Local anaesthetic to reduce pain of dental care under general anaesthesia – evidence unclear

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This Cochrane review included 14 trials of variable quality that could not be combined due to variation in local anaesthetic delivery and outcome measures. So the results from individual studies for pain, bleeding and other adverse effects are uncertain.

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Low-level laser therapy may improve functional outcomes of patients with temporomandibular joint disorders

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This new review of low-level laser therapy (LLLT) includes more trials ( 14) that two earlier reviews of this topic. While no improvements in pain were seen with LLT functional improvements were seen. Although 14 studies were included they only 454 patients have been included in studies to date.

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Maxillofacial trauma: assaults and falls the main causes in Europe

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This prospective year long multi-centre study involving 11European counties provides an interesting overview of the current demographics, causes and characteristics of maxillofacial fractures in these centers.

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Seasons Greetings

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Christmas and the New Year is a busy period for us Elves, so we will be taking a short break from blogging over the festive period. Our monthly newsletter will be going out to subscribers soon and we will be back on the 5th January 2015.

Many thanks to all our regular readers and followers

Nadolig Llawen a Blwyddyn Newydd Dda.

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Dental implants: review suggests high survival rates at over 10 years

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This review of dental implant studies with 10 years or more follow up found average survival rates of 94.6% (range 73.4%- 100%). The lowest rate 73.4% was seen in the study with the longest follow up period (20 years).

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Inferior alveolar nerve injury following bilateral sagittal split osteotomy lacks standardised assessment procedures and reporting says review

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As this review looks as potential harms from bilateral sagittal split osteotomy a wide range of study designs were included. However, the majority relied on subjective assessment of Inferior alveolar nerve injury so a standardised assessment and reporting procedure is needed.

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Orthodontic forces: insufficient evidence of their effect on the dental pulp

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This review of the effect of orthodontic forces on the dental pulp identified only a limited number of small studies none of which were of high quality. Consequently there is insufficient scientific evidence of the effect of orthodontic forces on the dental pulp.

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Dental implants placed in fresh sockets have higher failure rates suggests review

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This review of survival rates of dental implants placed in fresh extraction sockets included 73 studies. However the majority were retrospective with only 5 small RCTs and 26 controlled trials. While the findings suggest that failure rates are higher in extraction sockets the evidence should be interpreted with caution.

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Shortened dental arch: trial suggests it improves quality of life more than conventional treatment using removable partial dentures

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This study suggests that treatment based on SDA concept led to better quality of life compared with treatment based on RPDs up to 12 months after treatment.

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Oral health literacy: current tools biased towards word recognition, numeracy and reading skills

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This scoping review identified 14 oral health literacy tools identified 14 tools but most were biased to word recognition rather than health behaviours and service utilisation. Recently tools have incorporated incorporate other aspects considered important, including decision making and service navigation.

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