Colin Levey takes a look at this network meta-analysis of 46 RCTs assessing techniques and drugs for achieving pulpal anaesthesia for the non-surgical endodontic treatment of mandibular molars.
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This large RCT involving 308 patients found that using 1.3% NaOCl was associated with less intense and less frequent post-endodontic pain than 5.25% NaOCl in mandibular molars with nonvital pulps treated in two visits.
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This review of the efficacy of occlusal reduction on the management of post-operative endodontic pain included 6 small RCTs of high risk of bias. The fidings suggested non benefitc from occlusal reduction in the first 48 hours but some benefit at 72 hours. However the findings should be viewed cautiously because of the limited study quality.
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This review of outcomes following rooth canal treatment in cracked teeth included 4 small retrospective cohort studies which suggested an overall survival of 84.1% at 60 months.
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This new guideline from the American Dental Association is about the the appropriate use of systemic antibiotics for the urgent management of symptomatic irreversible pulpitis with or without symptomatic apical pulpitis, pulp necrosis and symptomatic apical periodontitis and pulp necrosis and localized acute apical abscess.
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This review of the success rate of partial pulpotomy in treating permanent posterior teeth with carious vital pulp exposure included 11 studies 5 of which are RCTs. The findings suggest that partial pulpotomy is a reliable treatment option.
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This review of different pulpotomy dressing agents for pulpotomy treatment in immature permanent teeth. While the review suggested that the various agents tested had similar success rates the findings should be viewed cautiously as all the studies were at high risk of bias.
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This review of the factors affecting the development ofsubcutaneous emphysema during root canal therapy included
51 studies describing 65 cases. A majority (48%) were linked to drying tooth canals with pressurised air in three-way syringe
Mark-Steven Howe looks at this review of the association between obturation extent and final treatment outcome of root canal treatment. Twenty two studies were included with 11 contributing to the meta-analysis suggestign that obturation extent may have an effect.
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4 different vital pulp treatments for deep caries management of mature permanent molars were tested in this stud .The findings suggest that these techniques could be used but other approaches are available.
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