Diode laser for fibrous hyperplasia – faster but more swelling and longer healing

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This small trial suggests that that while the diode laser treatment was marginally quicker than the traditional scalpel removal of fibrous hyperplasia, it required fewer analgesics and no sutures. However, there was more swelling, and wound healing was longer.

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Oral potentially malignant disorders and impact on quality of life

leukoplakia

14 studies were included in this review of the impact of oral potentially malignant disorders of the quality of life. However, they were mainly focused on oral lichen planus, so they provide little evidence for the impact of the wide range of OPMDs on the quality of life.

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Oral leukoplakia: malignant transformation rate highly variable

herpetic ulcer on tongue

This review of the malignant transformation rate of oral leukoplakia included 24 studies, the majority of which were retrospective. The range of malignant transformation was between 0.13% and 34.0%. The quality of the available data was limited and there is a need for higher quality well-reported studies.

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Benign parotid tumors: Superficial or total conservative parotidectomy

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13 retrospective studies were included in this review comparing superficial and total conservative parotidectomy approaches for the management of benign parotid tumours. The review suggests that superficial approach is better but the quality of the evidence is low.

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Behçet’s disease: review found insufficient evidence to support or refute interventions for oral ulceration

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This review focuses on the treatment of oral ulceration in Behçet’s disease, 15 trials examining 13 different interventions were found. There was insufficient evidence to support or refute the use of any included intervention with regard to pain, episode duration, or episode frequency associated with oral ulcers, or safety of the interventions.

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Another review finds limited evidence for making treatment recommendations for keratocystic odontogenic tumors

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The keratocystic odontogenic tumor (KCOT) is a benign but locally aggressive tumour and accounts for 2-11% of jaw cysts and can occur at any age. Historically they have been referred to as odontogenic keratocyst (OKC) and primordial cyst. A range of treatment approaches have been suggested for KCOTs but preferred option is still debatable. The [read the full story…]

Small study suggests possible role for low-level laser therapy in treating recurrent oral ulcers

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Recurrent aphthous stomatitis (RAS) is the most common form of oral ulceration. Prevalence rates for the general population vary between 5-60%. Onset generally peaks between the ages of 10-19 an often persists in to adulthood. A wide range of topical and systematic treatments have been utilised including low-level laser therapy. The aim of the study [read the full story…]

Small trial suggests a potential benefit for combination of triamcinolone acetonide and salvianolic acid B for Oral submucous fibrosis patients

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Oral submucous fibrosis (OSF) is characterized by chronic inflammation and progressive subepithelial connective tissue fibrosis. This can involve the oral cavity, pharynx and upper third of the oesphagus. It is more commonly found in patients in the Asian subcontinent and the Far East.  The aetiology is considered to be multi-factorial with areca nut chewing, nutritional [read the full story…]

Study shows that berberine had a positive effect on recurrent aphthous ulceration

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Recurrent aphthous stomatitis (RAS) is usually episodic and self-limiting but can produce severe ulcers that interfere with eating speaking and swallowing.  Minor RAS  (MiRAS) is the most common form.  The aim of this trial was to investigate the efficacy and safety of berberine (an isoquinoline alkaloid originally isolated from medicinal herbs) in the treatment of [read the full story…]

Flossing, scaling and bugs in the blood

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Some of the evidence used to in the formulation of the NICE guidance on antibiotic prophylaxis for invasive dental procedures that we discussed yesterday was the recognition that everyday oral activities cause bacteraemia (Dental Elf  10th May 2011). This new cross-sectional study by Zhang et al looked the bacteraemia caused by flossing compared with scaling [read the full story…]