Proximal caries diagnostic measures

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This review of diagnostic accuracy and reliability of commonly used caries detection methods for proximal caries included 36 studies the majority (31) being conducted in-vitro. A limited number of studies were available to assess most of the diagnostic tests and how the findings from in-vitro studies translates to the the clinical situation needs to be considered cautiously.

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Third molars: Distal caries development in adjacent second molars

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This review of the prevalence of distal surface caries in second permanent molars associated with retained third molars included 11 mainly retrospective observational studies findins a pooled prevalence of 23% (95% CI; 2% to 44%).

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Top Dental Elf Blogs: Sep – Dec 2018

The National Elf Service aims to close the gap between research and practice.

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Between September and December 2018 our most popular blogs considered guidelines for non-restorative options for caries management , orthodontic management of the developing dentition and aligners for orthodontic treatment.

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Micro-invasive treatments for proximal caries

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Seven RCTs were included in this review of of micro-invasive interventions for non-cavitated proximal caries suggesting that resin infiltration is effective in arresting caries progression.

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Resin infiltration of proximal caries lesions

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9 RCTs were included in this review of resin infiltration for the clinical management of early non-cavitated proximal caries lesions. The findings indicate that resin infiltration when combined with oral hygiene measures was promising and more effective than oral hygiene measures alone.

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Proximal caries: seal or infiltrate early lesions?

shutterstock_34500700 - caries sign

This review of micro-invasive treatments for proximal caries included 13 split-mouth RCTs. There was moderate quality evidence to support sealing in infiltration of early proximal caries compared with non-invasive treatments such as diet and bio-film management and topical fluorides.

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Micro-invasive treatments can slow caries progression

shutterstock_54584944  - mixed dentition

8 trials involving a total of 365 patients were included in this Cochrane review of micro-invasive treatments for proximal caries. Micro-invasive treatment significantly reduced the odds of lesion progression compared with non-invasive treatment (e.g fluoride varnish) or oral hygiene advice (e.g to floss) OR=0.24, (95% CI; 0.14 to 0.41).

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