Amoxycillin not helpful for acute sinusitis

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Acute sinusitis (rhinosinusitis) is a common disease with 1 in 5 antibiotic prescriptions for adults in the United States being for sinusitis.  US Centers for Disease Control  and Prevention (CDC) guidelines recommend using clinical criteria for diagnosis and  reserving antibiotic treatment for patients with moderately severe or severe symptoms.  The aim of this study was [read the full story…]

Interventions for drooling in children with cerebral palsy

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Drooling is a common problem for children with cerebral palsy (CP). Drooling varies in severity and can be distressing for the children, families and caregivers. It can cause chapped or sore skin around the mouth and chin, skin and mouth infections, dehydration, difficulties chewing and a range of other social issues.  The main aim of [read the full story…]

New Cochrane Protocols February 2012

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The February issue of the Cochrane Library sees the publication of two new oral health protocols. It will be a little while before the reviews are published. However people for are working in these areas may be interested to know that these reviews are underway. The full text of each protocol is available from the [read the full story…]

Only weak evidence of the effectiveness of any treatments for erosive lichen planus

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Lichen planus (LP) is an inflammatory condition that affects the skin and the squamous epithelium of mucosal surfaces lining the mouth, ears, eyes, and nose as well as the gastrointestinal and anogenital tracts. Two main patterns of inflammation are described:  the plaque (raised) type and the erosive (raw) type, although bullous, blistering, or hypertrophic (thickened)types [read the full story…]

Partial loss of teeth – so many treatment options – but insufficient evidence to recommend best method

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The management of patents who present with the partial loss of teeth is a common task for dentists and has been so for many years. The aim of this Cochrane review is to assess the effects of different prostheses for the treatment of partially absent dentition in terms of the following outcomes: long-term success, function, [read the full story…]

4% articaine and 2% lidocaine with epinephrine have similar effectiveness in achieving anaesthesia in maxillary teeth

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The aim of the study was to compare the anaesthetic efficacy of buccal infiltrations of 4% articaine with epinephrine (1:100,000) and 2% lidocaine with epinephrine (1:80,000) in achieving anaesthesia in maxillary permanent teeth with irreversible pulpitis. Patients aged 16 years and over who presenting with irreversible pulpitis in one tooth and an asymptomatic vital tooth [read the full story…]

Limited research about what distinguishes treatable from nontreatable pulpal inflammation in teeth

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Accurate diagnosis of the condition  of the dental pulp  has an important bearing on treatment planning.  The aim of this review was to appraise the diagnostic accuracy of signs/symptoms and tests used to determine the condition of the pulp in teeth affected by deep caries, trauma or other types of injury. The authors searched PubMed, [read the full story…]

Traumatic extraction carries a high risk of a painful dry socket

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Alveolar osteitis or dry socket is a common and painful complication of tooth extraction, occurring following about 5% of all tooth extractions.  The aetiology of this complication is unclear and it has been associated with a wide range of risk factors. the aim of this study was to assess the relation between 8 risk factors [read the full story…]

75% of patients reported no pain during routine dental treatment

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Despite  improvements in dental practice dental procedures are often perceived as painful and uncomfortable.  The aim of the study was to investigate factors that influence pain intensities associated with routine dental procedures. This study was conducted in general dental practices in the North West of England. 451 dental patients self-reported pain experienced during the procedure [read the full story…]

Physical therapy did not have an additional effect over advice on management of patients with temporomandibular disorders

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Physical therapy (PT) is recognised as a conservative method for the management of temporomandibular disorders (TMD). However, some studies suggest that physical therapy provides minimal, if any therapeutic effect while others suggest evidence to support its use for the treatment of TMD.  The aim of this trial was to investigate the effect of physical therapy [read the full story…]