This review comparing short (3–5 days) or longer courses (≥7 days) of antibiotics for the treatment of dental infections in general practice only included one small RCTs. No differences were seen between short an dlong courses but the findings should be interpreted cautiously becaise of the limited data available.
[read the full story...]Metronidazole for treatment of non-periodontal dental infections
This review of whether metronidazole used as monotherapy or in addition to a β-lactam antibiotic offers any additional benefit over β-lactam monotherapy in non- periodontal dental infections includes 3 RCTs. The findings suggest that metronidazole does not provide superior clinical results compared to β-lactam antibiotics for the treatment of non-periodontal dental infections. However the evidence is limited and of low quality.
[read the full story...]Surgical masks versus N95 respirators
This review of the effectiveness of N95 respirators versus surgical masks for prevention of influenza included 6 RCTs involving 9171 participants. THe findings suggest that use of N95 respirators compared with surgical masks was not associated with a lower risk of laboratory-confirmed influenza.
[read the full story...]Caries management in children. The FiCTION trial
The FiCTION trail compared 3 caries management strategies for dentinal caries in primary teeth finding no evidence of a difference between the approaches. This emphasises the importance of primary prevention of caries to avoid dental caries althogther.
[read the full story...]Molar incisor hypomineralisation: systemic associations
This review of the systemic exposures associated with with molar incisor hypomineralisation (MIH) included 29 observational studies. VEry low quality evidence suggests that maternal illness, psychological stress, caesarean delivery, delivery complications, respiratory diseases, fever and childhood illnesses may be associated with MIH.
[read the full story...]Mandibular angle fractures: 1 or 2 miniplates?
This review of the use of 1 or 2 miniplates for the treatment of mandibular angle fractures included 13 studies 3 of which were RCTs. The findings suggest fewer complications with single miniplate fixation.
[read the full story...]Coronectomy: reoperation rates
This review of coronectomy reoperation rates. included 15 studies with 14 being at high or medium risk of bias. The finding suggest a reoperation rate of 5.1%.
[read the full story...]Orthognathic surgery: antibiotic prophylaxis reduced surgical site infection
This new Cochrane review identified 11 RCTs and suggests that for those undergoing orthognathic surgery, long term antibiotic prophylaxis decreased the risk of surgical site infection compared with short-term regimens.
[read the full story...]Dental implant failures reduced with prophylactic antibiotic suggests review
This new review covers similar ground to the 2013 Cochrane review. It includes non-randomised controlled trials, but as with the Cochrane review the findings suggest that antibiotics reduce early implant failure.
[read the full story...]Study suggests an increasing number of Americans are being hospitalised with periapical abscesses
Periapical abscess is sequelae of the death of the dental pulp often as a result of dental caries or trauma. It is normally managed in dental practice with root canal treatment or extraction. However, if left untreated it can lead in some circumstances lead to the destruction of bone and the spread of infection to [read the full story…]