This well designed trial compares the impact on pulp vitality of step wise verses traditional caries removal. after 5 years. THe findings suggest significantly improved outcomes with the step wise approach.
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This debut blog by Fiona Hogg considers a recent cohort study that looked at the effect of longer breastfeeding on caries and is based on a discussion of the paper at a Glasgow Dental Hospital’s Paediatric Dentistry Journal Club meeting.
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This large trial investigated the use of a ‘preventive package’ of fluoride varnish, fluoride toothpaste, toothbrush and standard dental health education in children between 2-3 years attending general practice. The intervention did not keep young children caries free but did reduce caries levels.
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This large, well-conducted study in a primary care setting found a small, but not statistically significant difference, between fissure sealants and fluoride varnish for the prevention of caries in first permanent molars at 36 months.
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Mark-Steven Howe assesses a systematic review looking at the impact of rigid and non-rigid connectors between natural teeth and implants on the biological, functional and/or the prosthetic complication rates. Ten mainly retrospective studies were included providing limited evidence that needs to be interpreted cautiously.
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This review of survival and complication rates of resin-bonded fixed dental prosthesis included 209 studies. The findings suggest overall survival rates of 91.3 % (95%CI; 88–93.7) . The quality of the available studies suggest that this should be interpreted cautiously.
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This review of dental clinicians thresholds for intervention in teeth with caries included 30 studies over a 31year time span. 21% (95%CI;15%-28%) of dentists/therapists would intervene invasively for lesions confined to enamel doubling in high risk patients with little changed being noted over time.
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This review of oral health in older people with dementia included 37 mainly observational studies of limited quality. The findings suggest that oral health was generally poorer in those with dementia.
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This small RCT of a computer game to deliver oral health education in high caries risk children and families was highly satisfactory to users. Improvements in knowledge were demonstrated is the short term > however there was a high drop out rate an further studies are needed to assess change sin other groups and longer term benefits.
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During 2016 the Dental Elves has published 158 blogs covering a broad range of topics. The most popular blogs of each month are highlighted.
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