Unfortunately dental caries remains a significant problem in children with some young children requiring multiple procedures. Traditionally this was managed with general anesthesia, increasingly sedation and behaviour management are seen as potential alternative approaches and a 2010 guideline from the National Institute for Health and Clinical Excellence (NICE) suggested that midazolam could be used for [read the full story…]
Rehabilitating the edentulous upper jaw with implant-supported dentures requires long-term maintenance of the prosthesis. This review aimed to evaluate the literature on prosthodontic maintenance requirements for maxillary implant overdentures using different prosthodontic designs. The authors conducted electronic searches on Medline, PubMed and Google Scholar. In addition they hand searched 15 dental journals and the reference [read the full story…]
Tooth extraction is probably the most commonly conducted surgical procedure. Teeth are normally extracted because of severe dental caries or periodontal (gum) infection, although they are also removed because they are poorly aligned or developed. To aim of this Cochrane review was to determine the effect of antibiotic prophylaxis on the development of infectious complications [read the full story…]
The aim of this study was to compare both the effectiveness of the anaesthesia and the pain with deposition between fast and slow inferior alveolar nerve block (IANB) injection techniques. Patients attending a dental emergency department and requiring endodontic management were randomised to receive either fast (n=30) or slow (n=30) IANB injections using 3.6 mL [read the full story…]
Local anaesthetic use is widespread in dentistry and while lidocaine has been in use for more than 50 years an increasing number of agents are now available. The aim of this study was to analyze adverse drug reactions (ADRs) associated with local anesthetics (LAs) and to characterize the safety profile of LAs in clinical application. [read the full story…]
Chlorhexidine (CHX) has been used as a mouthwash for many years. The aim of this review was to assess, the effectiveness of Chlorhexidine (CHX) mouthrinse against plaque growth, gingival inflammation as well as the degree of staining. Three databases were searched Medline, Embase and the Cochrane Central Register of Controlled Trials (Central), reference lists of [read the full story…]
The incidence reported in the literature ranges from 0.4-8.4%third molars and in some instances the damage can be permanent. The aim of this case-control study was to investigate the specific risk factors for neurosensory deficits of inferior alveolar nerve (IAN) after third molar extraction. The cases consisted of patients showing neurosensory deficits of the lower [read the full story…]
The surgical removal of third molars is a common procedure that results in varying degrees of inflammation, pain and limited mouth opening. Non-steroidal anti-inflammatories, steroids and opiates are often prescribed to alleviate these problems. This review aims to assess the impact of steroids on outcomes following third molars removal. Searches of the PubMed, Scopus, Med- [read the full story…]
The aim of this study was to investigate whether fixation of fractures of the mandibular angle using miniplates placed through a transbuccal approach resulted in lower infection rates that those placed on the mandibular external oblique ridge using an intra-oral approach. What did they do Patients were randomised (by year of birth) to having their [read the full story…]
Powered toothbrushes (PTB) have been available since the 1960s and Cochrane reviews have shown that powered toothbrushes with a rotation oscillation action reduce plaque and gingivitis more than manual toothbrushing (MTB). The main focus of these review has been their effectiveness rather than the safety of these brushes. Van der Weijden et al undertook a [read the full story…]
