Oral hygiene advice: insufficient evidence for best way of providing one to one advice

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This Cochrane review of the effects of one-to-one oral hygiene advice, provided by a member of the dental team in a dental setting included 19 RCTs providing insufficient evidence to recommend any specific 1:1 method.

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Resin infiltration of proximal caries lesions

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9 RCTs were included in this review of resin infiltration for the clinical management of early non-cavitated proximal caries lesions. The findings indicate that resin infiltration when combined with oral hygiene measures was promising and more effective than oral hygiene measures alone.

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Proximal caries: seal or infiltrate early lesions?

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This review of micro-invasive treatments for proximal caries included 13 split-mouth RCTs. There was moderate quality evidence to support sealing in infiltration of early proximal caries compared with non-invasive treatments such as diet and bio-film management and topical fluorides.

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Caries risk assessment: Limited evidence for current models

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This review of the effectiveness of Caries Risk Assessment (CRA) models included 32 studies providing limited evidence that CRA is effective for caries assessment and prediction.

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Orthodontic patients: Reminders improved oral hygiene and compliance

Recent research has shown how behavioural activation can be delivered via smartphones.

14 RCTs were included in this review of the effect of different reminders on oral hygiene and compliance in orthodontic patients. For most outcomes measured beneficial effects were seen in the patients receiving reminders.

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Root Caries: Incidence and increment

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This review of the incidence and increment of root caries included 20 longitudinal studies that provided an overall estimate of incidence of 18.25% 1(95%CI; 13.22%-23–28%) and increment of 0.45 (95%CI; 0.37–0.53).

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Silver diamine fluoride for caries prevention in primary teeth

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Four RCTs were included in this review of silver diamine fluoride (SDF) for the prevention of caries in primary teeth. Meta-analysis involving 2 of the studies suggest a preventive fraction = 77.5% (95%CI; 67.8– 87.2%)

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Toothbrushing: fluoride toothpaste needed to reduce caries

shutterstock_26227375 toothbrushes and toothpaste

Three RCTs were included in this review of the association between personal oral hygiene and coronal dental caries. The findings suggest that in the absence of fluorides personal oral hygiene did not reduce the incidence of caries.

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Dental adhesive systems: HEMA-free or HEMA-containing systems?

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22 RCTs were included in this review of the influence of the monomer HEMA in the formulation of dental adhesive systems suggests that HEMA-free adhesive systems do not have better clinical performance of the non-carious cervical lesion restorations than HEMA-containing systems.

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