Do soft denture liners improve masticatory function?

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This review of the effect of soft denture liners on masticatory function includes just 6 small studies. This is a suggestion that use of long-term silicone liners may improve mastication parameters but it is very weak.

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Coronal pulpotomy in permanent molars

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This review of coronal pulpotomy in permanent teeth demonstrated good survival at 2 years 92% (95%CI; 84 -100). However as the majority of studies were observational they should be viewed cautiously until further high quality RCTs are available.

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Sealants or fluoride varnish for caries prevention?

Fissure sealant

This Cochrane review update included 8 trials involving 1746 participants. Some low-quality evidence suggesting the superiority of resin-based fissure sealants over fluoride varnish applications was identified

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Dental local anaesthesia and ophthalmic side effects

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65 case reports and 1 case series were included in this reviews of the ophthalmic side effects from dental local anaesthesia. 92 % were transitory the remainder permanent. 25% of the transitory side effects took up to 6 hours to resolve.

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What is the impact of peri-implant maintenance therapy?

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This review included 10 studies in a meta-analysis which suggests that peri-implant maintenance therapy is important for long the long term success rates of implants.

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Impact of malocclusion on oral health related quality of life is small

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40 cross-sectional studies involving a range or oral health related quality of life measures were included in this review. They found that malocclusion has a small impact on oral health related quality of life.

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Oral cryotherapy reduces oral mucositis in patients receiving 5FU-based treatment for solid cancers

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This Cochrane review looked at cryotherapy (ice chips) for preventing oral mucositis in patients with cancer. 14 RCTS involving 1280 patients were included providing evidence that oral cryotherapy leads to large reductions in oral mucositis of all severities in adults receiving 5FU for solid cancers. However there was less confidence confident in the ability of oral cryotherapy to reduce oral mucositis in adults receiving high-dose melphalan before haematopoietic stem cell transplantation (HSCT).

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Preventing bleeding in patients with congenital bleeding disorders having dental surgery

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This Cochrane review only identified 2 RCTs involving a total of 59 patients that show a beneficial effect of systemically administered tranexamic acid and epsilon aminocaproic acid in preventing postoperative bleeding in people with haemophilia undergoing dental extraction.

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Crowns more effective than fillings for decay in primary molar teeth

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Five RCTs were included in this Cochrane review comparing crowns with fillings for the management of caries in primary molars. Moderate evidence found crowns reduced the risk of major failure or pain in the long term compared to fillings

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Top Dental Elf Blogs of 2015

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Derek Richards presents the top Dental Elf Blogs of 2015. Highlights include eating disorders and oral health, the long awaited Cochrane Review of water fluoridation and the update of the NICE guidance on infective endocarditis.

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