Study suggests that systemic antibiotics are not necessary for single dental implant placement

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The use of systemic antibiotics during dental implant placement has been controversial, with some authors claiming higher survival rates with peri-operative antibiotic use.  The aim of this multi-centre trial was to assess the effect of various systemic antibiotic prophylaxis regimes on patient- reported outcomes and postsurgical complications in patients undergoing conventional implant placement. Following establishment [read the full story…]

Review suggests that incomplete caries removal advantageous, particularly in deep cavities

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The traditional approach to treatment of dental caries has been complete removal and subsequent restoration.  During the past decade this approach has been challenged, based on a greater understanding of the disease process.  The focus being on adequate restorations rather than a complete excavation of caries, with particular benefits for the treatment of deep caries. [read the full story…]

Critical summary from the American Dental Association Center for Evidence-based Dentistry

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This new critical summary is of a 2011 review by Pommer et al that compared survival rates of shorter dental implants (see Dental Elf 18th July 2011). The reviewer highlights a number of methodological shortcomings in the review. Only English language articles were included and outcomes were reported on an implant rather than a patient [read the full story…]

Lack of evidence to support an association between occlusal risk factors and non-carious cervical lesions

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Loss of tooth surface in the cervical areas of the tooth unrelated to caries, or non-carious cervical lesions (NCCL) have been reported to occur in prevalences of between 5-85%.  These lesions can be the result of attrition, abrasion or erosion. The potential of occlusal stress to be a factor leading to abfraction has also been [read the full story…]

Lack of evidence to highlight differences in peri-implant bone loss between cement and screw retained prosthesis

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Peri-implant bone loss is one parameter used to evaluate the success of dental implants.  The aim of this review was to compare peri-implant bone loss between cement and screw retained prosthesis. The Medline, SCOPUS, ISI Web of Knowledge and Cochrane Central Register of Controlled Trials (CENTRAL) databases were searched. Five journals were hand searched. Randomised [read the full story…]

Study suggest 84% survival of composite filings in children and adolescents after eight years

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The aim of this study was to assess the durability of Class I and class II composite resin restorations (CRR) in children and adolescents placed in Public Dental Health Service (PDHS ) clinics. The was a prospective study all children and adolescents up to 18 years treated between November 1998 and December 2002 in all [read the full story…]

Similar performance from glass fibre–reinforced epoxy resin posts and titanium posts in endodontically treated teeth at 7 years

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Yesterday (Dental Elf 14th Jan 2012) we looked at a review that compared cast and fibre posts in-vitro. Here we are looking at a trail that compares the use of more flexible, dentine-like (low Young modulus) glass fibre–reinforced epoxy resin posts (GFREPs) with rather rigid, stiff (higher Young modulus) titanium posts (TPs) in order to [read the full story…]

Review of in-vitro studies shows greater fracture resistance for cast posts

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Endodontically treated teeth (ETT) are considered to be more brittle and subject to fracture. Posts are frequently used to restore ETT and use of the appropriate post material is considered important to a successful restoration.  The aim of this review of in-vitro studies was to compare the fracture load of ETT restored with cast of [read the full story…]

Critical summaries from the American Dental Association-Center for Evidence-based Dentistry-Jan 2013

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A number of new critical summaries have been made available on the ADE-EBD website of the past few weeks. The first is an appraisal of a 2010 review by Martínez-Maestre et al. that looked at the association between dental bone loss and systemic osteoporosis.  The reviewer highlighted that this was a weak review of observational [read the full story…]

Atraumatic restorative treatment had similar survival rates to conventional approaches in primary teeth but evidence limited

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Atraumatic restorative treatment (ART) involves the removal of so softened carious enamel and dentine with hand instruments and filling the cavity with a adhesive restorative material. Typically this is a high-viscous glass ionomer cement (GIC).   This approach was about 25 years ago  to provide care in less industrialised areas with high disease levels but is [read the full story…]