Developmental defects of enamel and caries in primary dentition

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This blog post is by Hayley Foulds, current CT 1 in Paediatric Dentistry at Glasgow Dental Hospital and School. The following article was the topic for discussion at the most recent Paediatric Dentistry Journal Club.

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Periodontal treatment during pregnancy-no evidence of impact on preterm birth

Routine specialist pregnancy care involved an initial meeting to discuss quitting smoking and set a quit date, followed by 4 weekly telephone calls, and free nicotine replacement therapy for 10 weeks.

15 RCTs were included in this Cochrane review of impact of periodontal treatment on adverse pregnancy outcomes. all the included studies were considered to be at high risk of bias. There was no evidence that periodontal treatment reduces the number of preterm babies.

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 Shortened dental arch: impact on oral health-related quality of life

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This review of the impact on oral health related quality of life (OHRQoL) linked with maintaining or restoring a shortened dental arch found limited evidence from 3 studies suggesting a benefit for OHRQoL with maintaining rather than restoring a the SDA with a removable partial dental prosthesis.

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Endodontic treatment – single and multiple visits have similar outcomes

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The over of systematic reviews comparing single and multiple visits endodontic treatments included 8 systematic reviews find no evidece to support significant differences between the two approaches.

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Burning mouth syndrome: limited evidence for treatments

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Twenty two RCTs were identified for this review of treatments for burning mouth syndrome. A broad range of therapies were included but they provide limited evidence to support or refute the therapies. More high quality appropriately powered are studies are needed using standard outcomes measures.

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Whitening toothpastes have beneficial effect on staining

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This review of the effect of whitening toothpastes on tooth staining included 21 RCTs and found a significant effect on all aspects of staining in the short term.

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Endodontic pain can be managed with non-steroidal anti-inflammatory drugs

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This review of the use of non-steroidal anti-inflammatory drugs (NSAIDs) for the management of post endodontic pain demonstrates that they do help to manage the pain.

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Clear aligners: little evidence available to support their effectiveness

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This review of clear aligners for orthodontic treatment only identified 4 small studies of limited quality providing little evidence to support their effectiveness.

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Post-endodontic pain: is it lower with rotary or reciprocating instruments?

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This review of the effect of rotary or reciprocating instruments on post-endodontic pain included 3 RCTs involving 1317 patients. There is limited evidence of any clear difference between the two techniques.

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Recurrent mandibular dislocation –which surgical approach?

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This review of surgical treatments for the management of recurrent mandibular dislocation included 23 case series. Only one of the case series was prospective and a majority lacked clarity on their pro / retrospective status providing only very low quality evidence.

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