Fissure sealing using flowable composite

Fissure sealant

This review of fissure sealing using flowable composite included 11 studies and suggests retention rates at 1 year may be slightly better than resin-based sealants. However, the findings should be interpreted cautious as the confidence intervals are wide and quality of the studies is limited.

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Orthodontic space closure – en masse or two-step retraction

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8 small studies were included in this review comparing en masse retraction and two-step retraction for orthodontic space closure. While both were effective the en masse/miniscrew combination demonstrated a small statistically significant benefit in terms of incisor retraction and anchorage preservation.

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Mandibular angle fractures – Do third molars have an influence?

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16 observational studies were included in this review of the association between the presence of a lower third molar and the occurrence of a mandibular angle fracture in adults. The findings suggest that the odds of fracture are 3.16 (95%CI; 2.2- 4.54) higher in the presence of third molars

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Third molar extraction – does platelet-rich fibrin improve outcomes?

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6 studies were identified for this review of platelet-rich fibrin to improve outcomes after third molar extraction. The studies were small with contradictory findings so further high quality studies are needed.

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Orthodontic space closure – Springs or chains?

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4 RCTs were included in this review of Nickel- titanium closing springs (NiTi-CS) and elastomeric power chains (EPC). The findings suggest there is medium quality evidence that space closure is faster with NiTi-CS.

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Root canal obturation using core-carrier techniques

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19 studies were included in this review of core-carrier obturation techniques in endodontic treatment. Success rates was 83%(95CI; 69-91%) with 24% suffering postoperative pain and 31% having overfilling.

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Primary teeth: which restorative material last longer?

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This review of the longevity of posterior restoration in primary teeth included 31 studies. composite resin had the lowest annual failure rate while stainless steel crowns had the highest success rate. The studies all have a high risk of bias so the findings should be interpreted cautiously.

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School dental screening

The review found that adding family-based interventions to school-based interventions may reduce the onset of smoking by 4-25%.

This Cochrane review of school dental screening included 6 RCTs finding insufficient evidence that it improves dental attendance. although personalised referral letters or additional motivation elements probably have the ability to improve dental attendance over the short term.

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Atraumatic Restorative Treatment (ART)

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15 RCTs were included in this Cochrane review of Atraumatic Restorative Treatment (ART) comparing with conventional treatment for managing dental caries lesions in the primary and permanent teeth provided low quality evidence that ART using H-GIC may have a higher risk of restoration failure in primary teeth.

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Periodontitis- supportive periodontal treatment

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This Cochrane review of the effects of supportive periodontal therapy (SPT) in the maintenance of the dentition of adults treated for periodontitis included 4 RCTs providing is insufficient evidence to determine the superiority of different protocols or adjunctive strategies to improve tooth maintenance during SPT.

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