Non-fluoride agents may provide some adjunctive benefit to those at higher risk of caries

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The use of topical fluoride together with  fluoridated water and fissure sealants are mainstays of caries management.  A range of non-fluoride agents  caries preventive agents are also in use and these are reviewed to provide  evidence-based clinical recommendations. The authors evaluated studies of sucrose-free polyol chewing gums, xylitol dentifrices, chlorhexidine, chlorhexidine in combination with thymol, [read the full story…]

Weak evidence for the effectiveness of chlorhexidine varnish on root caries

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While root caries can be seen in young people its frequency increases with age. The growing older populations in many developing countries means that root caries is likely to be an increasing problem.  The aim of this review was to see if chlorhexidine varnish (CHX-V)  is effective for treating root caries. The authors searched Medline, [read the full story…]

Topical fluoride is effective in preventing caries in moderate and high caries risk adults

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While dental caries in usually associated with children it is still a common problem for adults.  Several systematic reviews have evaluated the use of fluorides for the prevention of caries in children but fewer of fluoride use in adults.  The aim of this review was to evaluate the research regarding professional and/or supplemental self-applied fluoride [read the full story…]

The impact of temporomandibular disorders on oral health-related quality of life

Depression

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 original review authors were looking at the relationship between oral health-related quality of life (OHQOL) and temporomandibular disorders (TMDs). The critical summary noted that the review question could have been [read the full story…]

Conventional or self-ligating bracket use not an important predictor of mandibular intermolar width in non-extractions orthodontic cases

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The aim of this study was to compare intermolar widths after alignment of crowded mandibular dental arches in non-extraction adolescent patients between conventional and self-ligating brackets. The trial included patients requiring non-extraction treatment in both arches, having all mandibular teeth erupted with no spaces in the mandibular arch, mandibular irregularity index from canine to canine [read the full story…]

Early orthodontic treatment did not affect the incidence of incisor injury.

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Prominent anterior teeth are considered to be a risk factor for trauma. The aim of this study was to examine the prevalence and incidence of incisor trauma in subjects who participated in a randomized clinical trial designed to investigate early growth modifications in the treatment of Class II malocclusion. In this trial patients were randomised [read the full story…]

Implant overdentures may not improve the nutritional state of elderly edentate individuals

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The aim of this study was to see whether the provision of simple mandibular implant overdentures (IODs) to elderly individuals would give them a significantly better nutritional profile than those who receive complete dentures (CDs). The authors randomised two hundred fifty-five edentate patients over 65 yrs were to receive maxillary CDs and mandibular IODs (n [read the full story…]

Improvements in dry mouth seen with night guard and/or BET containing mouthwash

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Xerostomia is a common condition that affects many adults. It is frequently caused by autoimmune diseases such as Sjögren’s syndrome and rheumatoid arthritis or as a result of drug-related side effects. The aim of the present study was to evaluate the efficacy and safety of an intraoral device and a Betaine (BET) containing mouthwash in [read the full story…]

Limited evidence that extraction of deciduous canines prevents impaction of palatally displaced permanent canines

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This ADA Centre for Evidence-based Dentistry critical summary of  a systematic review  published in 2011. The original review was asked whether interceptive treatment involving the early extraction of the deciduous canine prevents impaction of palatally displaced canines (PDC) [ see Dental Elf 28th July ]. The ADA noted that while the review was generally well [read the full story…]

Bacteraemia due to everyday oral activities

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The aim of this review was to investigate the robustness of the observations on the influence of oral hygiene, gingival and periodontal status on the development of bacteraemia from everyday oral activities (B-EOA), analysing its prevalence, duration, magnitude and bacterial diversity. The authors searched MEDLINE-PubMed, the Cochrane Library and Embase for studies on B-EOA. They [read the full story…]