Dentures: Overnight storage and Candida Albicans colonisation

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This review of the effect of overnight storage conditions on complete denture colonization by Candida albicans included 6 small studies. The available evidence is limited and of low quality so well conducted and reported trials of appropriate size and required.

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Post-operative endodontic symptoms: Are they improved by prophylactic antibiotics?

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This review of the efficacy of prophylactic oral antibiotics in the management of post-operative endodontic symptoms included 10 RCTs. The findings and show that there is no superiority in using adjunctive antibiotics for the prevention of post-operative endodontic symptoms.

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Tooth extraction: Do antibiotics prevent complications?

The authors sought to review available literature relating to SSRI withdrawal syndromes

This Cochrane review update of the effect of systemic antibiotic prophylaxis on the prevention of infectious complications following tooth extractions included 23 studies. There was very-low certainty evidence that prophylactic antibiotics may reduce the risk of infection and dry socket following third molar extraction compared to placebo.

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Tobacco cessation delivered by dental professionals

These are promising findings, but we are some way from being able to recommend specific interventions to help people stick with their smoking cessation medication.

This review of tobacco cessation interventions offered by dental professionals included 20 clinical trials. Advice and support form dental professionals that involved NRT or e-cigarettes was more likely to help patients stop smoking

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Oral manifestations of COVID-19

Covid-19

This review of the oral signs and symptoms in patients with COVID-19 includes 40 studies (33 cross-sectional and 7 case reports). The findings show a significant association with taste disorders but little in relation to other oral disorders. As this is planned to be a living review it will be interesting to see if further evidence emerges.

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Irreversible pulpitis: Do larger volumes of local anaesthetic improve success of inferior alveolar nerve blocks?

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This review of the efficacy of 1.8 and 3.6 mL of the same anaesthetic solution for inferior alveolar nerve blocks (IANBs) for treating mandibular teeth with irreversible pulpitis included 4 RCTs (280 teeth). The findings show arger volumes of local anaesthetic solutions significantly increase the success rate of IANBs.

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Aromatherapy and dental anxiety

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This review of the efficacy of aromatherapy on dental anxiety included 17 studies (11 RCTs, 6 CCTs). The evidence suggets aromatherapy may reduce dental anxiety and has comparable effects on dental anxiety compared to music intervention but the evidence is limited and of low to very low certainty

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Boric acid as an adjunct to non-surgical periodontal therapy?

gum disease, scale and polish

Non-surgical periodontal treatment is the mainstay of treatment for the management of periodontitis. A number of adjunctive treatments have been used to improve outcomes including, local and systematic antibiotics and photodynamic therapy.  It has been suggested that boric acid may be beneficial as boron compounds have antimicrobial, anti-inflammatory and immune regulatory effects and beneficial effects [read the full story…]

Vibration devices: Do they reduce pain linked to dental injections in children?

shutterstock_54042145 - Child, dentists & X-ray

This review evaluating the effect of vibration devices on paediatric dental injection pain reduction identified 6 RCTs. The findings suggest that the use of the DentalVibe was not effective but the evidence ws of low quality.

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Articaine local anaesthesia and the risk of hyperaesthesia in third molar surgery

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This review of the risk of hyperaesthesia with articaine compared with other local anaesthetics in lower alveolar nerve block for lower third molar removal included 13 studies.The findings suggest that the use of articaine does not increase the risk of hyperaesthesia.

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