Mandibular fractures are relatively common and about 12-40% involve the mandibular angle. The use of three-dimensional (3D) strut plates is increasingly being suggested as an alternative to conventional miniplates. The aim of this review was to assess whether there was a difference in clinical outcomes between standard and 3D miniplates in the management of mandibular [read the full story…]
The ideal treatment for common mental health problems in those with chronic physical illness would have to be reliable, easy to deliver, inexpensive and accessible by a group of people whose physical impairment may affect treatment adherence. NICE guidelines (CG90 Depression; the treatment and management of depression in adults) recommend self-help interventions (SHIs) based on [read the full story…]
The lingual and inferior alveolar nerves are potential at risk of damage during some oral and maxillofacial surgery procedures. Fortunately the majority are temporary, with resolution taking place within 8 weeks. Injuries of 6 moths or greater are considered permanent and a range of techniques have used. The aim of this review was to evaluate [read the full story…]
Falls are estimated to cost the NHS more than £2.3 billion per year (College of Optometrists, 2011) and are associated with significant morbidity and mortality. This fact alone should be giving us the drive to look for ways to prevent falls in healthcare settings. A systematic review recently published in BMC Nursing (Bunn et al, 2014) is [read the full story…]
The aetiology of non-carious cervical lesions (NCCLs) has not been fully clarified but they are characterised by a slow and gradual loss of mineralized dental tissue in the absence of dental caries. This results in a saucer or wedge-shaped defect that appears along the cementum–enamel Junction. The aim of this review was to assess the [read the full story…]
Since the introduction of open reduction and internal fixation the management of facial fractures has changed dramatically. However many uncertainties remain and the importance of the time from injury treatment is one area of dispute. The aim of this review was to examine the effects of treatment delay on outcomes in the management of facial [read the full story…]
Orthodontically induced external apical root resorption (OIEARR) has been classified as surface resorption caused by loss of cementum. Usually this is superficial and unidentifiable radiographically but if this occurs apically it can be seen as shortening of the tooth. Typically OIEARR is less than 2mm and clinically insignificant. OIEARR greater than 4mm is severe and [read the full story…]
Temporomandibular joint (TMJ) disc displacement without reduction (DDwoR) is thought to occur in 2-8% of patients with temporomandibular disorders. It can cause TMJ pain and restricted opening and is sometimes referred to as ‘closed lock’. A range of treatment have been tried and the aim of this review, was to investigate the effects of different [read the full story…]
The aim of this new Cochrane protocol is to evaluate the effects of methods for acceptance of local anaesthetic in children during dental treatment. As the protocol notes three factors have been considered to influence discomfort during delivery of local anaesthetic: factors related to the patient, equipment factors and aspects that are under control [read the full story…]
Amalgam has been used for filling teeth for around 150 years. Over that time amalgam restoration have been shown to be a predictable, successful and cost effective. Concerns regarding aesthetics and their mercury content together with improvement in tooth-coloured dental resin cements have seen a decline in their use. Recently the Minamata Convention on Mercury [read the full story…]
