No reliable evidence of benefit from extracting primary canine teeth for correcting poorly aligned permanent canines

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In a small proportion of children (1-3%) the upper permanent canine tooth is diverted into the roof on the mouth.  Treatment of this displacement can be complex and it is considered that the early removal of the primary canine tooth may improve the position f the developing permanent successor. The aim of this Cochrane review [read the full story…]

Moderate evidence that chlorhexidine rinse or gel provides a benefit in preventing dry socket

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Teeth are extracted every day in dental surgeries throughout the world because of tooth decay and periodontal (gum) disease. Alveolar osteitis (dry socket) is a complication that can follow an extraction with estimates of its incidence ranging from <1-37.5%.  Typically a blood clot is absent in the socket and the patients have pain in and [read the full story…]

Intravenous bisphosphonates and osteonecrosis of the jaw

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Bisphosphonates (BPs) are used for the treatment of a range of bone problems, e.g., osteoporosis, or bone metastases of malignant cancer. In 2003 the condition of bisphosphonate related osteonecrosis of the jaw (BONJ) was reported.  The aim of this retrospective cohort study was to estimate the cumulative incidence and risk ratio for ONJ (osteonecrosis of [read the full story…]

Some limited evidence to support the use of chlorhexidine to prevent dry socket

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Dry socket (alveolar osteitis) socket is a painful complication of  tooth extraction that occurs in about  5%  of  extractions of permanent tooth. It is more common following the extraction of wisdom teeth. That aim of this review was to assess whether chlorhexidine, when compared to placebo and/or other interventions, reduced the incidence of alveolar osteitis [read the full story…]

Traumatic extraction carries a high risk of a painful dry socket

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Alveolar osteitis or dry socket is a common and painful complication of tooth extraction, occurring following about 5% of all tooth extractions.  The aetiology of this complication is unclear and it has been associated with a wide range of risk factors. the aim of this study was to assess the relation between 8 risk factors [read the full story…]

Limited evidence that extraction of deciduous canines prevents impaction of palatally displaced permanent canines

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This ADA Centre for Evidence-based Dentistry critical summary of  a systematic review  published in 2011. The original review was asked whether interceptive treatment involving the early extraction of the deciduous canine prevents impaction of palatally displaced canines (PDC) [ see Dental Elf 28th July ]. The ADA noted that while the review was generally well [read the full story…]

Topical use of chlorhexidine may prevent dry socket

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This review was first published in 2009 . The American Dental Association Centre for Evidence-based Dentistry has now published a critical summary of this review. The original review included 12 clinical trials involving 1818 patients and concluded that a twice-daily regimen of Chlorhexidine gel (0.2 percent) applied every 12 hours for seven consecutive days can [read the full story…]

4% articaine without epinephrine is a suitable anaesthetic agent for mandibular extractions

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Articaine is a common local anaesthetic agent that shows  greater lipid solubility than lidocaine, allowing enhanced diffusion through nerve sheaths. It also has an increased potency compared with lidocaine.   The aim of this study was to compare the anaesthetic efficacy of 4% articaine with epinephrine (1:100,000) and without epinephrine in inferior alveolar nerve block anaesthesia [read the full story…]

Extractions due to dental infections associated with nonfatal MI in elderly men

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This study was a nested case-control study within the Oslo Study, (a cohort study of the prevention and epidemiology of cardiovascular diseases). The aim was to explore whether dental extractions are associated with myocardial infarction (MI). The sample consisted of  men with a self-reported history of MI as cases (n = 548) and controls (n [read the full story…]