Tooth autotransplantation: review suggests good survival but evidence limited

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Only 5 small studies were included in this review of the long term outcomes of tooth autotransplantation. All but one was retrospective so the findings which suggest 81% survival at 6 years should be interpreted with caution.

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Bisphosphonate-related osteonecrosis of the jaw treatments– little evidence available

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This Cochrane review of bisphosphonate related osteonecrosis of the jaw only identified one small RCT. The trial compared the use of hyperbaric oxygen (HBO) as an adjunct to standard care. While it suggested a benefit for HBO it was under powered and at high riisk of bias

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Periodontal disease and glycaemic control in diabetics

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11 systematic reviews were included in this overview of review of periodontal disease and glycaemic control in diabetics. The primary studies that underlying these systematic reviews have important limitations. Therefore larger higher quality studies are needed.

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Irrigants for pulpectomy in primary teeth- little evidence available

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This review of irrigants for pulpectomy in primary teeth only identified 7 small RCTs providing little conclusive evidence. More high quality studies are needed.

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Third molars: single dose of preoperative antibiotic reduced infection

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10 RCTs were included in this review of preoperative antibiotics for removal of third molars. The use of antibiotics significantly reduced the odds of surgical site infection or alveolar osteitis (OR = 0.30; 95% CI, 0.19 to 0.47; P≤.00001)

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Furcation involvement may double risk of tooth loss in periodontitis

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This review of the impact of furcation involvement on tooth loss in periodontal disease found 21 pro- and retrospective studies. The data suggests that the risk of tooth loss may be doubled where there is furcation involvement.

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Oral health promotion in dental practices

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44 studies were included in the review of oral health promotion in dental practice that was undertaken to the recent NICE guidance on this topic. The results of this review suggest that the psychology of behaviour change is the key to oral health promotion and greater emphasis on teaching oral health professionals about health psychology would make oral health promotion in the dental surgery more effective.

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Little evidence for antibiotic use in irreversible pulpitis

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This is the latest update of this Cochrane review of the effectiveness of antibiotics for irreversible pulpitis. Only 1 small RCTs is available which provides insufficient evidence to determine whether antibiotics reduce pain or not compared to not having antibiotics

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Dental implants – immediate placement in infected sockets may increase failure rates

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This review of dental implants placed in infected sockets included 7 studies all considered to be a at high risk of bias. The findings suggest that failure rates are higher in infected sockets but the findings should be interpreted with caution.

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Psychological interventions to improve oral health

This meta-analysis claims to be the first evaluating mindfulness-based interventions in primary care.

This review of psychological interventions to improve oral health identified 9 RCTs reported in 11 papers. A small statistically significant improvement in plaque index was noted but the quality of the available evidence is low. More higher quality studies are needed.

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