This is the latest update of this Cochrane review of the effectiveness of antibiotics for irreversible pulpitis. Only 1 small RCTs is available which provides insufficient evidence to determine whether antibiotics reduce pain or not compared to not having antibiotics
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Pain from cardiac ischaemia can have a range of presentations. This can include chest, arm, shoulder pain, face or jaw pain. While sudden chest pain that may travel down the arm is a typical presentation classic teaching is that cardiac ischemia can present with tooth, jaw, or facial pain as its sole symptom. The aim [read the full story…]
The Scottish Dental Clinical Effectiveness Programme (SDCEP) has recently launched guidance for the management of patients with acute dental problems. The scope of the guidance is to:- Encourage a consistent approach to the management of acute dental problems to reduce avoidable variation in practice Improve the quality of unscheduled clinical care for patients with acute [read the full story…]
The traditional management of caries by the removal of all softened demineralised dentine before a filling is placed is being increasingly challenged. This updated Cochrane review aims to assess the effects of stepwise, partial or no dentinal caries removal compared with complete caries removal for the management of dentinal caries in previously unrestored primary and [read the full story…]
The aim of the study was to compare the anaesthetic efficacy of buccal infiltrations of 4% articaine with epinephrine (1:100,000) and 2% lidocaine with epinephrine (1:80,000) in achieving anaesthesia in maxillary permanent teeth with irreversible pulpitis. Patients aged 16 years and over who presenting with irreversible pulpitis in one tooth and an asymptomatic vital tooth [read the full story…]
Accurate diagnosis of the condition of the dental pulp has an important bearing on treatment planning. The aim of this review was to appraise the diagnostic accuracy of signs/symptoms and tests used to determine the condition of the pulp in teeth affected by deep caries, trauma or other types of injury. The authors searched PubMed, [read the full story…]
Inferior alveolar nerve block (IANB) is the most frequently used injection technique for achieving local anaesthesia for root canal treatment of mandibular teeth. However it is not always successful in endodontics with studies failure rates occurring between 44% and 81% of the time. The aim of this randomised trial was to determine the effect of [read the full story…]
