Caries experience and dental care in children with and without learning disabilities

The absolute risk of autism and mental retardation remains low

This review of caries experience and dental care provision in children with and without learning disabilities included 25 cross sectional studies with findings suggesting no overall difference in caries levels between the two groups.

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Dental Implants: Survival at sites of previous implant failure

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Mark Steven-Howe takes a look at a systematic review of survival rates of dental implants placed at sites of previous implant failure. Eight retrospective cohorts were included and while good survival rates were reported over 1-5 years the findings need to be interpreted very cautiously as the studies are at high risk of bias.

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High fluoride toothpaste for arresting and preventing root caries

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This randomised trial comparing 5000ppm fluoride tootpaste v 1450ppm paste in adults aged 60 and above demonstrated fewer new root canal lesions in the 5000ppm group at 2 years.

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Third molars: Distal caries development in adjacent second molars

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This review of the prevalence of distal surface caries in second permanent molars associated with retained third molars included 11 mainly retrospective observational studies findins a pooled prevalence of 23% (95% CI; 2% to 44%).

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Pulpotomy for permanent teeth with irreversible pulpitis?

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This review of success rates of coronal pulpotomy in carious teeth with signs and symptoms indicative of irreversible pulpitis included 8 studies only one of which was a RCT. The data suggest this this procedure may be an alternative to root canal treatment.

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Orthodontic bonding: Direct or indirect?

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This review of direct and indirect bonding techniques for orthodontic backet placement included 8 small RCTs of limited quality suggesting no significant difference in bracket placement accuracy, oral hygiene status and bond failure rate.

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Silver diamine fluoride for caries management?

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This umbrella review of silver diamine fluoride (SDF) for the management of carious lesions in children and adults included 11 systematic reviews reporting on 30 unique primary studies. A consistent and growing body of research supports supports SDF’s effectiveness for arresting coronal carious lesions in the primary dentition and arresting and preventing root carious lesions in older adults.

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White spot lesion prevention during orthodontic treatment

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This review of the efficacy of preventive interventions against the development of white spot lesions (WSLs) during fixed appliance orthodontic treatment included 23 RCTs tha majority of which were at high risk of bias. The findings suggest some benefit from sealants and fluoride varnishes but more high quality research is neeeded.

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Overjet and dental trauma risk

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This review of different overjet sizes that present an increased risk for developing dental trauma across different ages and dentition stages included 41 cross-sectional studies showing a a significant association between increased overjet and traumatic dental injury.

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Pulpotomy for permanent teeth

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This review of the efficacy and cost-effectiveness of pulpotomy and associated medicaments in permanent teeth with pulp exposure included 17 RCTs some os which are still ongoing. The findings suggest that pulpotomy may be a potential treatment option for permanent teeth but more research is needed.

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