison with hand instruments and/or power-driven instruments in supportive periodontal treatment and implant maintenance included 6 RCTs. 4 of the 6 included studies were considered to be at high risk of bias so the findings should be interpreted cautiously.

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Ibuprofen prior to lower third molar removal

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This review of the effect of pre-emptive ibuprofen on post-operative pain after lower third molar surgery included 5 RCTs. Only one of the included studies was at low risk of bias so there is insufficient evidence to support the routine use of pre-emptive ibuprofen to reduce post-operative pain after lower third molar removal

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Social isolation and oral health

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In this blog Carly Ross takes a look at a review assessing the association between social isolation and oral health in adults. The findings suggested no strong association however, only 4 studies were included and these were of limited quality.

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