Fibre or metal posts for restoring endodontically treated teeth?

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This review evaluating the difference between fibre and metal posts for endodontically treated teeth included 10 studies 6 of which were RCTs. The findings suggest no differences in outcomes between the two main types of post assessed. However, the evidence is of low certainty.

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Enamel white spot lesions: self-application of topical fluorides for prevention and reversal

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This review of self-applied topical fluorides for the prevention reversal of enamel white spot lesions during fixed orthodontic treatment included 3 RCTs two of which were at high risk of bias.

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Fixed orthodontic appliances: What is the most effective debonding technique?

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This review of different methods for reducing pain and discomfort during removal of fixed orthodontic appliances included 6 RCTs providing weak evidence for pre-debonding analgesia and other approaches.

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Fluoride for white spot lesion prevention during orthodontic treatment

iStock_000002259334XSmall braces on teeth

This review of professional topical fluoride application to prevent/reverse enamel white spot lesions during orthdontic treatment included 11 RCTs suggesting a reduction of in incidence of between 25–30% .

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Orthodontic bracket systems: Is adhesive precoating better than operator coated?

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This review assessing whether adhesive precoated orthodontic brackets are more efficient than operator-coated brackets included 5 RCTs find no differences in failure rate between the two systems.

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Orthodontic treatment duration: no shorter with customised orthodontic system

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This well conducted and reported trial compared customised orthodontic system against traditional methods. The customised system was not associated with any significant reduction in treatment duration, and the treatment outcomes were comparable with both systems.

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Hawley appliances for orthodontic retention?

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10 trials were included in this review of the effectiveness of Hawley retainer following orthodontic treatment providing low quality evidence that performance was similar to other retainers.

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Inlay-retained fixed dental prosthesis have acceptable 3-yr survival rate suggests review

Missing premolar

This review of inlay-retained fixed dental prosthesis included 11 small mainly observational studies. The studies suggest a 3-yr survival rate of 92.6% (95% CI: 85.8-97.6%) and 5-yr survival rate of 87.9% (95% CI: 77.4-96.1%). However because of the low quality of the available studies and the wide range of inlay designs, framework materials, surface treatments and cement systems used means that the results should be interpreted cautiously.

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Fibre posts: failure rates and restoration type

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This review of complication in teeth restored with fibre posts only included 4 small studies providing little evidence to inform clinical practice

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Biting on soft acrylic wafer during orthodontic appliance debond may reduce the pain experienced

iStock_000002551343XSmall colourful braces on teeth

Pain and discomfort is often reported by patients undergoing orthodontic treatment and has been cited as a reason for failure to complete treatment.  Removal of fixed appliances could be painful and it has been suggested that an intrusive bite force may stabilize teeth allowing greater resistance of torsional forces.  The aim of this study was [read the full story…]