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.
[read the full story...]Nonsurgical root canal therapy: What is the most effective oral premedication to reduce post treatment pain?
This review of the most effective oral premedication in reducing pain in adults after nonsurgical root canal therapy including 16 studies. While a premedication of choice is suggested most outcomes are only supported by very low quality evidence.
[read the full story...]Irreversible pulpitis: What is the most effective local anaesthetic for inferior alveolar nerve block?
This review of the most effective anaesthetic solutions for inferior alveolar nerve blocks for mandibular teeth with irreversible pulpitis included 11 RCTs. The findings suggest that mepivacaine with epinephrine performed better than lidocaine with epinephrine but the number of trials is limited and the quality of evidence was very low to moderate.
[read the full story...]Top Dental Elf Blogs: Jan – Apr 2018
Between January and April 2018 our most popular blogs considered restorations in primary teeth,digital impressions, root canal irrigants and fissure sealants.
[read the full story...]Vital pulp treatments in mature molars
4 different vital pulp treatments for deep caries management of mature permanent molars were tested in this stud .The findings suggest that these techniques could be used but other approaches are available.
[read the full story...]Regenerative endodontic treatment: Does apical diameter affect outcome?
This review of regenerative endodontic treatment included 14 small observational studies of limited quality suggesting a possible influence of apical diameter on clinical outcomes.
[read the full story...]Post endodontic pain: Is it affected by type of instrumentation?
17 studies, none of which were at low risk of bias, were included in this review of the effect of type of instrumentation on post endodontic pain. The findings suggest lower incidence and intensity of postoperative pain with rotary instruments compared to hand files.
[read the full story...]Dexamethasone for post endodontic pain
This review of dexamethasone for controlling pain following endodontic treatment included 5 relatively small RCTs . The findings suggest statistically significant reduction of pain in patients receiving dexamethasone at 8,12, and 24 hours.
[read the full story...]Inferior alveolar nerve block: can NSAIDs improve anaesthetic success?
This review of the efficacy of non-steroidal anti-inflammatory drugs (NSAIDs) as premedication on the success of inferior alveolar nerve block includes 13 RCTs suggesting NSAIDs have a positive impact on success.
[read the full story...]Corticosteroids for post-endodontic pain
This review of the efficacy of corticosteroids on postoperative endodontic pain. found that patients receiving corticosteroids reported significantly lower pain scores at 6, 12 and 24hrs postoperatively.
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