No good evidence available on treatment options for generalised tooth wear

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It has been estimated that about 25% of 10-40 year old European adults were affected by tooth wear (See Dental Elf 30th Sept 2013). The aim of this review was to identify similarities among treatment options for generalized tooth wear and to develop an approach to rehabilitation based on the best evidence available. Searches were [read the full story…]

Study finds no evidence that replacing missing posterior teeth with removable dental prosthesis decreases risk of TMD pain in patients with shortened dental arches

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Over the last few days we have been looking at various outcomes from a multicenter trial that compared the outcomes for two different treatment options for the shortened dental arch. The aim of this analysis was to assess the impact of missing posterior support on the risk for temporomandibular disorder (TMD) pain. As outlined previously [read the full story…]

Trial found no difference in oral health quality of life outcomes for two approaches to management of the shortened dental arch

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Yesterday we looked at the reported periodontal outcomes from a multicenter trial that compared the outcomes for two different treatment options for the shortened dental arch. Today we are considering the report of the oral health quality of life outcomes (OHRQoL). As outlined previously patients were randomised into two groups; a partial removable dental prosthesis [read the full story…]

Study suggests increased failure risk in root treated teeth with less coronal structure restored with fibre post

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The aim of this study was to assess whether the amount of residual coronal structure and the type of cement used for fibre post luting (self-adhesive cement vs. composite core material) affected the four-year survival of root-filled premolars. Patients requiring endodontic treatment and single-unit crown restoration of premolars were eligible.  Patients were divided into two [read the full story…]

Review suggests that glass ionomers had best retention rates in non-carious cervical lesions

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The aetiology of non-carious cervical lesions  (NCCLs) has not been fully clarified but they are characterised by a slow and gradual loss of mineralized dental tissue in the absence of dental caries. This results in a saucer or wedge-shaped defect that appears along the cementum–enamel Junction.   The aim of this review was to assess the [read the full story…]

New Cochrane Protocol – April 2014

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  The aim of this new Cochrane protocol is to evaluate the effects of methods for acceptance of local anaesthetic in children during dental treatment. As the protocol notes three factors have been considered to influence discomfort during delivery of local anaesthetic: factors related to the patient, equipment factors and aspects that are under control [read the full story…]

Amalgam still an effective filling material for posterior teeth

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Amalgam has been used for filling teeth for around 150 years. Over that time amalgam restoration have been shown to be a predictable, successful and cost effective.  Concerns regarding aesthetics and their mercury content together with improvement in tooth-coloured dental resin cements have seen a decline in their use.  Recently the Minamata Convention on Mercury [read the full story…]

Potential for non-conventional management of approximal caries in primary molars shown by study

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Despite the improvements in oral health the management of dental caries still presents challenges particularly in children. While some guidelines still recommend complete removal of caries there is growing interest in more conservative approaches.  The aim of this study was to compare children’s behaviour and pain perception when approximal dentinal caries lesions in primary molars [read the full story…]

Higher failure rates for narrow dental implants suggested by review

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The use of dental implants is increasing and small diameter implants are being seen as having potential to restore small edentulous spans without the need for bone augmentation. The aim of this review was to compare the survival rates of narrow diameter to standard or wide diameter implants Searches were conducted in the PubMed, Medline, [read the full story…]

ADA-EBD critical summary – survival of various tooth- or implant-supported restorations

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This new critical summary from the ADA-EBD Center for evidence-based dentistry looks at a 2012 review from Pjetursson et al  which set out  to assess and compare the 5- and 10-year survival of different types of tooth-supported and implant-supported fixed dental prostheses (FDPs) and single crowns (SCs), and to describe the incidence of biological and [read the full story…]