Review finds limited evidence on maintenance requirements of implant retained overdentures in the upper jaw

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Rehabilitating the edentulous upper jaw with implant-supported dentures requires long-term maintenance of the prosthesis. This review aimed to evaluate the literature on prosthodontic maintenance requirements for maxillary implant overdentures using different prosthodontic designs. The authors conducted electronic searches on Medline, PubMed and Google Scholar. In addition they hand searched 15 dental journals and the reference [read the full story…]

Vital pulp therapy for permanent teeth

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The Journal of the American Dental Association has published an appraisal of a 2011 review by Aguilar & Linsuwanont  under the auspices of the American Dental Association Center for Evidence-Based Dentistry. The review looked at whether vital pulp therapy is successful in permanent teeth. The appraiser considered that search strategy was thorough although the included [read the full story…]

Small trial suggests limited benefit for occlusal reduction in endodontic treatment

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Occlusal reduction is one possible technique to reduce postoperative pain in patients suffering from irreversible pulpitis and tenderness to percussion. The aim of this study was to assess the effectiveness of this procedure Patients with irreversible pulpitis and mild tenderness to percussion without moderate-to-severe spontaneous pain underwent standardized root canal treatment (RoCT) performed by a [read the full story…]

Do complete dentures have to have a balanced occlusion?

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When constructing conventional complete dentures incorporating a bilateral balanced occlusion (BBO) is considered by many to be important for a successful outcome.  The aim of this review was to compare whether BBO or canine-guided (CG) dentures were important for successful denture treatment. The Medline, ISI Web of Science, LILACS (Latin American and Caribbean Literature on [read the full story…]

Trail suggests rapid injection technique for inferior alveolar nerve block was more uncomfortable but more effective

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The aim of this study was to compare both the effectiveness of the anaesthesia and the pain with deposition between fast and slow inferior alveolar nerve block (IANB) injection techniques. Patients attending a dental emergency department and requiring endodontic management were randomised to receive either fast (n=30) or slow (n=30) IANB injections using 3.6 mL [read the full story…]

Bupivacaine may reduce post-operative pain in patients having single visit root canal treatment

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Elimination of pain during and after root canal treatment is an important element of patient care and modern endodontic practice.  The aim of this study was to compare the postoperative pain and analgesic use after single-visit root canal treatment of acute irreversible pulpitis with either bupivacaine (a long-acting anaesthetic) or lidocaine. Patients with a first [read the full story…]

Double crown tooth abutments and dentures demonstrated a wide range of survival rates

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Double crown reconstructions provide the possibility of restoring a dentition using a few remaining teeth located in unfavorable positions for other prosthetic approaches Although they require high precision from both the dental technician and clinician. The aim of this review was to systematically screen the literature for data related to the survival and complication rates [read the full story…]

Weak evidence finds no support for ‘Ante’s Law’

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This critical summary of a review published by Lulic et al in 2007  has just been published under the auspicies of the American Dental Association Center for Evidence-Based Dentistry. For 80 years Ante’ law has influenced standard textbooks of prosthodontics.  It stated:- the total periodontal membrane area of the abutment teeth must equal or exceed [read the full story…]

Study suggests short-term benefit for flapless placement of implants

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While flapless placement of dental implants is considered to have advantages over flap based procedures there are potential disadvantages in the ability to visualise anatomic structures, contour bone and readily irrigate to prevent osseous damage.  The aim of this study was to compare the placement of flapped vs. flapless dental implants utilizing clinical, radiographic, microbiological, [read the full story…]

Study suggest that 5% of all teeth have a periapical radiolucency

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In yesterday’s blog we looked at the outcomes of one versus two visit root canal treatment . Today we are looking at a review which seeks to identify what the prevalence of periapical radiolucencies  and non-surgical root treatment is in the population. The authors searched the MEDLINE and EMBASE databases with hand searching of the [read the full story…]