Pregnancy and gingival inflammation

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Hormonal changes during pregnancy are considered to affect the response of the gingival tissues, with studies suggesting that  36% – 100%  of pregnant women suffer pregnancy gingivitis.  The aim of this review was to assess the effect of pregnancy on systemically healthy women in terms of gingival inflammation. The Medline and Embase databases were searched [read the full story…]

Trail showed that distant feedback improved quality of panoramic radiographs in short term.

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  Panoramic radiographs are regularly used in dental practice and a number of studies have highlighted that the quality of these films is often less the optimal.T he aim of this trial was to assess the value of a quality improvement programme for panoramic radiography. 40 volunteer dental practices were randomly allocated to active (n=20) [read the full story…]

Critical summary from the American Dental Association Center for Evidence-based Dentistry

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This new critical summary is of a 2011 review by Pommer et al that compared survival rates of shorter dental implants (see Dental Elf 18th July 2011). The reviewer highlights a number of methodological shortcomings in the review. Only English language articles were included and outcomes were reported on an implant rather than a patient [read the full story…]

Only weak evidence available to support the use of intra- articular corticosteroids in treatment of temporomandibular joint arthritis in patients with juvenile idiopathic arthritis

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Temporomandibular joint (TMJ) involvement is seen in patients with juvenile idiopathic arthritis (JIA). Interventions for TMJ arthritis in these patients are aimed at maintaining joint function and reducing symptoms and avoiding permanent damage to the joint components. Treatment of the TMJ has included intra- articular corticosteroid injection (IACI). However there are concerns that while there [read the full story…]

Lack of evidence to support an association between occlusal risk factors and non-carious cervical lesions

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Loss of tooth surface in the cervical areas of the tooth unrelated to caries, or non-carious cervical lesions (NCCL) have been reported to occur in prevalences of between 5-85%.  These lesions can be the result of attrition, abrasion or erosion. The potential of occlusal stress to be a factor leading to abfraction has also been [read the full story…]

Lack of evidence to highlight differences in peri-implant bone loss between cement and screw retained prosthesis

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Peri-implant bone loss is one parameter used to evaluate the success of dental implants.  The aim of this review was to compare peri-implant bone loss between cement and screw retained prosthesis. The Medline, SCOPUS, ISI Web of Knowledge and Cochrane Central Register of Controlled Trials (CENTRAL) databases were searched. Five journals were hand searched. Randomised [read the full story…]

Which pulp dressing after pulpotomy in primary molars?

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The aim of this study was to compare the use of ferric sulphate (FS), formocresol (FC), mineral trioxide aggregate (MTA) and sodium hypochlorite (NaOCl) as pulp dressing following pulpotomy in primary molars. Symptom-free vital primary molars with carious pulp exposure with the possibility of proper restoration of the teeth with a minimum of three walls [read the full story…]

More evidence for the effectiveness of fluoride varnish in younger children.

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There is substantive evidence from systematic reviews for the effectiveness of fluoride varnish (FV)  in caries prevention (Marhino et al 2002). The aim of this study (Divaris  et al 2012) was to assess whether there were differential effects for  FV according to tooth surface and baseline pathology. This was a secondary analysis of a cluster-randomised [read the full story…]

Study suggest 84% survival of composite filings in children and adolescents after eight years

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The aim of this study was to assess the durability of Class I and class II composite resin restorations (CRR) in children and adolescents placed in Public Dental Health Service (PDHS ) clinics. The was a prospective study all children and adolescents up to 18 years treated between November 1998 and December 2002 in all [read the full story…]

Limited available evidence suggests that a one-step impression technique is sufficient for the majority of edentulous patients

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Obtaining an accurate impression of the potential denture supporting area is a key stage in the construction of complete dentures.  Traditionally a two-stage procedure has been recommended.  The aim of this review was to assess the effectiveness of different impression materials and techniques used in complete denture construction. Medline/PubMed and the Cochrane Library were searched together [read the full story…]