This review of the efficiency of orifice barriers in preventing coronal microleakage after root canal treatment included 18 in-vitro studies. The findings suggest the placement of an orifice barrier helped prevent coronal leakage. However the relevance of this to the clinical environment remains to be examined.
[read the full story...]Pulpotomy in permanent teeth with bioactive materials
This review evaluating the evaluate the success rate of pulpotomies on permanent teeth using ProRoot MTA, compared to calcium hydroxide or other bioceramic cements included 16 RCTs. The findings suggest better outcomes with MTA than calcium hydroxide. However 10 of the studies were at high risk of bias and the overall certainty of evidence was assessed as low.
[read the full story...]Deep caries management for immature permanent teeth
This review of techniques and materials used for the management of deep caries in immature permanent teeth included 12 RCT papers. The findings suggest high success rates for pulpotomy, but only a small number of papers were available for other techniques.
[read the full story...]Pulp survival after tooth fracture
This review assessing factors related to pulp survival after tooth fracture included 24 studies (4 RCTs, 6 prospective cohort studies, 12 retrospective cohorts, and 2 case-control studies). However the available evidence is overall of very low certainty.
[read the full story...]Pulpotomy in primary teeth- success of medicaments and techniques
This overview comparing the success rates of various pulpotomy medicaments or techniques, and assessing the methodological quality of reviews included 8 systematic reviews. While most pulpotomy medicaments/techniques, except calcium hydroxide had success rates of 80% or more there is a lack of evidence on the choice of pulpotomy agent.
[read the full story...]Vital pulp therapy in traumatised permanent teeth
This review of vital pulp treatment in the management of traumatised human vital permanent teeth diagnosed with complicated crown or crown-root fractures included 14 studies. Whiel the findings suggest good outcomes most of the included studies were observational with substantial heterogeneity in clinical protocols employed, assessment criteria and outcome reporting.
[read the full story...]Top Dental Elf Blogs: Jul – Sep 2021
Treatments for cavitated dentine caries, topical anaesthetics to reduce injection pain and vital pulp therapy for permanent teeth were out most popular blogs duing July, August and September 2021.
[read the full story...]Which retrograde root filling material?
This Cochrane review update of different materials used for retrograde root filling in children and adults requiring retrograde filling included 8 RCTs. However the studies are all at high risk of bias so provide insufficient evidence for the benefits of any one material.
[read the full story...]Vital pulp therapy in permanent teeth
This review aimed to evaluate the association of preoperative factors or intraoperative factors with treatment outcomes of vital pulp therapy. 14 RCTs were included with the findings indicating a 93.2% (95%CI; 91-6% to 94.9%) success rate using contemporary bioceramic material based on low certainty evidence.
[read the full story...]Direct pulp capping in permanent teeth
This review the outcome of direct pulp capping (DPC) in mature permanent teeth with a cariously exposed pulp and a clinical diagnosis of reversible pulpitis included 14 studies. The findings suggest that direct pulp capping is generally a clinically effective procedure in teeeth with reversible pulpitis.
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