Silver diamine fluoride for caries management?

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This umbrella review of silver diamine fluoride (SDF) for the management of carious lesions in children and adults included 11 systematic reviews reporting on 30 unique primary studies. A consistent and growing body of research supports supports SDF’s effectiveness for arresting coronal carious lesions in the primary dentition and arresting and preventing root carious lesions in older adults.

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White spot lesion prevention during orthodontic treatment

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This review of the efficacy of preventive interventions against the development of white spot lesions (WSLs) during fixed appliance orthodontic treatment included 23 RCTs tha majority of which were at high risk of bias. The findings suggest some benefit from sealants and fluoride varnishes but more high quality research is neeeded.

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Overjet and dental trauma risk

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This review of different overjet sizes that present an increased risk for developing dental trauma across different ages and dentition stages included 41 cross-sectional studies showing a a significant association between increased overjet and traumatic dental injury.

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Pulpotomy for permanent teeth

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This review of the efficacy and cost-effectiveness of pulpotomy and associated medicaments in permanent teeth with pulp exposure included 17 RCTs some os which are still ongoing. The findings suggest that pulpotomy may be a potential treatment option for permanent teeth but more research is needed.

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Early childhood caries: modifiable risk factors

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This review of evidence pertaining to the effect of modifiable risk factors on early childhood caries(ECC) includes 133 mainly observational data providing moderate certainty evidence that breastfeeding up to 2 y of age does not increase ECC risk , and that providing access to fluoridated water and educating caregivers are justified approaches to ECC

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Intellectual disability and oral health

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This review of on the oral health of community dwelling adults with intellectual disabilities included 33 mainly cross-sectional studies showing a the continuing high prevalence of oral disease and treatment need

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Fluoride varnish for caries prevention in pre-school children

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This review of the effectiveness of fluoride varnish in reducing the risk of new caries in primary teeth included 20 studies suggesting modest effects in pre-school children.

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Tooth loss predictors in periodontal patients

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This review of predictors of tooth loss in patients with periodontitis undergoing treatment and receiving supportive care included 20 studies. Findings suggest older, non‐compliant patients, smokers, diabetics, those with IL‐1‐polymorphism, and teeth with bone loss, high probing pocket depths, mobility, as well as molars, especially with furcation involvement, are at higher risk of tooth loss.

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Anti-plaque agents in toothpaste: Are they helpful in managing gingivitis?

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This review of the efficacy of different anti-plaque chemical agents in managing gingivitis included 32 RCTS of toothpastes and 19 of mouthrinses suggested greater benefits with some agents.

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Cleft lip and palate: Autologous or alloplastic secondary alveolar bone grafting?

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This review of the effectiveness of autologous versus alloplastic bone for secondary alveolar bone grafting in patients with cleft lip and palate included 4 small RCTs suggesting no difference between the approaches.

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