Self-ligating brackets: Brace yourself! It’s time for some spring cleaning!

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The Scottish Dental Registrars on a recent systematic review of the effects of self-ligating brackets and conventional brackets on the periodontal status of adolescents undergoing orthodontic treatment.

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Sinus lift with dental implants: to graft or not to graft

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The Scottish Dental Registrars on a recent review of dental implants combined with sinus augmentation (sinus lift): what is the merit of bone grafting?

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Temporomandibular lavage for temporomandibular disorders

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This review of TMJ lavage for temporomandibular disorders only included 5 small RCTs a majority of which were at high risk of bias. While the findings suggest a benefit from lavage this should be interpreted cautiously because of the limited quality of the available evidence.

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Extra-oral implants: barclips versus magnets

The study highlighted a lack of evidence about what CMHT services work for older people.

Mark Steven Howe considers this review of extra-oral implant retention. 12 mainly retrospective studies were included providing limited data from which to drawn conclusions regarding the best retention system.

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Dental pulp testing: insufficient evidence to evaluate clinical performance

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This review of pulp sensibility and vitality tests identified 8 studies (4 Cohorts, 4 Case-controlled) . The number of studies matching the inclusion criteria did not provide a sufficient foundation to evaluate the clinical performance of pulp vitality tests.

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Rigid and non-rigid connections between implants and teeth: biological and technical complications.

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Mark-Steven Howe assesses a systematic review looking at the impact of rigid and non-rigid connectors between natural teeth and implants on the biological, functional and/or the prosthetic complication rates. Ten mainly retrospective studies were included providing limited evidence that needs to be interpreted cautiously.

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Oral mucositis in cancer patients: no benefit from chlorhexidine mouthwash

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This review of chlorhexidine (CHX) for prevention & treatment of oral mucositis included 12 RCTs with 9 contribution to the meta-analysis. CHX was not significantly effective in preventing mucositis or reducing its severity.

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Chlorhexidine gels and rinses reduce dry socket after third molar extraction

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This review of the effectiveness of chlorhexidine for prevention of dry socket after third molar removal includes 18 RCTs. The finding suggest a 47% (95%CI,38-55) reduction in cases following its use.

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Complete overdentures retained by mini implants.

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Mark-Steven Howe looks at a review of complete overdentures supported on mini-implants. Although 24 studies are included the majority are small and short term so while good overall overdenture survival was seen the results should be interpreted with caution.

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Anxiety and pain during dental treatment

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35 studies investigating 47 clinical groups were included in this review of the association between dental anxiety and pain during dental treatment. The findings suggest a consistent impact on pain through the entire period of dental treatment.

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