New study suggests better outcomes with arginine toothpaste and mouthwash regimen for dentine hypersensitivity treatment.

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Earlier this month (Dental Elf 18th Feb) we looked at a systematic review of the use of arginine toothpastes to reduce dentine hypersensitivity.   A new study is now available which compares arginine toothpaste, potassium nitrate toothpaste against a standard fluoride toothpaste. Adult patients with at least two hypersensitive teeth were randomised to one of three [read the full story…]

Study suggests that pre-operative antibiotics have positive impact on operative morbidity in dental implant surgery

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Earlier this month  (Dental Elf 13th Feb 2013) we reported on a study looking at whether systemic antibiotics were necessary for the placement of dental implants.  That study suggested that antibiotics were not necessary for the placement of single implants.  Today we look at another study that looked at the influence of pre-operative antibiotics on [read the full story…]

Trial suggests that simplified technique for complete denture fabrication results in similar masticatory performance as traditional approaches

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While oral health has improved complete edentulism is remains an important problem. While it is increasingly common for treatment approaches to use implant-retained prosthesis conventional complete dentures are still in widespread use.   Traditional denture construction protocols involve several clinical and laboratory stages and simplified approaches have been suggested.  The aim of this trial was to [read the full story…]

Maxillary overdentures supported by four implants had similar success to those supported with six implants in short term.

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Stability problems and lack of retention are problems that edentulous patients often report.  The implant-supported denture is one approach to address these problems.  The aim of this trial was to compare the outcomes of maxillary overdentures supported by four or six dental implants in patients in the anterior part of the maxilla. Adult edentulous patients [read the full story…]

Review finds predictable outcomes with modern endodontic surgery techniques.

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Surgical endodontic treatment is used when traditional root canal treatment is impractical or unlikely achieve a satisfactory outcome. The aim of this review was to evaluate the outcomes of surgical endodontic treatment performed using modern approaches.  Modern approaches were considered to be use of magnification, root-end resection with minimal or no bevel, retrograde cavity preparation [read the full story…]

Little evidence available for the effectiveness of arginine-containing toothpastes in managing dentine hypersensitivity

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Last year we looked at a number of studies that looked at the effectiveness of various toothpastes in reducing dentine hypersensitivity (Dental Elf 30th October 2012).  The aim of this review was to assess the effectiveness of arginine-containing desensitising toothpastes in comparison to control agents in reducing dentine hypersensitivity (DH).   The aetiology of DH is [read the full story…]

Periodontal treatment, pre-term birth and low birth weight

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Periodontal disease is common as is pregnancy and preterm labour is a complication in 10-15% of all pregnancies.  It is therefore not unsurprising that an association between periodontal disease and pre-term labour has been noted in a number of studies.  The aim of this latest review was quantify the relationship between periodontal disease, preterm birth [read the full story…]

Study suggests that systemic antibiotics are not necessary for single dental implant placement

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The use of systemic antibiotics during dental implant placement has been controversial, with some authors claiming higher survival rates with peri-operative antibiotic use.  The aim of this multi-centre trial was to assess the effect of various systemic antibiotic prophylaxis regimes on patient- reported outcomes and postsurgical complications in patients undergoing conventional implant placement. Following establishment [read the full story…]

Visual examination still the best way of detecting early carious lesions

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Yesterday we looked at the management of large carious lesions and today we are considering the other end of the caries process, the detection of the early or non-cavitated carious lesion (NCCLs).   With changes in the severity of dental disease in some population there has been more interest in the identification and management of the [read the full story…]

Review suggests that incomplete caries removal advantageous, particularly in deep cavities

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The traditional approach to treatment of dental caries has been complete removal and subsequent restoration.  During the past decade this approach has been challenged, based on a greater understanding of the disease process.  The focus being on adequate restorations rather than a complete excavation of caries, with particular benefits for the treatment of deep caries. [read the full story…]