Trial suggests that regular brushing as effective as MI paste or fluoride varnish in reducing white spot lesions post orthodontic treatment

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One of the adverse effects of orthodontic treatment is the development of white spot lesions (WSLs). The incidence of these early carious lesions has been reported to vary between 5-97% . The aim of this trial was to effectiveness of MI Paste Plus and PreviDent fluoride varnish (22,600 ppm of fluoride) with a standard oral [read the full story…]

Critical summaries from the American Dental Association-Center for Evidence-based Dentistry-Jan 2013

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A number of new critical summaries have been made available on the ADE-EBD website of the past few weeks. The first is an appraisal of a 2010 review by Martínez-Maestre et al. that looked at the association between dental bone loss and systemic osteoporosis.  The reviewer highlighted that this was a weak review of observational [read the full story…]

New Cochrane Protocols for December 2012

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December brings two new protocols to the Cochrane Library from the Cochrane Oral Health Group. The first of these:-  Liu JLY, Walsh T, Kerr AR, Lingen M, Brocklehurst P, Ogden G, Warnakulasuriya S, Scully C. Diagnostic tests for oral cancer and potentially malignant disorders in patients presenting with clinically evident lesions (Protocol). Cochrane Database of [read the full story…]

Critical summaries from the American Dental Association Center for Evidence-Based Dentistry

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Two new critical summaries are now available at the ADA-EBD site The first one is of a 2011 review by  Yengopal and Mickenautsh; The aim of the review was to assess whether resin-modified glass-ionomer cement (RM-GIC) offered a significant caries-preventive effect compared with resin-based composite (RBC)? The appraiser generally considers the review to be well [read the full story…]

No robust evidence to indicate maximum insertion torque levels for orthodontic mini-implants

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Yesterday (Dental Elf 13th Nov 2012) we looked at a systematic review assessing failure rates of mini-screw implants for orthodontic anchorage.  Today we are looking at a review consider whether recommended maximum insertion torque values of 5 to 10 Ncm were associated with higher success rates of orthodontic mini-implants than those inserted with torque values [read the full story…]

Review suggests a modest failure rate for orthodontic mini-screws used for anchorage reinforcement

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Orthodontic mini-screw implants have become a popular method of providing anchorage reinforcement during orthodontic treatment.  The aim of this review was to assess the failure rates for mini-screw implants used for orthodontic anchorage purposes and to identify any significant risk factors possibly affecting these failure rates. A wide range of databases (19 in all) were [read the full story…]

Orthodontic tooth movement and its effect on the dental pulp

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Orthodontic treatment is based on the principle that if a force is applied to a tooth for a period of time it will move. The applied force produces changes in both the supporting structures and in the pulp of the tooth.  Pathological changes have been reported in the pulp in response to these forces so [read the full story…]

Is there a relationship between dental crowding and caries?

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The crowing of teeth disrupts the normal proximal and occlusal contacts and creates area for potential plaque and food accumulation. As a consequence it has been considered a risk factor for dental caries. However, studies looking at a relationship between crowding and caries have been contradictory. The aim of this review was therefore to assess [read the full story…]

New Cochrane Protocol for August 2012

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The August issue of the Cochrane library has one new protocol from the Oral Health Group.  Kozel JA, Macedo CR, Atallah ÁN. Laceback ligatures for controlling anchorage in patients undergoing fixed orthodontic treatment (Protocol). Cochrane Database of Systematic Reviews 2012, Issue 8. Art. No.: CD010014. DOI: 10.1002/14651858.CD010014.  The aims of this review are to determine [read the full story…]

Limited evidence for changes of maxillary alveolar width after surgically assisted rapid maxillary expansion

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Transverse discrepancies in the maxilla can be treated by rapid maxillary expansion (RME). This is ideally carried out during the pubertal growth spurt, usually before 15 years of age. In older patients surgically assisted rapid maxillary expansion (SARME) has been used.  The aim of this review was to assess the long-term dental and skeletal changes [read the full story…]