Keratocystic odontogenic tumours- which surgical approach?

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This review of surgical approaches for keratocystic odontogenic tumour identified 35 mainly retrospective studies. Radical resection had the lowest recurrence rate but has significant morbidity. Higher quality evidence is to clarify the evidence for the varying surgical approaches.

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Third molar removal: conventional or piezoelectric device for osteotomy?

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Fifteen studies (5 RCTs) were included in this review of piezoelectric surgery for third molar removal. The findings suggest better outcomes with piezoelectric surgery however the limited quality of the available evidence means that the findings should be viewed with caution.

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Autotransplantation of permanent teeth with an open apex

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21 methodologically weak studies were included in this review of autotransplantation of permanent teeth with open apex. The findings suggest good survival and success rates however the limited quality of the studies mean the findings should be interpreted with caution.

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Pre-operative analgesia for patients with pulpitis improved anaesthetic success

Many drugs are licensed for use in Generalised Anxiety Disorder (GAD), but it is unclear what works best.

16 RCTs involving 1900 patients were included in this review of pre-op analgesia for patients with pulpitis . The findings suggest that premedication with analgesics improves the success rate of local anaesthesia.

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Class III malocclusion: early treatment with facemask beneficial

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This review of the early treatment of class III malocclusion identified 15 studies (9 RCTs, 6 CCTs) providing moderate quality evidence that early treatment with a facemask results in positive improvement for both skeletal and dental effects in the short term.

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Hypotensive anaesthesia: effective in reducing blood loss in orthognathic surgery

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The potential use of hypotensive anaesthesia for maxillofacial surgery was first noted in the 1950s. Since then a number of studies have been reported on the effects of hypotensive anaesthesia in relation to blood loss operating time and surgical field quality producing conflicting results. The aim of this review was to evaluate the efficacy of [read the full story…]

Endodontic postoperative pain: which non-steroidal anti-inflammatory drug?

Many drugs are licensed for use in Generalised Anxiety Disorder (GAD), but it is unclear what works best.

The review of NSAIDs for endodontic postoperative pain suggests that NSAIDs are effective. A combination of ibuprofen 600 mg and acetaminophen 1000 mg and Ibuprofen 600 mg were both effective. More studies are need to assess teh most effective NSAIDs dosages and does intervals.

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Orthodontic extractions and third molar angulation

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This review of the effect of orthodontic extractions on the angulation of third molars included only 14 retrospective studies. This provides very low quality evidence of any effect

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Mandibular implant overdentures: Impact on patient based outcomes.

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Mark-Steven Howe writes his debut blog on an updated review by Kodoma et al on the efficacy of the mandibular 2-implant overdenture.

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Pain during orthodontic treatment: non-pharmacological interventions

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14 trials were included in this Cochrane review of non-pharmacological interventions for orthodontic pain. The findings were inconclusive although there is some evidence that low-level laser therapy may help.

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