This review of the effect of microthreads on marginal bone loss around implants identified 5 small RCTs with relatively short follow up times. While a beneficial effect was noted the clinical relevance will require more high quality studies with longer follow up period to determine.
[read the full story...]Root canal treatment anxiety
This review of pre-treatment anxiety in patients undergoing root canal treatment included 36 studies of various study design suggestign that anxiety levels were moderate ans improved post treatment.
[read the full story...]Ceramic crowns: effect of endodontic access on fracture resistance
This review of the effect of endodontic access on fracture resistance of all-ceramic crowns included 8 in-vitro studies providing some indication of potential factors that may impact on fracture resistance.
[read the full story...]Endodontic treatments for immature necrotic teeth
This review of endodontic treatments for immature teeth included 7 small RCTs at medium to high risk of bias. They suggest that mineral trioxide (MTA) may provide better clinical outcomes in relation to apical closure but the findings should be interpreted with caution.
[read the full story...]Molar-incisor hypomineralisation
This review of molar-incisor hypomineralisation management only included 14 limited quality and mainly observations studies.For molars composites, preformed metal crowns or indirect restorations seem suitable but more high quality studies are needed.
[read the full story...]Resin infiltration for enamel development defects and WSLs
This review of resin infiltration for enamel development defects and WSLs included 11 studies (7 RCTs) of limited quality. They suggest it may be a feasible treatment option, but high quality studies are needed.
[read the full story...]Stepwise and partial-caries-removal –reduces longer term pulpal complications?
This review of stepwise or partial caries removal for deep caries suggesting included 5 studies ( 2 RCTs) of limited quality. Findings suggest better pulpal outcomes with these approaches compare with traditional treatment.
[read the full story...]Amalgam outperforms composite in range of posterior cavity types
This review of failure rate of single-unit prostheses versus direct restorations in vital posterior teeth included 14 studies (5 RCTs) finding that composite had a significantly higher failure rate than amalgams, regardless of the remaining tooth structure. For teeth with fewer than 2 remaining walls, direct restorations presented significantly higher failure rates than crowns .
[read the full story...]Cavity liners for posterior resin based composites?
This Cochrane review of liners under posterior composite restoration included 8 RCTs identifying little evidence to show that they reduced sensitivity and no evidence of an effect on longevity of restorations.
[read the full story...]Lasers for caries removal: evidence insufficient to support their use
This Cochrane review included 9 small RCTs with either a high or unclear risk of bias providing evidence that was insufficient to support the use of laser as an alternative to the drill for caries removal.
[read the full story...]