It is now 10 years since the very first Dental Elf Blog. Since then we have published 1626 blogs covering a wide range of topics so we present a brief overview of the categories covered.
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This review of the effectiveness of autologous versus alloplastic bone for secondary alveolar bone grafting in patients with cleft lip and palate included 4 small RCTs suggesting no difference between the approaches.
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This Cochrane review update of the effects and long-term results of maxillary distraction osteogenesis compared to orthognathic surgery for the treatment of hypoplastic maxilla in people with cleft lip and palate only includes 1 small RCT. The trial suggests that distraction osteogenesis may produce more satisfactory results however the trial is considered to be at very high risk of bias so the findings should be viewed cautiously.
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Twenty four studies were included in this review of caries status in children with cleft lip and palate. The findings suggest that caries experience in higher in children with cleft lip and palate in both primary and permanent dentition
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4o studies were included in this scoping review of orthodontic outcomes used with cleft lip and palate patients. The majority (68%) relate to morphological features of maloclussion with on 3 addressing quality of life issues and 2 health service utilisation.
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This review examined the link between maternal smoking and oral clefts. 29 studies ( 6 Cohorts & 23 case control studies) were included and a positive association has noted. No quality assessment of the included studies was presented.
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This Cochrane review of maxillary distraction osteogenesis compared to orthognathic surgery for the treatment of hypoplastic maxilla in people with cleft lip and palate only identified a single small trial providing very low quality evidence. Further high quality research is needed.
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This Cochrane review of Infraorbital nerve block for postoperative pain after cleft lip repair includes 8 trials providing low to very low quality evidence that infraorbital nerve block with lignocaine or bupivacaine may reduce postoperative pain more than placebo
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This review included 15 retrospective case-controlled studies and found that Maternal passive smoking was associated with an increased risk in non-syndromic orofacial clefts OR= 2.11, (95% CI: 1.54-2.89)
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This review only found 1 study reported in 5 articles at high risk of bias that compared distraction osteogenesis to conventional orthognathic surgery for the treatment of maxillary hypoplasia in cleft lip and palate patients. More high quality trials are needed.
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