Results: 115

For: oral medicine and pathology

Articaine: Is it the best local anaesthetic for teeth with irreversible pulpitis undergoing root canal treatment?

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5 systematic reviews were included in this umbrella review of whether articaine or lidocaine is the most appropriate local anaesthetic solution for teeth with irreversible pulpitis undergoing root canal treatment.

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Guideline: Antibiotics for Dental Pain and Swelling

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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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Vitamin D deficiency: Is it a risk factor for recurrent aphthous stomatitis?

Researchers in this study wanted to see if people with learning disabilities had higher levels of vitamin D deficiency than the general population

This review of a possible association between vitamin D deficiency and recurrent aphthous stomatitis (RAS) included 5 case control studies providing limited evidence that low levels of serum vitamin D might be a risk factor for RAS.

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Toombak: A risk factor for oral leukoplakia and cancer

29 September 2013. El Fasher: A trader shows a tray with tombac (chewing tobacco) at the market in El Fasher, North Darfur. Tombac is one of North Darfur’s major cash crops. The traditional markets for tombac include South Sudan, Blue Nile and South Kordofan states. Farmers assure four million people in Darfur are dependent on the cultivation and sale of tobacco. They claim that tobacco had been produced in the region since 1850.  Originally, the production of tombac started in Tombouctou (Mali) and later it was imported to Egypt and Darfur.  Photo by Albert González Farran, UNAMID

This review of the association between toombak use and oral leukoplakia and oral squamous cell carcinoma included 8 observational studies suggesting a strong association.

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Oral mucositis in cancer patients: the effect of oral supplementation

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This review of of the effects of oral supplementation on the prevention and/or treatment of oral mucositis in patients with cancer undergoing chemotherapy and/or radiotherapy included 12 RCTs and suggest that Zinc supplements may be beneficial.

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COX-2 inhibitors for pain management after third molar removal

Many drugs are licensed for use in Generalised Anxiety Disorder (GAD), but it is unclear what works best.

This review comparing the efficacy of Cox-2 inhibitors with ibuprofen after third molar removal included 12 RCTs suggesting that COX-2 inhibotors and Ibuprofen provide similar pain relief at 6, 8, and 12 h after third molar removal.

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Actinic cheilitis: What is the best treatment?

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This review of treatments for actinic cheilitis included 29 mainly observational studies providing little evidence to identify the best treatment approaches.

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Geographic tongue and psoriasis

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This review assessing the prevalence of geographic tongue in psoriatic and non-psoriatic patients includded 11 cas-controlled studies. Meta-analysis showed that the odds of having geographic tongue in patients with psoriasis was higher OR = 3.53 (95%CI; 2.56-4.86).

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Sodium lauryl sulphate (SLS): Does SLS-free toothpaste use benefit patients with recurrent aphthous stomatitis

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This review of the effects of sodium lauryl sulphate (SLS) free and SLS-containing toothpastes in patients with recurrent aphthous stomatitis (RAS) included 4 small RCTs with the findings suggesting that patients with RAS may benefit from using SLS-free toothpaste. However the quality of teh availabel studies is very low.

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Oral mucosal disorders during pregnancy – How common are they?

Pregnant women taking antidepressants should be made of the benefits and risks of this treatment

This review of the prevalence of oral mucosal lesions during pregnancy included 15 observational studies from 9 countries. Gingival hyperplasia was most commonly report however the quality of the available evidence was assessed as very low.

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