Computerised local anaesthesia in paediatric patients

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This review ofwhether local computerised anaesthesia decreases the pain and disruptive behaviour in children when compared to conventional anaesthesia included 20 RCTs and suggested no diference between the two approaches.

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Dental implants: Long or short with bone augmentation in the posterior jaw?

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This review comparing outcomes between short (5-8 mm) and long implants (≥10 mm) with bone augmentation in the posterior jaw included 10 RCTs . The findings suggest no differences in outcomes at 1 year.

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Clear aligner orthodontic treatment

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This review assessing the predictability of clear aligners and treatment outcomes of clear aligner therapy compared with fixed appliance therapy included 7 small studies of limited quality.

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Osteoradionecrosis of the jaws: Prevention in adult patients with head and neck cancer

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This Cochrane review of interventions for preventing osteoradionecrosis of the jaws in adults with head and neck cancer undergoing curative or adjuvant (i.e. non-palliative) radiotherapy included 4 RCTs. The limited quality of the available studies means evidence regarding the interventions evaluated in this review is uncertain.

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White spot lesions: Topical fluoride for prevention during fixed orthodontic treatment

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This Cochrane review update evaluates whether topical fluoride reduces the proportion of orthodontic patients with new demineralised lesions (white spot lesions). In included 10 studies finding some low certainty evidence that some topical fluorides reduced white spot lesions.

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Early childhood caries: Preventive interventions for pregnant and nursing mothers and other primary caregivers

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This Cochrane review asessing interventions with pregnant women, new mothers or other primary caregivers of infants in the first year of life for preventing early childhood caries included 17 RCTs .

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Orthodontic retainers: Bond lower retainers to all anterior teeth or only canines?

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This review evaluating the difference in stability between lower fixed retainers bonded on all six anterior teeth and those bonded only to the canines included 5 studies. Only 2 of the studies were RCTs with finding suggesting better outcomes with bonding to all anterior teeth but the quality of the evidence is low.

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Gag reflex management during dental treatment

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This update of a Cochrane review of pharmacological and non-pharmacological interventions for the management of gagging in people undergoing dental treatment found very low-certainty evidence from four trials that was insufficient to conclude if there is any benefit of acupuncture, acupressure or laser at P6 point in reducing gagging and allowing successful completion of dental procedures.

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Smoking cessation and tooth loss

This review provides strong evidence for quitting smoking and reducing your risk of dementia.

This review assessing whether smoking cessation reduced the risk of tooth loss included 14 cross-sectional and 7 longitudinal studies suggestign that the risk of tooth loss in former smokers is comparable to that of never smokers

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Dental Implant ‘drop out’ rates at 10 years – do they matter?

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Colin Levey takes a look at a systematic review assessing the 10-year survival of titanium roughened surface, solid screw dental implants in adults. 4 RCTs and 14 prospective studies) were included traditional analysis and sensitivity analysis taking into account missing data was conducted providing a more conservative estimate of survival and a broader prediction interval.

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