Glass ionomer restorations and caries prevention

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This review of the effectiveness of glass ionomer cement (GIC) restorations in preventing new caries in primary or permanent dentitions included 10 RCTs. The findings suggest that GIC restorations have a better preventive effect that other materials but the amount and quality of evidence is limited.

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Silver diamine fluoride: The effect on vital dental pulp

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In this review Iris Vaid looks at a systematic review of the dental pulp response to silver diamine flouride (SDF) treatment. Only a small number of studies focused on the biological effects of SDF on the dental pulp and none of them were clinical trials.

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Deep caries management for immature permanent teeth

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This review of techniques and materials used for the management of deep caries in immature permanent teeth included 12 RCT papers. The findings suggest high success rates for pulpotomy, but only a small number of papers were available for other techniques.

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School dental screening for oral health

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This Cochrane review update assessing the effectiveness of school dental screening programmes on overall oral health status and use of dental services included 8 RCTs. There was not enough evidence to draw conclusions about whether traditional school dental screening can improve childrens dental attendance or lead to better oral health.

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Caries in Children with Attention Deficit Hyperactivity Disorder

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This review of whether children and adolescents with attention deficit with hyperactivity disorder (ADHD) had more dental caries than children and adolescents without ADHD included 13 observational studies. The findings suggest a higher risk of caries in children with ADHD Odds ratio = 3.31(95%CI; 1.25 to 8.73) and a significantly higher DMFT index Mean difference = 0.75 (0.38 to 1.13). However because of heterogeneity in the included study designs and a lack of adjustments for confounding factors the findings should be interpreted cautiously.

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Iron deficiency anaemia and early childhood caries

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This review assessing a potential association between early childhood caries (ECC) and iron deficiency anaemia (IDA) included 14 studies. While the findings showed an association between ECC and IDA the certainty of the evidence was very low so the findings should be interpreted very cautiously,

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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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Dental neglect in children and adolescents -prevalence and risk factors

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This review of the prevalence of dental neglect and risk factors in children and adolescents included 10 observational studies. A high prevalence of dental neglect (range 10% to 83%) and caries ( range 38.9% to 99% )was identified.

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Nano-hydroxyapatite for caries prevention

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This review of the efficacy of fluoride-free nano-hydroxyapatite agents (nHA) to enhance remineralisation or hamper demineralisation of enamel caries included 10 small studies. 5 studies were in-vivo and 5 in-situ but they were of short duration with 7 being at high risk of bias so provide very low certainty evidence. Additional high quality well reported studies are needed to assess nHA.

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Sealants for primary molar teeth

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This Cochrane review of the effects of sealants compared to no sealant or a different sealant in preventing pit and fissure caries on the occlusal surfaces of primary molars in children. Nine small RCTs were included providing limited evidence of low to very low certainty.

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