Trail suggests similar outcomes with cast and glass fibre posts

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The restoration of teeth following root canal treatment (RoCT) can present challenges and posts inserted into the root canal can provide support to enable restoration. The aim of this study was to evaluate the survival of glass fibre and cast metal posts used to restore endodontically treated teeth with no remaining coronal wall. Patients with [read the full story…]

Review suggests that mineral trioxide aggregate had best clinical and radiographic outcomes at 9-12 months for primary molar pulpotomy

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When I was training formocresol was the standard dressing for primary teeth following pulpotomy . However, it  use is now questionable because of potential adverse effects such as potential carcinogenicity, mutagenicity, and cytotoxicity.  Consequently a range of other materials have been investigated,  ferric sulphate, gluatraldehyde preparations , mineral trioxide aggregate (MTA), electrosurgery, calcium hydroxide, and laser [read the full story…]

Currently no evidence to support repairing or replacing resin composite fillings for adults

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Over the past 30 years there has been an increase in the use of tooth-coloured composite resin filing materials as an alternative to amalgam for restoring posterior teeth.  Recent technical and material developments have improved the limitations of the early materials which were more likely to fail because of shrinkage, loss of form poor wear [read the full story…]

Currently no evidence to support repairing or replacing amalgam fillings for adults

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Dental amalgam has been the dental material of choice for many decades. Although, in recent years a greater focus on aesthetics and concerns related to the potential environmental impact of mercury coupled with a more conservative approach to cavity preparation and improvements in aesthetic restorative materials is leading to a decline it its use.  In [read the full story…]

Limited evidence suggests no difference in soft tissues aesthetics between immediate and conventional implant placement

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The aesthetic appearance of the soft tissues following dental implant placement is an important consideration  and potential more of an issue with immediate placement. The aim of this review was to compare the aesthetic  (soft tissue) outcomes of immediate (type 1) verses conventional (type 3) implant placement. Searches were conducted in PubMed, Embase, and the [read the full story…]

Some evidence of reduction of peri-implant bone loss with platform switching

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The concept and use of platform switching has gathered pace with the increasing numbers of dental implants being placed. platform switching (PS), where a small diameter implant abutment is placed in order to place the implant- abutment interface medial to the edge of the implant platform is considered to have a positive impact on maintaining [read the full story…]

Currently little evidence to support smoking as a risk factor for peri-implantitis

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Dental Implants are now seen as a predictable treatment strategy for restoration in the partially or totally edentulous patient. Peri-implantitis is one potential complication and the prevalence has been reported as ranging from 6 – 28%. Smoking has been identified as a potential risk factor. The aim of this review was to assess the evidence [read the full story…]

Review found that screw- and cement-retained implant-supported fixed restorations had similar outcomes

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Screw retained restorations were the main approach during the early years of dental implant treatment but the cement-retained restoration gradually becoming more popular. The aim of this review is to compare the outcomes of screw- and cement-retained implant restorations. The Medline, Embase, the Cochrane Oral Health Group Trials Register, and the Cochrane Central Register of [read the full story…]

No evidence to support or disprove the effectiveness of antibacterial agents in composite into fillings to prevent further caries

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This is an update of a Cochrane review first published in 2009.  The aim of the review was to assess the effects of antibacterial agents incorporated into composite restorations for the prevention of dental caries. Searches were conducted in the Cochrane Oral Health Group’s Trials Register the Cochrane Central Register of Controlled Trials (CENTRAL) Medline, [read the full story…]

All -ceramic posterior crowns fractured at a higher rate than anterior crowns – ADA-EBD critical summary

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This ADA-EBD critical summary has looks at a 2012 systematic review by Wang et al.  The aim of the review was to evaluate the clinical fracture incidence of tooth-supported all-ceramic crowns according to restored tooth type. The appraiser considered the reviews search strategy to be thorough but noted that the studies were not assessed for [read the full story…]