Clear aligners: little evidence available to support their effectiveness

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This review of clear aligners for orthodontic treatment only identified 4 small studies of limited quality providing little evidence to support their effectiveness.

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Post-endodontic pain: is it lower with rotary or reciprocating instruments?

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This review of the effect of rotary or reciprocating instruments on post-endodontic pain included 3 RCTs involving 1317 patients. There is limited evidence of any clear difference between the two techniques.

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Recurrent mandibular dislocation –which surgical approach?

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This review of surgical treatments for the management of recurrent mandibular dislocation included 23 case series. Only one of the case series was prospective and a majority lacked clarity on their pro / retrospective status providing only very low quality evidence.

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Step wise caries removal sustained pulp vitality up to 5 years

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This well designed trial compares the impact on pulp vitality of step wise verses traditional caries removal. after 5 years. THe findings suggest significantly improved outcomes with the step wise approach.

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Chlorhexidine gel and alveolar osteitis

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This review of the effectiveness of chlorhexidine gel for the prevention of alveolar osteitis (AO) included 10 trials published since 2010. The findings suggest a 57% reduction in incidence of AO similar to other reviews of this topic.

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Inlay-retained fixed dental prosthesis have acceptable 3-yr survival rate suggests review

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This review of inlay-retained fixed dental prosthesis included 11 small mainly observational studies. The studies suggest a 3-yr survival rate of 92.6% (95% CI: 85.8-97.6%) and 5-yr survival rate of 87.9% (95% CI: 77.4-96.1%). However because of the low quality of the available studies and the wide range of inlay designs, framework materials, surface treatments and cement systems used means that the results should be interpreted cautiously.

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Endodontics or extraction and implant for the pulpally involved tooth?

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45 studies are included in this review of endodontic treatment or implants for the pulpally involved tooth. The studies are are observational with few comparative studies and while they summarise success rates for various treatments they should be interpreted cautiously. High quality comparative studies are needed as well as agreement on common reporting outcomes.

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Breast feeding duration and caries risk

"Breast is best" is the clear message to all new Mums, but should this advice be tailored for women with depression?

This debut blog by Fiona Hogg considers a recent cohort study that looked at the effect of longer breastfeeding on caries and is based on a discussion of the paper at a Glasgow Dental Hospital’s Paediatric Dentistry Journal Club meeting.   

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Denture stomatitis: some evidence for nystatin and disinfecting agents

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This review of interventions for the management of denture stomatitis identified 35 RCTs. A majority of the RCTs were at high risk of bias. The findings suggest that nystatin and disinfecting agents have a positive effect but the results should be viewed cautiously because of the quality of the available evidence

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Orthodontic treatment outcomes for cleft lip and palate patients

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4o studies were included in this scoping review of orthodontic outcomes used with cleft lip and palate patients. The majority (68%) relate to morphological features of maloclussion with on 3 addressing quality of life issues and 2 health service utilisation.

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