Top Dental Elf Blogs Apr– Jun 2019

The Dental Elf brings you daily updates of evidence-based dentistry research

The Cochrane review of interdental cleaning devices, whether antibiotics are needed for dental implant placement and oral health programmes for people with intellectual difficulties were our most popular blogs of the spring.

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Top Dental Elf Blogs Jan – Mar 2019

Yes, it's a Christmas kitten. Well this is the internet. Designed to share knowledge. And pictures of kittens.

Our most popular Dental Elf blogs for January, February and March 2019 featuring Sedation, General anaesthesia and fluoride toothpastes.

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Mandibular angle fractures: Does presence of third molars in fracture line affect postoperative complications?

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This review of whether the presence of the lower third molar in the mandibular angle fracture line is associated with postoperative complications included 34 studies. The quality of teh included studies was low to very low so the findings should be viewed cautiously.

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Periodontal surgery: Is a minimally invasive approach effective for infrabony defects?

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This review of minimally invasive periodontal surgery for the treatment of intra‐bony defects included 25 studies of which 10 were randomised controlled trials. There is limitied evidence comparing minimal and traditional approach but minimal invasive surgery may produce similar outcomes.

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Orthodontics: How much force is needed to move teeth with fixed appliances?

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This review looking at the optimal force magnitude for achieving orthodontic tooth movement included 12 studies suggesting there is weak to moderate evidence showing that forces ranging between 50 cN and 100 cN are optimal for the rate of orthodontic tooth movement.

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Computerised local anaesthesia in paediatric patients

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This review ofwhether local computerised anaesthesia decreases the pain and disruptive behaviour in children when compared to conventional anaesthesia included 20 RCTs and suggested no diference between the two approaches.

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Dental implants: Long or short with bone augmentation in the posterior jaw?

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This review comparing outcomes between short (5-8 mm) and long implants (≥10 mm) with bone augmentation in the posterior jaw included 10 RCTs . The findings suggest no differences in outcomes at 1 year.

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Clear aligner orthodontic treatment

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This review assessing the predictability of clear aligners and treatment outcomes of clear aligner therapy compared with fixed appliance therapy included 7 small studies of limited quality.

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Osteoradionecrosis of the jaws: Prevention in adult patients with head and neck cancer

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This Cochrane review of interventions for preventing osteoradionecrosis of the jaws in adults with head and neck cancer undergoing curative or adjuvant (i.e. non-palliative) radiotherapy included 4 RCTs. The limited quality of the available studies means evidence regarding the interventions evaluated in this review is uncertain.

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White spot lesions: Topical fluoride for prevention during fixed orthodontic treatment

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This Cochrane review update evaluates whether topical fluoride reduces the proportion of orthodontic patients with new demineralised lesions (white spot lesions). In included 10 studies finding some low certainty evidence that some topical fluorides reduced white spot lesions.

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