acetylsalicylic acid for secondary prevention of cardiovascular events and post extraction haemorrhage

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In patients who use acetylsalicylic acid (ASA) for the primary and secondary prevention of cardiovascular events some dentists recommend suspending its use before dental procedures to reduce bleeding. However, this potentially increases the risk of thromboembolic events. The effect of ASA on the amount of bleeding that occurs during tooth extraction procedures is controversial, and [read the full story…]

Digital versus film radiography

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This critical summary of a systematic review published in 2010 was prepared under the auspices of the American Dental Association Center for Evidence-Based Dentistry . The aim of this review was to assess how film-based radiography compared with digital radiography. The commentator highlights the fact that the review only searched one database ( PubMed) and [read the full story…]

Treatment under general anaesthesia improved quality of life for children with early childhood caries

An operating theatre.

Despite improvements in oral health in many countries early childhood caries (ECC) remains the most common reason for hospital admissions for paediatric patients.  Children with ECC have a lower oral-health-related quality of  life (OHRQoL).  The aim of this study was to see whether dental treatment of young Auckland children under GA improved oral-health-related quality of [read the full story…]

Prenatal education reduced mutans streptococci levels and sugar intake

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Mutans streptococci (mutans)  have an important role in dental caries. Individuals having high levels of these organisms being considered to be a higher risk of  disease.  The aim of this study was to assess the effectiveness of a prenatal nutrition intervention to reduce sugar intake and mutans in  low-income women. Pregnant women ≥18 years of [read the full story…]

Motivational interviewing showed greater short-term improvement in plaque control

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Good oral hygiene is important for the prevention and treatment of periodontal disease. The aim of the study was to assess whether a motivational interview addressing the five dimensions of Leventhal’s theory performed better than conventional basic instruction on improving compliance with plaque control among patients with periodontitis. Patients were randomised to receive either a [read the full story…]

Ibuprofen and ibuprofen/acetaminophen have similar effect on postoperative endodontic pain

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The aim of this study was to determine whether  in patients diagnosed with pulpal necrosis and associated periapical radiolucency with moderate to severe preoperative pain ibuprofen or ibuprofen/acetaminophen was more effective for postoperative endodontic pain. 71 patients with a  symptomatic tooth with a pulpal diagnosis of necrosis and moderate to severe pain at the time [read the full story…]

Fluoride varnish application in school setting did not reduce caries in first permanent molars

Photograph of carious teeth

The aim of this cluster randomised controlled trial was to measure the effectiveness of fluoride varnish as a public health intervention to prevent caries in the first permanent molars of 7- and 8-year-old children when delivered in the school setting. Schools that agreed to participate were randomized into test and reference groups by the study [read the full story…]

Ability of existing tests to distinguish between temporomandibular disorders questioned

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The aim of this review was to summarize the research on accuracy of individual clinical diagnostic signs and tests for the presence of temporomandibular disorder (TMD), , and for the subclassifications affiliated with TMD. The authors conducted  hand and computerised  searches  to identify articles on the diagnostic accuracy of clinical tests and signs.  The sources [read the full story…]

Oral health advice for people with serious mental illness

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The aim of this systematic review from the Cochrane Schizophrenia Group was to assess the effectiveness of oral health advice in reducing morbidity, mortality and preserving the quality of life in people with serious mental illness. A number of studies have found links between mental health problems and poor oral health and we have highlighted [read the full story…]

Oral health advice for people with serious mental illness

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The aim of this review from the Cochrane Schizophrenia Group was to assess the effectiveness of oral health advice in reducing morbidity, mortality and preserving the quality of life in people with serious mental illness. A number of studies have found links between mental health problems and poor oral health and we have higlighted some [read the full story…]