This review of the prevalence of clinical and radiographic sequelae following traumatic dental injuries to primary teeth included 25 cross-sectional studies. Crown discolouration followed by pulp necrosis with infection were the most common sequelae but the findings should be viewd with caution because the evidence is of very low certainty.
[read the full story...]
This new guideline from the American Dental Association is about the the appropriate use of systemic antibiotics for the urgent management of symptomatic irreversible pulpitis with or without symptomatic apical pulpitis, pulp necrosis and symptomatic apical periodontitis and pulp necrosis and localized acute apical abscess.
[read the full story...]
This review of the factors affecting the development ofsubcutaneous emphysema during root canal therapy included
51 studies describing 65 cases. A majority (48%) were linked to drying tooth canals with pressurised air in three-way syringe
3 caries management options [conventional restorations (CR), the hall technique (HT), and non-restorative caries treatment (NRCT)] were investigated in this RCT. A 93% success rate was seen for the HT at 2.5 years compares with 70% for NRCT and 67% for CR.
[read the full story...]
A 2010 Cochrane review (Cepeda et al) found that there was less pain associated with pain on injection and augmented patient comfort and satisfaction with the use of buffered lidocaine compared with unbuffered lidocaine in both parallel and crossover trials. Although none of the 23 trials included in the review were dental. The aim of [read the full story…]
Periapical abscess is sequelae of the death of the dental pulp often as a result of dental caries or trauma. It is normally managed in dental practice with root canal treatment or extraction. However, if left untreated it can lead in some circumstances lead to the destruction of bone and the spread of infection to [read the full story…]
The Scottish Dental Clinical Effectiveness Programme (SDCEP) has recently launched guidance for the management of patients with acute dental problems. The scope of the guidance is to:- Encourage a consistent approach to the management of acute dental problems to reduce avoidable variation in practice Improve the quality of unscheduled clinical care for patients with acute [read the full story…]
Dental infections all too frequently result in cellulitis or abscess formation. Treatment often requires incision and draining allow with extraction of the tooth. Simple non-irrigating gravity drains have been in use for more than a century while catheter type drains which allow the possibility of daily irrigation are increasingly popular. The aim of this trial [read the full story…]
