Arthroscopy for temporomandibular disorders

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Temporomandibular disorders (TMDs) comprise a group of clinical  problems that involve the masticatory muscles, the temporomandibular joint and associated structures, or both. They may also involve many organic, psychological and psychosocial factors. The aetiology of TMDs is still not clear. The aim of this Cochrane review was to assess the effectiveness of arthroscopy for the [read the full story…]

Articaine better than lignocaine for routine molar anaesthesia

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This systematic review was originally published in the Journal of Dentistry in 2010. The Centre for Reviews and Dissemination have now appraised the quality of the review and written a structured abstract of it. They conclude that the review conducted a comprehensive search strategy, with a risk of some publication bias due to their inclusion [read the full story…]

Malignant transformation in patients with oral lichen planus

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This cohort study of 327 oral lichen planus (OLP) patients; 229 women (70.0%) and 98 men (30.0%), was conducted using data from a cohort of caucasian patients from Italy with clinical and pathologic diagnosis of OLP, according to revised and modified World Health Organization diagnostic criteria. Follow-up of the patient cohort was started 6 months [read the full story…]

Toothbrushing to reduce ventilator-associated pneumonia pathogens and dental plaque in a critical care unit

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Ventilator-associated pneumonia (VAP) is a life-threatening condition in critically ill patients receiving mechanical ventilation. The incidence of VAP in varies between 9% and 45%  with mortality rates of up to 50% . It is accompanied by an increase both in length of stay in intensive care units ICU and healthcare. The aim of this trial [read the full story…]

Interceptive treatment of palatally displaced maxillary canines

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Permanent canine usually erupt around 10.5 years in girls and 11.5 in boys.  Between 1-3% do not erupt normally the majority (85%) are displaced palatally.  They can lead to unwanted movement of neighbouring teeth, dental crowding, root resorption of the ectopic tooth, as well as the neighbouring teeth, cyst formation, infection, referred pain and combinations [read the full story…]

Folic acid supplementation for phenytoin-induced gingival overgrowth in children

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Gingival overgrowth is an important adverse effect of phenytoin (PHT) therapy, occurring in about half of the patients. This study aimed to evaluate the effect of oral folic acid supplementation (0.5 mg/day) for the prevention of PHT-induced gingival overgrowth (PIGO) in children with epilepsy aged 6–15 years on PHT monotherapy for 6 months. Children aged [read the full story…]

Malignant transformation rates in oral potentially malignant disorders

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The aims of the study were to determine how frequently oral potentially malignant disorders (OPMDs) transform to cancer and to identify clinical and histological factors determining the rates of transformation. The study cohort  included 1357 patients with biopsy-confirmed OPMDs seen at Guy’s Hospital between 1990 and 1999 and followed up until 2005.  The patients’ details [read the full story…]

Calcium hydroxide or MTA for apex formation in immature permanent teeth

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Pulp necrosis  in immature teeth arrests root development so apical closure cannot be achieved. Root canal treatment of these teeth is a challenge. Procedures to encourage apexification have long been the treatment of choice success in preserving damaged immature teeth.  A range of  materials have been recommended to induce apexification in teeth with immature apices. [read the full story…]

Preoperative NSAIDs improve local anaesthetic success for root canal treatment of mandibular teeth

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Inferior alveolar nerve block (IANB) is the most frequently used injection technique for achieving local anaesthesia for root canal treatment of mandibular teeth. However it is not always successful in endodontics with studies failure rates occurring between 44% and 81% of the time.  The aim of this randomised trial was to determine the effect of [read the full story…]

More dental anomalies in the permanent teeth of individuals born with oral clefts

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This aim of this review was to identify if patients individuals born with non-syndromic oral clefts had a higher frequency of dental anomalies. Searches were conducted in Medline, BIREME, OVID all EBM Reviews, and the Cochrane Library. Papers reporting observational controlled studies of non-syndromic forms of oral clefts matched for dental anomalies in primary and/or [read the full story…]