One or two visit root canal treatment –new study finds little difference

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Root canal treatment (RoCT) is commonly performed dental procedure. This  usually follows irreversible pulpitis and necrosis of the dental pulp caused as a result of caries, or dental trauma. The aim of this study was to evaluate the outcome of single- versus 2-visit root canal treatment of teeth with apical periodontitis after a 2-year follow-up [read the full story…]

Weak evidence found similar performance for upright and tilted implants in the maxilla

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This review by Menini et al aimed to evaluate the prognosis of immediately loaded full-arch prostheses supported by both upright and tilted implants in the maxillae, after at least 1 yr. of function. The authors searched the PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), and EMBASE databases for human studies that included participants of [read the full story…]

Limited evidence that a flapless approach to implant placement in posterior maxilla is effective

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Flapless approaches to implant placement use rotary burs or a tissue punch to gain access to bone without flap elevation. The theory being that the vascular supply and surrounding soft tissue are well preserved. Flapless surgery is however considered to have a number of limitations, e.g. poor control of precise drilling; inability to preserve keratinized [read the full story…]

Which bonding system for the placing of zircona ceramic resin-bonded fixed partial dentures?

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The efficacy of modern adhesive dental materials relies to a great extent on the quality of the bonding systems. Questions have been raised about the efficacy of bonding agents when used with zircona. The aim of this trial was to compare two different bonding systems for the placing of zircona ceramic resin-bonded fixed partial dentures [read the full story…]

Poor evidence regarding whether to use resin-modified glass ionomer or calcium hydroxide cements in deep cavities

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This new critical summary from the ADA-Center for Evidence Based Dentistry looks at a 2010 review from Mickenautsch et al. The aim of that review was to compare the pulpal responses to resin-modified glass ionomer cement (RM-GIC) and calcium hydroxide when placed in deep cavities. The review only included six trials (one randomized and five [read the full story…]

Lack of quality evidence underlying the methods applied for diagnosis and treatment in endodontics

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The  Swedish Council on Health Technology Assessment (SBU) systematic review of the Methods of Diagnosis and Treatment in Endodontics is now available in English, the original report in Swedish being published in 2010.  The review aimed to address a number of specific questions:-  How well can different diagnostic methods determine the condition of the pulp [read the full story…]

Chewing ability and oral condition were the determinants of denture satisfaction best associated with oral health-related quality of life

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The need to use patient reported outcome measures (PROMs) is increasingly recognised.  Patients satisfaction and oral health-related quality of life are two such measure . The main aim of this study was to evaluate  the level of association between patients’ denture satisfaction and oral health-related quality of life (OHRQoL) in edentate patients, and to identify [read the full story…]

Restoring the shortened dental arch with partial removable dental prosthesis

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The shortened dental arch (SDA) has been defined as having an intact anterior region but a reduced number of occluding pairs of posterior teeth. The World Health Organization has stated that the retention, throughout life, of a functional, aesthetic, natural dentition of not less than 20 teeth and not requiring recourse to prostheses should be [read the full story…]

Are zirconia-based restorations clinically successful?

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A new critical summary of a 2010 systematic review  by Al-Amleh et al  on zirconium use in dentistry is now available from the ADA Centre for evidence based dentistry. The summariser notes that three types of zirconium ceramics are currently used in dentistry. The original review’s aim was evaluate these restorations in relation to framework [read the full story…]