Guideline: Antibiotics for Dental Pain and Swelling

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This new guideline from the American Dental Association is about the the appropriate use of systemic antibiotics for the urgent management of symptomatic irreversible pulpitis with or without symptomatic apical pulpitis, pulp necrosis and symptomatic apical periodontitis and pulp necrosis and localized acute apical abscess.

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Molar incisor hypomineralisation: systemic associations

HSPM  Molar-Incisor hypomineralisation

This review of the systemic exposures associated with with molar incisor hypomineralisation (MIH) included 29 observational studies. VEry low quality evidence suggests that maternal illness, psychological stress, caesarean delivery, delivery complications, respiratory diseases, fever and childhood illnesses may be associated with MIH.

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Dental implant placement: which antibiotic protocol?

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This review of the the effectiveness of different antibiotic protocols to prevent early dental implant failure includes 9 RCTs showing that antibiotics were protective against early implant failures.

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Dental implant failures reduced with prophylactic antibiotic suggests review

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This new review covers similar ground to the 2013 Cochrane review. It includes non-randomised controlled trials, but as with the Cochrane review the findings suggest that antibiotics reduce early implant failure.

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Currently insufficient evidence to decide if antibiotics are effective in treating irreversible pulpitis

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Irreversible pulpitis often presents as an acute and intense pain and is a frequent reason for emergency dental visits.  Treatment involves accessing the root canal of the tooth to remove the inflamed pulp (nerve) and cleaning the root canal. The aim of this review was to assess the effects of systemic antibiotics for irreversible pulpitis. [read the full story…]

New Cochrane Protocols for Oct and Nov 2012

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October saw one new Cochrane protocol published on the Cochrane Library which slipped passed the Elf’s gaze. Cope A, Francis N, Wood F, Mann MK, Chestnutt IG. Systemic antibiotics for symptomatic apical periodontitis and acute apical abscess in adults (Protocol). Cochrane Database of Systematic Reviews 2012, Issue 10. Art. No.: CD010136. DOI: 10.1002/14651858.CD010136. The principal [read the full story…]