Results: 307

For: caries

Caries risk models – Predictive performance

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Sergio Uribe in his first Dental ELf blog looks at this review of the predictive performance of seven caries risk assessment models. While the findings suggest a resonable performance from the full and reduced Cariogram more high quality studies are needed in particular in relation to communication of risk to patients and its impact.

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Treatments for cavitated or dentine carious lesions

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This Cochrane review of interventions to treat carious lesions conventionally considered to require restorations in primary or permanent teeth with vital pulps included 27 RCTs. Compared with conventional treatment there were lower numbers of failures with the Hall technique and selective excavation (SE) in primary teeth and with SE and stepwise removal in permanent teeth.

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Caries detection using visual or visual-tactile examination

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This diagnostic test accuracy review of visual classification systems for the detection and diagnosis of non-cavitated coronal dental caries in children or adults included 67 studies. The findings suggest that these classificationssystems have resonable performance but the certainty of the evidence is low.

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Early childhood caries: Global prevalence

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The 2019 Bangkok Declaration defined early childhood caries (ECC) as the presence of a primary tooth with one or more carious (non-cavitated or cavitated lesions), missing (due to caries), or filled surfaces in a child under the age of six years. While dental caries is a preventable chronic health problem it remains a significant public [read the full story…]

Sugar free gum and streptococcus mutans levels

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This review of the impact of sugar-free gum (SFG) on the level of oral micro-organisms, specifically Streptococcus mutans included 13 studies 11 of whihc were RCTs. The findings indicated that SFG reduces the load of Streptococcus mutans in the oral cavity compared to controls but noe of teh included studies were at low risk of bias.

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Caries detection methods: How accurate are they?

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This review of the accuracy of different methods for detecting carious lesions in primary and permanent teeth compares visual inspection, radiographs and fluorescence-based detection. 240 studies were included and the findings suggest that visual inspection was adequate for most patients.

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Caries detection using electrical conductance

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This Cochrane review of the diagnostic accuracy of different electrical conductance devices for the detection and diagnosis of non-cavitated coronal dental caries included 7 studies. The quality of the studies mean we are very uncertain of how electrical conductance devices are in detecting and diagnosing early tooth decay.

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Dental imaging methods for early caries detection and diagnosis

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This Cochrane review of the diagnostic accuracy of different dental imaging methods for early enamel lesions included 104 datasets from 77 studies. Low-certainty evidence suggests that imaging for the detection or diagnosis of early tooth decay may result in a relatively high proportion of false-negative results.

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Light-based tests for early caries detection

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This Cochrane review aimed to estimate the diagnostic test accuracy of different illumination tests for the detection and diagnosis of enamel caries in children or adults. 24 datasets from 23 studies were included with optical coherence tomography showing the most potential but more research is needed.

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Atraumatic restorative treatment (ART)- factors affecting success rate

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This review of the factors that affect the success rate of atraumatic restorative treatment (ART) restorations in children included 47 studies. THe findings suggest that the operator and and type of restoration are significant factors influencing the success.

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