No trails available on best restorative treatments for amelogenesis imperfecta

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Amelogenesis imperfecta (AI) is a genetic disorder that presents as an abnormal formation of enamel. AI can have a range of inheritance patterns and the exact incidence is uncertain with estimates ranging from 1:700  to 1:12-14,000. Clinically, AI can be classified into four categories: hypoplastic (type I), hypomaturation (type II), hypocalcified (type III), and hypomature [read the full story…]

Updated review confirms substantial reductions in caries from fluoride varnish applications

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Varnishes have been is use as a delivery system for topical fluoride since the 1960s. Their effectiveness was highlighted to a greater extent following the publication of the first version of this Cochrane review in 2002. Since then use of fluoride varnish has been recommended in evidence-based guidance from SIGN, the SDCEP and the American [read the full story…]

Inadequate evidence to support the effectiveness of treatment of mandibular fractures without condylar involvement

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Fracture of the mandible is a common facial injury with interpersonal violence and road traffic accidents being the leading causes of this type of injury.  Treatment usually involves immobilisation with intermaxillary fixation (IMF) or other external or internal devices (i.e. plates and screws) to allow bone healing and may involve surgical (open) or non-surgical (closed) [read the full story…]

Review suggests that face-bow transfer not essential for good outcomes in denture construction

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The use of the face-bow record during complete denture construction is recommended in most prosthodontic text books and taught in many UK and US dental schools.  The aim of this review was to compare the outcomes of the construction of dental prostheses and occlusal splints with and without the use of face-bow transfer. Searches were [read the full story…]

Surgical extrusion for crown-root and cervical root fractures

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Crown-root and cervical root fractures present a restorative challenge due to sub-gingival position of the fracture margin. . A number of treatment approaches have been proposed, crown lengthening, intentional re-implantation, re-attachment of the coronal fragment to root surface, root extrusion (orthodontic or surgical) or extraction.   Two reviews have recently been published ( Das et al [read the full story…]

Insufficient evidence to assess the effectiveness of biofeedback for sleep bruxism

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Sleep bruxism (SB) is a sleep related disorder characterized by tooth grinding or jaw clenching during sleep, which is usually associated with sleep arousal. A wide range of treatments has been proposed including, relaxation exercises, behavioural approaches, dental splints and biofeedback.  The aim of this review was to evaluate the efficacy of any biofeedback treatment [read the full story…]

Study did not find fluoridated salt effective for caries reduction in 12-14yr olds

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Fluoridated salt has for many years been proposed as a vehicle for the prevention of caries. A 2010 systematic review by Yengopal et al indicated that salt fluoridation could reduce caries. The aim of this study was to evaluate the effect of school-based and domestic distribution of fluoridated salt on caries increment in schoolchildren residing [read the full story…]

Little evidence available on the effect of prosthetic margin placement on the incidence of secondary caries

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The placement of prosthetic restoration finish line is the subject of much interest and debate. The aim of this review was to assess the effect of prosthetic margin placement on caries susceptibility of abutment teeth Searches were conducted in PubMed, Embase, Google Scholar, Cochrane Central Register of Database of Systematic reviews, Cochrane Central Register of [read the full story…]

Weak evidence for positive effect of medicated sugar-free chewing gum on plaque indices

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A recent review conducted by the same group as this new review (see Dental Elf 9th July 2012) suggested that the use of sugar free chewing gum used as an adjunct to toothbrushing provided a small but significant reduction in plaque scores.  The aim of this review was to assess the clinical effects of medicated, [read the full story…]

Limited evidence for the impact of the dental implant-abutment connection on crestal bone

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Insertion of dental implants is commonly associated with bone remodeling. A number of biological, technical and biomedical factors are considered to affect the degree of remodeling. The aim of this review was to assess the impact of implant– abutment configuration and the positioning of the machined collar/microgap on crestal bone level changes? PubMed and the [read the full story…]