Gingivitis: anti-inflammatory agents may be beneficial suggests review

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A new review of anti-inflammatory agents for the management of gingivitis identified 14 studies. While the various anti-inflammatory agents showed benefit, the majority of the studies were at high risk of bias, so the results should be treated with caution.

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Caries: little evidence to support use of chlorhexidine varnishes or gels for prevention

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This new Cochrane review included 8 trials, involving a total of 2,876 children finding little evidence to support or refute the use of chlorhexidine varnish or gel in reducing caries or mutans streptoccoci levels.

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Peri-implantitis: a common complication of dental implants?

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A mean prevalence of 22% (CI: 14-30%) was found for peri-implantitis and 43% (CI: 32-54%) for peri-implant mucositis in this review which included 15 studies. However, owing to the level of heterogeneity the results should be treated with caution.

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Caries: review suggests a higher risk in HIV-infected children

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This review included 5 case-controlled studies only 2 of which were at low risk of bias and suggested that HIV-infected children have a higher risk of cavitated caries in their primary teeth, OR = 2.98, 95% CI; 1.59-5.59.

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Professional plaque removal more effective with oral hygiene instruction

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This is an update to a review first published 10 years ago. Only 3 new studies could be added. These provide some additional evidence that there is little value in providing professional plaque removal without oral hygiene instruction.

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Gingivitis: anti-plaque agents may help

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This new review covers the board topic of the efficacy of anti-plaque chemical formulations for managing gingivitis. 87 heterogeneous studies found a statistically significant benefit with most test products.

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Orthodontic appliances: may help break thumb-sucking habits

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This Cochrane review included 6 small studies at high risk of bias and found that orthodontic appliances or psychological intervention seems to be effective to help children stop sucking that does not have a feeding purpose.

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Class II malocclusion: an overview of reviews of functional treatment

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This overview brings together 14 systematic reviews of varying quality on a range of appliances for the management of class II malocclusions. There is some evidence of some benefit from some types of appliance but more studies of a higher quality are needed.

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Easter Break

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The Dental Elf is taking a short Easter break and will be back on the 8th April.

Intentionally replanted teeth: a possible treatment option?

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This review found a significantly higher mean survival for implant supported crowns (97%) compared with Intentionally replanted (IR) teeth (88%). Evidence for IR teeth was limited, being heterogeneous, old and potential suffering from publication bias.

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