Review finds limited evidence for predisposing factors for irrigant extrusion during root canal treatment

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Irrigation of root canals is an integral part of root canal treatment. A range of irrigant materials have been used with sodium hypochlorite being the material most currently favoured.  However this and other agents can cause damage if not kept within the confines of the root canal system.  The aim of this review was to [read the full story…]

Simplified technique for complete denture fabrication had no adverse effect on Patient satisfaction or quality of life

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Back in February of this year we reported on the rests of a trial that compared he masticatory performance and ability of a simplified technique for complete denture fabrication with a conventional technique.(Dental Elf 25th Feb 2013). This paper presents the oral health-related quality of life (OHRQoL) including patient satisfaction and denture quality. 42 patents [read the full story…]

Limited evidence available of the caries risk in children and adolescents with cystic fibrosis

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Cystic fibrosis (CF) is a genetic disorder that leads to the overproduction and accumulation of mucus in the lungs, which can result in airway obstruction and life-threatening bacterial.   Four risk factors related to CF are considered to increase the risk of dental caries; a 20- fold increase in intraoral Streptococcus mutans levels; gastroesophageal reflux disease [read the full story…]

Study found that periodontitis in early adulthood showed progressive acceleration with age, particularly in smokers

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Periodontitis is a common problem with severe periodontitis being ranked as  the 6th most prevalent condition in the 2010 Global Burden of Disease study (Marcenes et al  2013).  The aim of this study by Thomson  et al was to describe changes in the occurrence of periodontal attachment loss (AL) , and to evaluate risk factors [read the full story…]

High-viscosity glass-ionomer cements increased interproximal fluoride concentration more than resin-based fluoride-containing sealants

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The latest update of the Cochrane review on fissures sealants (Ahovuo-Saloranta et al 2013) confirmed the use of resin-based sealants as a effective method of preventing or controlling occlusal caries.  The Cochrane review included 15 trials comparing glass ionomer with resin sealants and there was insufficient evidence to make any conclusions about the superiority of [read the full story…]

Parents motivating factors for brushing children’s teeth were largely short term

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Regular toothbrushing with fluoride toothpaste has strong evidence for its effectiveness.  Brushing at least twice a day is more effective that once a day or less and ‘Twice a day” is has been a long-standing oral health message.  The aim of this qualitative study was to gain an in-depth understanding of the issues parents facing [read the full story…]

ADA-EBD summary on amoxicillin/metronidazole therapy for aggressive periodontitis

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This ADA-EBD critical summary looks at a systematic review from the same group that conducted the review that we highlighted yesterday (Sgolastra et al 2012).  This time the question was whether the use of amoxicillin/metronidazole (AMX/MET) as an adjunct to scaling and root planning (SRP) was more effective than SRP alone in the treatment of [read the full story…]

ADA-EBD summary on amoxicillin/metronidazole therapy for chronic periodontitis

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This ADA-EBD critical summary  looks at  systematic review by Sgolastra et al from 2012 that addressed  the question of whether the use of amoxicillin/metronidazole (AMX/MET)  as an adjunct to scaling and root planning (SRP) was more effective than SRP alone in the treatment of chronic periodontitis. The appraisers considered that searching an analysis of the [read the full story…]

ADA-EBD summary on short dental implants

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This critical summary form the American –Dental Association-Centre for Evidence-based Dentistry looks at a 2011 review by Sun et al . The commentator feels that there was a lack of focus to the question under consideration and that the search strategy was limited. There were also some concerns about  whether the potential for publication had [read the full story…]

New Cochrane Protocols May 2013

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The fifth issue of the Cochrane Library for 2013 has three new protocols  from the Oral Health Group:- The first protocol is:- Riley P, Lamont T. Triclosan/copolymer containing toothpastes for oral health (Protocol). Cochrane Database of Systematic Reviews 2013, Issue 5. Art. No.: CD010514. DOI: 10.1002/14651858.CD010514. The main aim here is , to assess the [read the full story…]