Dental Interventions to prevent caries in children – SIGN Guideline 138

Photograph of carious teeth

The Scottish Intercollegiate Guidelines Network (SIGN) have just launched a new guideline on caries prevention in children.  The guideline replaces two existing guidelines; SIGN 47 on preventing dental caries in children at high caries risk and SIGN 83 on prevention and management of dental decay in the pre-school child.  The guideline was developed using SIGN [read the full story…]

Limited evidence for best antibiotic regimens to prevent postoperative infections after orthognathic surgery

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Orthognathic surgery for the correction of dentofacial and craniofacial deformities has become a common a common procedure. Postoperative infection rates have been reported between 2-33%. The aim of this review was to provide evidence-based recommendations on the efficacy of different antibiotic regimens in preventing postoperative infections after orthognathic surgery Searches were conducted in Embase, Ovid [read the full story…]

Zygomatic implants for maxillary rehabilitation

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The use of zygomatic implants have been suggested for severely atrophic fully and partially edentulous maxillae to avoid use of sinus lifts, or other bone augmentation procedures and also for maxillary reconstruction after partial or total maxillectomy. The aim of this review was to evaluate clinical studies on the follow-up survival of implants inserted in [read the full story…]

Potential for non-conventional management of approximal caries in primary molars shown by study

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Despite the improvements in oral health the management of dental caries still presents challenges particularly in children. While some guidelines still recommend complete removal of caries there is growing interest in more conservative approaches.  The aim of this study was to compare children’s behaviour and pain perception when approximal dentinal caries lesions in primary molars [read the full story…]

Higher failure rates for narrow dental implants suggested by review

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The use of dental implants is increasing and small diameter implants are being seen as having potential to restore small edentulous spans without the need for bone augmentation. The aim of this review was to compare the survival rates of narrow diameter to standard or wide diameter implants Searches were conducted in the PubMed, Medline, [read the full story…]

Biting on soft acrylic wafer during orthodontic appliance debond may reduce the pain experienced

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Pain and discomfort is often reported by patients undergoing orthodontic treatment and has been cited as a reason for failure to complete treatment.  Removal of fixed appliances could be painful and it has been suggested that an intrusive bite force may stabilize teeth allowing greater resistance of torsional forces.  The aim of this study was [read the full story…]

Draft guideline on sugar intake for adults and children from WHO – open for consultation

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Back in December we highlighted a review by Moynihan and Kelly (Dental Elf – 12th Dec 2013) on the relationship between caries and sugars that was commissioned to inform the development of updated WHO recommendations on sugar.  Another review of the relationship between sugar and body weight by  Te Morenga et al  was also undertaken [read the full story…]

Mandibular advancement devices for obstructive sleep apnoea – ADA-EBD critical summary

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Another new critical summary form the ADA-EBD Center looks at a 2011 systematic review by  Ahrens et al.  The aim of the original review was to compare the effectiveness of different design features of mandibular advancement devices (MADs) in reducing the severity of obstructive sleep apnea (OSA). The appraiser notes that some relevant studies may [read the full story…]

ADA-EBD critical summary – survival of various tooth- or implant-supported restorations

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This new critical summary from the ADA-EBD Center for evidence-based dentistry looks at a 2012 review from Pjetursson et al  which set out  to assess and compare the 5- and 10-year survival of different types of tooth-supported and implant-supported fixed dental prostheses (FDPs) and single crowns (SCs), and to describe the incidence of biological and [read the full story…]

Trial suggests that two types of mineral trioxide aggregate both out perform calcium hydroxide for primary molar pulpotomy

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The aim of this study was to evaluate and compare two different white MTA cements as pulpotomy medicaments in human primary teeth, Pro-Root MTA and MTA Angelus. Child patients with deep occlusal carious lesion, which presented potential risk of pulp exposure during complete removal of carious dentin, as determined by clinical and radiographic assessment were [read the full story…]