Pulpal anaesthesia for symptomatic irreversible pulpitis in mandibular molars

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Colin Levey takes a look at this network meta-analysis of 46 RCTs assessing techniques and drugs for achieving pulpal anaesthesia for the non-surgical endodontic treatment of mandibular molars.

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FiCTION Trial: the cost effectiveness of dental caries management in primary teeth

Money

THe FiCTION trial examied 3 strategies for the management of dental caries in primary teeth of children aged 3 to 7yrs in the UK This summarises the detailed cost-effectiveness element of that mult-centre RCT in primary care.

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Probiotics for the treatment of gingivitis

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This review of the the efficacy of probiotics in the treatment of gingivitis included 10 small short term studies providing limited weak evidence for any effect on gingivitis.

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Drug use and oral health status

Very few studies in this review, measured or adjusted for use of other substances such as cannabis.

This review investigating the relationship between drug use (methamphetamines, heroin, opiates, cocaine, cannabis and crack) and oral health includes 10 observational studies showing a higher risk of caries.

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Dentofacial deformity: the effect of combined orthodontic-surgical treatment on oral health–related quality of life

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This review of the impact of conventional combined orthodontic-surgical treatment (COST) and the surgery-first approach on oral health–related quality of life (OHRQoL)included 24 prospective studies showing an inital decrease tfollowed by an improvement in OHRQoL

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Overdentures: The effect of attachment systems on clinical performance

Overdenture - ball attachments

This review of the behaviour of overdentures supported by bar and clip or ball and O-ring attachments included 17 studies. The findings suggest no differences between the two sustems.

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Chlorhexidine gel as an adjunct to non-surgical periodontal treatment

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This review of the efficacy of adjunctive subgingival administration of chlorhexidine gel in nonsurgical periodontal treatment for chronic periodontitis included 17 RCTs only one of which was at low risk of bias for all domains. Findings suggest an improvement in pocket probing depth but not for clinical attachment.

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Post-endodontic pain: Is it influenced by concentration of sodium hypochlorite irrigation?

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This large RCT involving 308 patients found that using 1.3% NaOCl was associated with less intense and less frequent post-endodontic pain than 5.25% NaOCl in mandibular molars with nonvital pulps treated in two visits.

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Dry mouth: Are oral health programmes for community dwelling elderly beneficial?

Older people with learning disabilities need opportunities to speak for themselves

This review of whether oral health promotion programmes for community‐dwelling elderly were effective in improving oral health and oral saliva secretion or in decreasing dry mouth included 9 studies most of which came from a single country

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Post-endodontic pain: Is it reduced by occlusal reduction?

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This review of the efficacy of occlusal reduction on the management of post-operative endodontic pain included 6 small RCTs of high risk of bias. The fidings suggested non benefitc from occlusal reduction in the first 48 hours but some benefit at 72 hours. However the findings should be viewed cautiously because of the limited study quality.

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