Early childhood caries (ECC) remains a challenge for many communities. Chlorhexidine (CHX) is a common oral antiseptic with effective bactericidal activity against mutans streptococci (MS) and early colonisation of the oral cavity by MS has been identified as a risk factor for ECC. The aim of this study was to test whether the daily application [read the full story…]
Early childhood caries (ECC) remains a significant public health problem and evidence (Yengopal 2009) and has suggested that casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) may improve the effectiveness of fluoridated toothpaste. The aim of this study was to see if adding the daily application of a CPP-ACP-containing paste for 1 yr is superior to regular fluoride [read the full story…]
Dental caries is unfortunately still a common problem among children worldwide. Cochrane reviews have shown the effectiveness of pit and fissure sealants (Hiiri et al 2009) and fluoride varnishes (Marinho et al 2002) . While other reviews have found silver diamine fluoride (SDF) to be effective (Rosenblatt et al 2009). The aim of this trial [read the full story…]
This critical appraisal of a update of a systematic review was prepared under the auspices of the American Dental Associations Centre for Evidence-based Dentistry. The aim of the review (Mickenautsch & Yengopal 2011) was to assess the caries-preventive effect of glass ionomer and resin-based fissure sealants on permanent teeth. This 2011 review was itself an [read the full story…]
Early childhood caries (ECC) remains an important clinical challenge so a range of preventive approaches have been used. The aims of this study were to investigate the efficacy of home visits (HV) compared with telephone contacts (TC) and no contact (NC) in reducing ECC , Mutans streptococcus (MS) levels and lactobacilli(LB) colonisation in children from [read the full story…]
March sees another two protocols registered with the Cochrane Oral Health Group. The protocols are available on the Cochrane Library Parnell C, Gugnani N, Sherriff A, James P, Beirne PV. Non-fluoride topical remineralising agents containing calcium and/or phosphate for controlling dental caries (Protocol). Cochrane Database of Systematic Reviews 2012, Issue 3. Art. No.: CD009732. DOI: [read the full story…]
Sugars, particularly sucrose, are the most important dietary aetiological cause of dental caries. The evidence establishing sugars as an aetiological factor in dental caries is substantial. This Cochrane review aimed to look more broadly at whether one-to-one dietary interventions were effective in changing dietary behaviour, as the dental care setting is an appropriate place to [read the full story…]
There is increasing interest in non-surgical approaches to the management of dental caries to preserve tooth structure. The aim of this study was to compare the effect of infiltrating vs. sealing proximal caries lesions against placebo after 3 years. The study was a split mouth design conducted in young adults in Colombia. Individuals with 3 [read the full story…]
There is a growing literature supporting caries management options where caries is sealed in beneath restorations or sealants. The aim of this trial to compare long-term (at 5 yrs) outcomes for carious primary molars managed by GDPs’ standard conventional restorative methods (control) with the Hall Technique in general dental practice. The outcomes at 2 years [read the full story…]
Pulpotomy is one of a number of approaches (indirect pulp capping, direct pulp capping, pulpotomy, pulpectomy) for managing carious lesions approaching the pulp of primary teeth with the aim of retaining the tooth in a symptom free state until it is lost naturally thus avoiding an extraction. Formocresol has been used for a number of [read the full story…]
