Potentially malignant disorders of the oral cavity: Evaluation guideline

By Aitor III (Own work) [Public domain], via Wikimedia Commons

This new clinical practice guideline from the American Dental Association (ADA) updates the 2010 guideline on “Evidence-based Clinical Recommendations Regarding Screening for Oral Squamous Cell Carcinomas

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Titanium or resorbable plates for orthognathic surgery

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This Cochrane review compared titanium & bioresorbable fixation systems for orthognathic surgery. Only 2 RCTS were identified providing insufficient evidence to determine if titanium plates or resorbable plates are superior.

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Medication-related osteonecrosis of the jaw (MRONJ): treatment and prevention

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This Cochrane review of interventions for the prevention and treatment of medication-related osteonecrosis of the jaw (MRONJ) identified 5 trials. Three were related to prevention and two to treatment providing limited evidence to support interventions. More high quality studies are needed.

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Orthodontic treatment for Class II division 2 malocclusion: No randomised trial evidence

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This Cochrane review of orthodontic treatment for class II div 2 malocclusion updates the previous 2006 version. No RCTs or CCTs were identified so It is not possible to provide any evidence-based guidance to recommend or discourage any type of orthodontic treatment to correct Class II division 2 malocclusion in children.

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Fissure sealants: performance not affected by tooth characteristics

Fissure sealant

16 studies affect of were included in this review of tooth characteristics on sealant performance. With the exception of lower sealant failure rate on premolars sealants were not affected negatively by mouth side, jaw, or tooth type.

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Cleft lip and palate patients have higher caries experience

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Twenty four studies were included in this review of caries status in children with cleft lip and palate. The findings suggest that caries experience in higher in children with cleft lip and palate in both primary and permanent dentition

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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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Silver diamine fluoride: 38% more effective than 12% in arresting caries

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This randomised controlled trial compared 12 and 38 % silver diamine fluoride applied annually and bi-annually to kindergarten children. . 38% applied bi-annually was most effective providing a 9% additional benefit over an annual application.

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Motivational Interviewing for adolescent oral health

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This large well-conducted 3-arm cluster RCT compared motivational interviewing(MI) with prevailing health education. Both MI arms of the study were more effective in eliciting positive changes in adolescents’ oral health behaviours and preventing dental caries after 12 months.

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Malocclusion: Is it associated with duration of breastfeeding?

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31 observational studies were included in this review of breastfeeding and malocclusion . This findings suggests that it may be protective against posterior crossbite and class II malocclusion. However as teh studies are largely retrospective the findings should be interpreted with caution.

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