Prognosis of nerve injuries caused by over-extruded endodontic materials

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27 case reports and 1 case series were identified for this review of nerve damage due to over-extruded endodontic materials providing very low quality evidence for management of the problem.

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Irrigants for pulpectomy in primary teeth- little evidence available

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This review of irrigants for pulpectomy in primary teeth only identified 7 small RCTs providing little conclusive evidence. More high quality studies are needed.

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Root canal disinfection –sodium hypochlorite or chlorhexidine as an irrigant?

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This review only identified 5 small studies that provided insufficient evidence to compare outcomes using sodium hypochlorite and chlorhexidine for root canal disinfection. Additional high quality RCTs are required.

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Vertical root fracture diagnosis with CBCT – insufficient evidence

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Only 4 small studies at high risk of bias were available for this review of cone-beam computed tomography (CBCT) for diagnosis of vertical root fracture, providing insufficient evidence to suggest that CBCT is a reliable test.

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Root canal treatment – no differences between single or multiple visit approaches

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This RCT found no differences between single and multiple visit root canal treatment outcomes at 18 months Success rates for single visit treatments were 88.9% compared with 87.4% for multiple visits

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Coronal pulpotomy in permanent molars

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This review of coronal pulpotomy in permanent teeth demonstrated good survival at 2 years 92% (95%CI; 84 -100). However as the majority of studies were observational they should be viewed cautiously until further high quality RCTs are available.

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Endodontic treatment – no evidence to support or refute use of magnification to improve clinical outcomes

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This Cochrane review was looking for evidence to assess the the effect of magnification devices on the outcome of endodontic treatment. No trials were identified, so there is no evidence to support or refute the use of magnification to improve clinical outcomes.

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Root resorption – no evidence for the effectiveness of available treatments

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This Cochrane review was seeking to identify RCTs of interventions for the management of external root resorption in permanent teeth. No published trials were identified, so clinicians must decide on the most appropriate means of managing this condition according to their clinical experience with regard to patient-related factors.

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Root perforation repair: non-surgical approach has good success suggests review

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This review of root perforation repair included 17 studies that were mainly retrospective and small. The overall success rates for all materials was = 72.5% (CI; 61.9%–81.0%) with a suggestion of better rates for MTA. However, the quality of the evidence was low.

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Electronic apex locators – precision varies with devices

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Ten studies including both in vivo and ex-vivo designs were included in this review of electronic apex locators. The authors found that precision varied with the device and type of irrigation but was not influenced by the status of the pulp tissue. However, the quality of the included studies was not high with only two being considered to be at low risk of bias.

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