Temporomandibular disorders and oral health-related quality of life

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This review of assess the impact of temporomandibular disorders (TMD) on oral health related quality of life (OHRQoL) included 8 cross-sectional studies. While the findings suggest poorer OHRQoL in patients with TMD the limited number of studies and theer cross-sectional nature needs to be taken into consideration.

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Implant diameter and survival rates

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This review comparing implant and prosthetic survival with narrrow and regular dental implant diameters included 7 studies.The findings suggest no differences between the two types of implant but 5 of the 7 studies are retrospective and only 4 have a follow-up period of 5 years of more.

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Children vs dependent older people – facilitators and barriers to providing oral hygiene

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In this their latest blog Gemma Gaw, Suzy Harkness, Emma O’Donnell Scottish Specialty Registrars in Special Care Dentistry look at a review comparing barriers and facilitators to providing oral health measures for both children and dependent older adults.

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Composite resin restorations – incremental or bulk fill?

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This review of the clinical effectiveness of bulk-fill versus incrementally layered conventional resin composites included 18 RCTs. Owing to the variety of composite materials and bonding systems used a narrative summary was presented with the findins suggesting no important differences between incremental and bulk-fill techniques.

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Orthodontic space closure after tooth extraction- early or delayed?

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This review of early versus delayed initiation of space closure after tooth extraction on the rate of orthodontic tooth movement included 11 RCTs. The findings suggest little difference between the two approaches but the included studies are small and none of the theam are at low risk of bias.

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Extraction vs non-extraction of premolars for orthodontic treatment

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This scoping review of the literature comparing orthodontic treatment undertaken with and without the extraction of premolar teeth included 399 articles. Most study reports were of low methodological quality, and further reviews are unlikely to provide new information. Researchers should focus on high quality prospective primary studies that include outcomes of imortance to patients.

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Restorative treatments for caries lesions – ADA guideline

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In this blog we take a look at the latest clinical practice guideline from the American Dental Association on restorative treatments for primary and permanent teeth with moderate and advanced caries.

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Root canal treatment outcomes and pulpal status

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This review comparing the effectiveness of root canal treatment outcomes in teeth with a vital pulp versus a necrotic pulp included 28 studies. No differences between vital and necrotic pulps were seen for tooth survival. No studies reported on tooth function, adverse effects or oral health related quality of life (OHRQoL).

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Photodynamic therapy in primary teeth root canal therapy?

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This review of the efficacy of adjunctive photodynamic therapy (PDT) on root canal treatment in primary teeth included 4 studies. The included studies were small and of short duration and lacked clinically relevant outcomes. Larger high quality well conducted studies with follow up periods of at least 12 months are needed to assess the role of PDT in primary teeth.

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Pulpotomy in permanent teeth with bioactive materials

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This review evaluating the evaluate the success rate of pulpotomies on permanent teeth using ProRoot MTA, compared to calcium hydroxide or other bioceramic cements included 16 RCTs. The findings suggest better outcomes with MTA than calcium hydroxide. However 10 of the studies were at high risk of bias and the overall certainty of evidence was assessed as low.

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