In this blog we take a look at the latest clinical practice guideline from the American Dental Association on restorative treatments for primary and permanent teeth with moderate and advanced caries.
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This review of different direct restorative materials for treating cavitated caries lesions on anterior and posterior primary and permanent teeth included 38 RCTs. None of the included studies was at low risk of bias and the findings suggest that the effectiveness of each included direct restorative material varied across outcomes. There was also limited evidence to support clinically important differences between the direct restorative materials assessed.
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Our most read blogd in October, November and December 2022 covered treatments for burning mouth syndrome, recurrent oral aphthous stomatitis and preformed metal crowns on primary molars
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This review of the outcomes of preformed metal crowns placed on primary molars using conventional and Hall techniques included 5 studies. The findings suggest similar overal sucess and survival rates for both techniques.
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This Cochrane review of interventions to treat carious lesions conventionally considered to require restorations in primary or permanent teeth with vital pulps included 27 RCTs. Compared with conventional treatment there were lower numbers of failures with the Hall technique and selective excavation (SE) in primary teeth and with SE and stepwise removal in permanent teeth.
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THe FiCTION trial examied 3 strategies for the management of dental caries in primary teeth of children aged 3 to 7yrs in the UK This summarises the detailed cost-effectiveness element of that mult-centre RCT in primary care.
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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.
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Five RCTs were included in this Cochrane review comparing crowns with fillings for the management of caries in primary molars. Moderate evidence found crowns reduced the risk of major failure or pain in the long term compared to fillings
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The Hall technique is a relatively new management technique for caries in primary molars. This trial compares it use against the conventional approach and a non-restorative approach. Results at one year suggest that the Hall technique performed best.
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We are seeing a move towards more conservative methods of managing caries and also an increasing need to consider the patients perspectives of treatment. This study aimed to compare children’s behaviour and pain perception when approximal dentinal caries lesions in primary molars (in children aged 3–8 years old) were managed with three treatment strategies; conventional [read the full story…]
