Early enamel caries: Detection and diagnosis

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This comparative analysis of 5 Cochrane caries diagnostic test accuracy studies provides summary estimates for most currently available technologies. However the certainty of the evidence is considered low and it is difficult to predict real world performance.

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Osteonecrosis in bisphosphonate users having dental procedures

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This review of the the frequency of osteonecrosis of the jaw in bisphosphonate users undergoing dental interventions included 27 studies. having dental procedures of 2.7% (95%CI: 0.9 to 5.2%) being higher in those having dental extractions 4.1% (95%CI: 1.5 to 7.7%).

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Dental implants – post-operative pain management

The authors sought to review available literature relating to SSRI withdrawal syndromes

This review evaluating clinical efficacy of analgesics in mitigating orofacial pain following dental implant surgery included 9 RCTs. While the findings suggest analgesics may be beneficial the number of studies is small an additional infromation is required on which medication,, dosage, dosing schedule, administration route and adverse effects.

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Caries prevalence and experience in older adults

The authors managed to develop and implement a strategy to reach older adults in rural areas, despite various barriers to access mental health treatment for this population.

This review of the caries prevalence and experience of older adults globally included 39 studies published between 2016 and 2020. The prevalence of caries in older adults was still high in most countries around the globe with a median of mean prevalence for caries of 49%.

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Oral cryotherapy for preventing oral mucositis during chemotherapy

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This review of the efficacy of oral cryotherapy in the prevention of chemotherapy-induced oral mucositis included 14 studies and a total of 1577 patients. The findings indicate that oral cryotherapy is effective in preventing oral mucositis in patients undergoing chemotherapy for the management of solid malignancies.

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White spot lesions and masking with resin infiltration

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This review of the long-term efficacy of resin infiltration therapy for white sport lesions with regard to aesthetic appearance and long-term stability included 11 studies 9 of which were RCTs. The findings suggest a benefit but the amount of evidence is limited.

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Dentine hypersensitivity: Is low-level light therapy effective?

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This review assessing the efficacy of low-level light therapy (LLLT) on dentine hypersensitivity included 35 studies 27 of which were RCTs. The findings showed an immediate, interim and persistant benifical effect compared to placebo. However the certainty of the evidence was only low to very low.

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Topical hyaluronic acid for recurrent aphthous stomatitis

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This review of the efficacy of topical hyaluronic acid (HA) for reducing the signs and symptoms of recurrent aphthous stomatitis (RAS) included 9 studies 8 of which were RCTs. The findings suggest that HA may be a potential treatment option for RAS but the evidence is of very low certainty.

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Periodontitis: Adjunctive amoxicillin and metronidazole with full-mouth scaling and root planing

This review of whether amoxicillin and metronidazole used as an adjunct to full-mouth scaling and root planing improved clinical outcomes included 11 RCTs. While the findings indicate significant improvements in clinical attachment level and pocket probing depth they may not be clinically important.

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