Aerosol generating procedures: minimising production during dental procedures

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This Cochrane rapid review of the effectiveness of methods used during dental treatment procedures to minimize aerosol production and reduce or neutralize contamination in aerosols. While the studies suggest a reduction in the levels of bacterial contamination the quality of the studies means the evidence is of low certainty.

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Third molars: Remove or retain asymptomatic disease-free impacted teeth?

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This Cochrane review of the effects of removal compared with retention (conservative management) of asymptomatic disease-free impacted wisdom teeth updates the 2016 version. No new studies were identified so the conclusions are unchanged.

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Osteoradionecrosis of the jaws: Prevention in adult patients with head and neck cancer

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This Cochrane review of interventions for preventing osteoradionecrosis of the jaws in adults with head and neck cancer undergoing curative or adjuvant (i.e. non-palliative) radiotherapy included 4 RCTs. The limited quality of the available studies means evidence regarding the interventions evaluated in this review is uncertain.

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White spot lesions: Topical fluoride for prevention during fixed orthodontic treatment

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This Cochrane review update evaluates whether topical fluoride reduces the proportion of orthodontic patients with new demineralised lesions (white spot lesions). In included 10 studies finding some low certainty evidence that some topical fluorides reduced white spot lesions.

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Early childhood caries: Preventive interventions for pregnant and nursing mothers and other primary caregivers

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This Cochrane review asessing interventions with pregnant women, new mothers or other primary caregivers of infants in the first year of life for preventing early childhood caries included 17 RCTs .

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Gag reflex management during dental treatment

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This update of a Cochrane review of pharmacological and non-pharmacological interventions for the management of gagging in people undergoing dental treatment found very low-certainty evidence from four trials that was insufficient to conclude if there is any benefit of acupuncture, acupressure or laser at P6 point in reducing gagging and allowing successful completion of dental procedures.

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Fluoride varnish for caries prevention in pre-school children

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This review of the effectiveness of fluoride varnish in reducing the risk of new caries in primary teeth included 20 studies suggesting modest effects in pre-school children.

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Oral hygiene programmes for people with intellectual disabilities

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This Cochrane review of oral hygiene interventions for people with intellectual difficulties included 34 studies (19 RCTs, 15 non-randomised studies) find some interventions provided benefits but their clinical importance was unclear.

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Interdental cleaning devices for prevention and control of caries and periodontal disease

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Thi Cochrane review evaluateingthe effectiveness of interdental cleaning devices used at home, in addition to toothbrushing, compared with toothbrushing alone, for preventing and controlling periodontal diseases, caries, and plaque includes 35 RCTs providing low to very low certainty evidence that floss or interdental brushes in addition to toothbrushing may reduce gingivitis or plaque, or both.

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Avulsed teeth – what is the best management option?

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4 RCTs were included in ths Cochrane review update of interventions for avulsed and replanted permanent front teeth. None of the included studies was at low risk of bias and there is insufficient evidence to support or refute the effectiveness of different interventions.

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