Root caries – effect of domiciliary professional oral care

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This review of domiciliary professional oral care on root caries development and progression in care-dependent older adults included 4 RCTs. While all the included studies indicated a benefit the interventions and outcomes were veriable and none were considered to be at low risk of bias.

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Top Dental Elf blogs Jul – Sep 2022

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Sonic verses rotating oscillating powered toothbrushes, the use of the miswak for periodontal health and the effect of silver diamine fluoride on the pulp were the topics of our most read blogs in July , August and September 2022.

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Silver diamine fluoride to arrest caries in cavitated primary molars

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This review of the efficacy of silver diamine fluoride (SDF) in controlling caries progression in cavitated primary molars included 9 RCTs. The findings found an overall effect in preventing caries progression = 33% (95%CI; 26 to 40%) at 12 months.

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Caries prevention in older adults

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This review of the effectiveness of professionally applied fluoride therapy in preventing and arresting dental caries in older adults aged 60 years or above included 7 studies. The findings suggest that 5% NaF varnish, 38% SDF solution, and 1.23% APF gel were effective in preventing root caries but the studies were varied in treatment protocols, intervention method and follow-up period so more research in needed.

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Silver diamine fluoride: The effect on vital dental pulp

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In this review Iris Vaid looks at a systematic review of the dental pulp response to silver diamine flouride (SDF) treatment. Only a small number of studies focused on the biological effects of SDF on the dental pulp and none of them were clinical trials.

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Potassium iodide: Does it reduce silver diamine fluoride induced tooth staining?

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This review of the effectiveness of potassium iodide (KI) in reducing staining after silver diamine fluoride use identified just 6 studies 5 of which were conducted in-vitro providing little clinically relevant evidence for the use of KI.

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Silver diamine fluoride for caries management?

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This umbrella review of silver diamine fluoride (SDF) for the management of carious lesions in children and adults included 11 systematic reviews reporting on 30 unique primary studies. A consistent and growing body of research supports supports SDF’s effectiveness for arresting coronal carious lesions in the primary dentition and arresting and preventing root carious lesions in older adults.

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Top Dental Elf Blogs: Sep – Dec 2018

The National Elf Service aims to close the gap between research and practice.

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Between September and December 2018 our most popular blogs considered guidelines for non-restorative options for caries management , orthodontic management of the developing dentition and aligners for orthodontic treatment.

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Carious lesions: guidelines for non-restorative treatments.

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This evidence-based clinical practice guideline on the non-restorative treatments for carious lesions in primary and permanent teeth from the American Dental Association provides 11 recommendations.

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Silver diamine fluoride for caries prevention in primary teeth

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Four RCTs were included in this review of silver diamine fluoride (SDF) for the prevention of caries in primary teeth. Meta-analysis involving 2 of the studies suggest a preventive fraction = 77.5% (95%CI; 67.8– 87.2%)

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