Periodontal health: no additional benefit from 6 monthly Scale and Polish

shutterstock_2584741

This large multicentre, cluster randomised controlled compared the clinical effectiveness and cost-effectiveness of theory-based, personalised oral hygiene advice or scale and polish’ with routine care in improving periodontal health in dentate adults attending general dental practice.

[read the full story...]

Orthognathic surgery: Are perioperative steroids beneficial?

Bariatric surgery and marked weight loss is likely to improve knee complaints but there is a need for high quality studies

This review of perioperative systemic corticosteroids on clinically important outcomes in patients undergoing orthognathic surgery identified 8 small RCTs. A reduction in facial oedema was seen in those receiving systemic corticosteroids. However the quality of the studies is limited and there is lack of evidence on other outcomes or adverse effects.

[read the full story...]

Regenerative endodontic treatment: Does apical diameter affect outcome?

By Drs. Ken Hargreaves and Obadah Austah, Dept of Endodontics, University of Texas Health Science Center at San Antonio - Ken Hargreaves, CC BY 3.0 us, https://commons.wikimedia.org/w/index.php?curid=30784169

This review of regenerative endodontic treatment included 14 small observational studies of limited quality suggesting a possible influence of apical diameter on clinical outcomes.

[read the full story...]

Glutaraldehyde or fluoride varnish for dentine hypersensitivity?

shutterstock_73929085 dental pain bearded man

This review of glutaraldehyde or fluoride varnish for dentine hypersensitivity included just 4 small RCTs . The findings suggest a benefit in favour of glutaraldehyde at 7 days but the short-term nature of the studies and their limited quality means these findings should be interpreted cautiously.

[read the full story...]

Statins as an adjunct to periodontal treatment?

This well conducted Cochrane review found no evidence that statins

This review of the adjunctive effect of statins on mechanical periodontal therapy included 15 studies 12 of which were RCTs. The findings suggest a positive effect on probing pocket depth, clinical attachment level, and intrabony defects but the overall quality of evidence is considered to be low.

[read the full story...]

Palatal implants for supplementing anchorage during orthodontic treatment

shutterstock_147687233

27 studies were included in this review of the failure rates of palatal implants & mini-screws for supplementing anchorage during orthodontic treatment. Failure rates were low and similar for both implants & mini-screws.

[read the full story...]

Post endodontic pain: Is it affected by type of instrumentation?

shutterstock_17046487

17 studies, none of which were at low risk of bias, were included in this review of the effect of type of instrumentation on post endodontic pain. The findings suggest lower incidence and intensity of postoperative pain with rotary instruments compared to hand files.

[read the full story...]

Dental adhesive systems: HEMA-free or HEMA-containing systems?

shutterstock_100849522

22 RCTs were included in this review of the influence of the monomer HEMA in the formulation of dental adhesive systems suggests that HEMA-free adhesive systems do not have better clinical performance of the non-carious cervical lesion restorations than HEMA-containing systems.

[read the full story...]

Anticoagulants and post-operative bleeding following oral surgery

shutterstock_75626410

This review of the post oral surgery bleeding risk for patients on direct oral anticoagulants (DOACs) included 13 observational studies. The findings suggest a three-fold increase in bleeding for those patients on DOACs although the quality of the available evidence is limited.

[read the full story...]