Top Dental Elf blogs Apr – Jun 2022

Cherry Blossom

Traumatic dental injuries, hypomineraised primary molars and links between iron-deficiency and early childhood caries were the topics of our most read blogs in April , May and June of 2022.

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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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Topical fluorides for early childhood caries

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This review of the caries preventive effectiveness of topical fluorides in the primary dentition included 24 RCTs with 10 RCTs contributing to a network meta-analysis (NMA). While the NMA did allow a ranking of effectiveness the number of studies involved was small and 17 of the 24 studies were considered to be at high risk of bias.

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Early childhood caries: Global prevalence

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The 2019 Bangkok Declaration defined early childhood caries (ECC) as the presence of a primary tooth with one or more carious (non-cavitated or cavitated lesions), missing (due to caries), or filled surfaces in a child under the age of six years. While dental caries is a preventable chronic health problem it remains a significant public [read the full story…]

Motivational Interviewing: Is it effective in preventing early childhood caries?

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This review of teh effectivenesss of motivational interviewing (MI) in the prevention of early childhood caries included 14 trials of which eight ccontributed to the meta-analyses. The findings suggest that approached based on MI may be useful in prevention of early childhood caries.

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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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Early childhood caries: modifiable risk factors

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This review of evidence pertaining to the effect of modifiable risk factors on early childhood caries(ECC) includes 133 mainly observational data providing moderate certainty evidence that breastfeeding up to 2 y of age does not increase ECC risk , and that providing access to fluoridated water and educating caregivers are justified approaches to ECC

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Candida albicans: higher prevalence in children with early childhood caries

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This review of a possible association between oral Candida albicans and early childhood caries (ECC) included 15 cross-sectional studies.The prevalence of C. albicans in children with ECC was found to be significantly higher than in caries-free children.

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Breastfeeding and caries: New review supports earlier findings

"Breast is best" is the clear message to all new Mums, but should this advice be tailored for women with depression?

This new review on the effect of breastfeeding on caries supports the findings of earlier reviews that breastfeeding up to the age of 12 months has a protective effect for dental caries.

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Silver Diamine Fluoride can arrest caries in children

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This review of silver diamine fluoride (SDF) to arrest caries included 19 studies and suggest that 38% SDF can arrest 81% ( 68-89%) of active caries. . However none of the available studies was at low risk of bias so the findings should be interpreted cautiously.

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