Vitamin D and dental caries risk in children

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This review of the association between higher dental caries experience and lower serum vitamin D levels in children included 13 studie. The findings suggest higher levels of caries in patients with lower vitamin D levels.

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Dental caries and genetics – is there a link?

Twins

This review assessing the agreement of dental caries experience between monozygotic (MZ) and dizygotic twins (DZ) included 19 studies. While the findings indcate a possible a genetic influence the certainty of evidence is very low so the findings should be interpreted very cautiously.

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Caries in HIV-infected children and adolescents

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This review assessing whether caries severity is higher in HIV-infected children and adolescents than in those who uninfected included 16 studies. While the review suggests a higher caries severity in those infected with HIV the certainty of the evidence is low with the majority of studies not providing information on potential confounders.

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Photodynamic therapy in primary teeth root canal therapy?

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This review of the efficacy of adjunctive photodynamic therapy (PDT) on root canal treatment in primary teeth included 4 studies. The included studies were small and of short duration and lacked clinically relevant outcomes. Larger high quality well conducted studies with follow up periods of at least 12 months are needed to assess the role of PDT in primary teeth.

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Deep caries removal – Selective or stepwise?

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This review comparing stepwise removal (SWR) and selective removal (SCR) of deep carious lesions in primary and permanent teeth included 9 RCTs. The findings suggest that SCR may be more succesful than SWR but they should be interpreted cautiously because of the limited number of studies for some outcomes.

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Top Dental Elf blogs Oct – Dec 2022

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Our most read blogd in October, November and December 2022 covered treatments for burning mouth syndrome, recurrent oral aphthous stomatitis and preformed metal crowns on primary molars

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Preformed metal crown on primary molars – Conventional or Hall techniques?

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This review of the outcomes of preformed metal crowns placed on primary molars using conventional and Hall techniques included 5 studies. The findings suggest similar overal sucess and survival rates for both techniques.

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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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Dental erosion in children and gastro-oesophageal reflux disease

Erosion

This review of the association between gastro-oesophageal reflux disease (GERD) and dental erosion in children included 13 observational studies. The findings suggest positive association association between GERD and dental erosion in children however this should be interpreted cautiously because of the wide variety of diagnostic methods used in the included studies.

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Glass ionomer restorations and caries prevention

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This review of the effectiveness of glass ionomer cement (GIC) restorations in preventing new caries in primary or permanent dentitions included 10 RCTs. The findings suggest that GIC restorations have a better preventive effect that other materials but the amount and quality of evidence is limited.

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