Root canal disinfection –sodium hypochlorite or chlorhexidine as an irrigant?

shutterstock_291173

This review only identified 5 small studies that provided insufficient evidence to compare outcomes using sodium hypochlorite and chlorhexidine for root canal disinfection. Additional high quality RCTs are required.

[read the full story...]

Vertical root fracture diagnosis with CBCT – insufficient evidence

shutterstock_2296216-root canal xray

Only 4 small studies at high risk of bias were available for this review of cone-beam computed tomography (CBCT) for diagnosis of vertical root fracture, providing insufficient evidence to suggest that CBCT is a reliable test.

[read the full story...]

Root canal treatment – no differences between single or multiple visit approaches

shutterstock_17046487

This RCT found no differences between single and multiple visit root canal treatment outcomes at 18 months Success rates for single visit treatments were 88.9% compared with 87.4% for multiple visits

[read the full story...]

Vitamin D status and caries associated?

vitd

Data from a cohort of children (6-11 years old) participating in the Canadian Health Measures Survey (CHMS) suggests an association between vitamin D status and dental caries. Children with 25(OH)D concentrations ≥75 nmol/L had a 39% lower odds of having experienced caries.

[read the full story...]

Orthodontic retention – little high quality evidence to recommend any one approach to over another

shutterstock_69850990- vacuum splint

15 studies involving 1722 patients were included in this Cochrane review update on orthodontic retention. However, there was insufficient high quality evidence to make recommendations on retention procedures.

[read the full story...]

Probiotics for caries prevention?

shutterstock_124896361

This small trial of probiotics as an adjunct to toothbrushing with a fluoride toothpaste to reduce caries in pre-school children suggests some additional benefit. Further studies are needed to clarify the findings, assess dose response, acceptability and cost effectiveness.

[read the full story...]

Platform-switching dental implants improved bone preservation in short term

shutterstock_88585900

This review of platform-switching of dental implants included 17 RCTs and found that bone loss was lower than in regular platform implants, mean difference = -0.41mm (95%CI; -0.58 to -0.24) with no difference in failure rates RR = 1.10 (95%CI; 0.6–2.02).

[read the full story...]

Do soft denture liners improve masticatory function?

shutterstock_24108289

This review of the effect of soft denture liners on masticatory function includes just 6 small studies. This is a suggestion that use of long-term silicone liners may improve mastication parameters but it is very weak.

[read the full story...]

Coronal pulpotomy in permanent molars

shutterstock_57295564

This review of coronal pulpotomy in permanent teeth demonstrated good survival at 2 years 92% (95%CI; 84 -100). However as the majority of studies were observational they should be viewed cautiously until further high quality RCTs are available.

[read the full story...]

Sealants or fluoride varnish for caries prevention?

Fissure sealant

This Cochrane review update included 8 trials involving 1746 participants. Some low-quality evidence suggesting the superiority of resin-based fissure sealants over fluoride varnish applications was identified

[read the full story...]