The aim of this review was to appraise and summarise systematic reviews of the efficacy and safety of available homecare toothbrush regimens for mechanical plaque removal on plaque and gingivitis in adults. Ten systematic reviews were included confirming that toothbrushing is effective in reducing levels of dental plaque.
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This review considered the association between toothbrushing and gingival recession and non-carious cervical lesions (NCCLs). 19 studies were included a majority (13) were cross-sectional and they provide limited data to support or refute the associations.
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This review compared direct pulp capping in permanent teeth with MTA and calcium hydroxide including 13 studies, 10 of which were RCTs. The odds of success were higher with MTA, OR = 2.26; (95% CI, 1.33–3.85).
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The Dental Elf is taking a short break and will be back on the 25th May
This review of botulinum toxin (BTX) for treating temporomandibular disorders identified 5 RCTs involving a total of 117 patients. There was marked heterogeneity between the studies and the therapeutic benefits are unclear. Well reported high quality RCTs are needed.
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This review of the impact of smoking on dental implants had broad inclusion criteria and included 107 studies. The findings suggest smoking affects implant failure rates, incidence of postoperative infections, as well as the marginal bone loss.
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The number of non-carious cervical lesions (NCCLs) that will require management in the future is expected to increase. This review was only able to identify 4 RCTs looking at whether bevelling the enamel margin improves retention, so there is limited evidence for the clinician.
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Only 7 small trials with 140 patients in total were available for this review. It suggests that adjunctive treatments did not significantly improve the efficacy of professional plaque removal in improving gingival indices, bleeding on probing or pocket depth.
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13 retrospective studies were included in this review comparing superficial and total conservative parotidectomy approaches for the management of benign parotid tumours. The review suggests that superficial approach is better but the quality of the evidence is low.
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97 papers describing 4879 cases of bisphosphonate-related osteonecrosis were included in this review. A wide range of management approaches were identified but the quality of the available evidence is limited.
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