Pulpotomy for permanent teeth

Pulp_cap

This review of the efficacy and cost-effectiveness of pulpotomy and associated medicaments in permanent teeth with pulp exposure included 17 RCTs some os which are still ongoing. The findings suggest that pulpotomy may be a potential treatment option for permanent teeth but more research is needed.

[read the full story...]

Top Dental Elf Blogs: Sep – Dec 2018

The National Elf Service aims to close the gap between research and practice.

If this your idea of fun, do drop us a line.

Between September and December 2018 our most popular blogs considered guidelines for non-restorative options for caries management , orthodontic management of the developing dentition and aligners for orthodontic treatment.

[read the full story...]

Carious lesions: guidelines for non-restorative treatments.

shutterstock_166386347

This evidence-based clinical practice guideline on the non-restorative treatments for carious lesions in primary and permanent teeth from the American Dental Association provides 11 recommendations.

[read the full story...]

Calcium hydroxide as lining for deep caries lesions?

shutterstock_3275732-caries -9-10yr old

16 low quality RCTs were included in this review of the effect of calcium hydroxide lining on clinical success in treatment of deep carious lesions. 6 RCTs contributed to the meta-analysis suggesting no beneficial effect.

[read the full story...]

Pulp treatments in primary teeth

caries upper arch

This Cochrane review of pulp treatments for primary teeth included 87 trials. Pulp treatments were generally successful with many trials having no clinical or radiological failure in either arm.
Mineral trioxide aggregate (MTA) may be the best medicament to apply after pulpotomy. For pulpectomy there was no conclusive evidence that one medicament or technique is superior to another.

[read the full story...]

Pulp capping carious exposures in adults: calcium hydroxide or MTA?

900px-Pulp_cap

This small but well conducted RCT compares the effectiveness of MTA and calcium hydroxide for direct pulp capping material in adult molars with carious pulpal exposure finding better performance for MTA at 3 years.

[read the full story...]

Endodontic treatments for immature necrotic teeth

shutterstock_54785035-cement

This review of endodontic treatments for immature teeth included 7 small RCTs at medium to high risk of bias. They suggest that mineral trioxide (MTA) may provide better clinical outcomes in relation to apical closure but the findings should be interpreted with caution.

[read the full story...]

Pulp capping in primary and permanent teeth-limited high quality studies

anatomy of teeth

This review of pulp capping in primary and permanent teeth included 11 studies involving a total of 1196 teeth in 922 patients . Most materials did not show superiority compared with calcium hydroxide.

[read the full story...]

Coronal pulpotomy in permanent molars

shutterstock_57295564

This review of coronal pulpotomy in permanent teeth demonstrated good survival at 2 years 92% (95%CI; 84 -100). However as the majority of studies were observational they should be viewed cautiously until further high quality RCTs are available.

[read the full story...]

Calcium hydroxide cavity lining in primary teeth

shutterstock_72680830 - erupting incisors & caries

This review looks at the benefits and harms of cavity lining. However, only 3 very low quality studies comparing calcium hydroxide lining in primary teeth were identified. Restoration without lining did not significantly affect the risk of failure.

[read the full story...]