Rigid and non-rigid connections between implants and teeth: biological and technical complications.

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Mark-Steven Howe assesses a systematic review looking at the impact of rigid and non-rigid connectors between natural teeth and implants on the biological, functional and/or the prosthetic complication rates. Ten mainly retrospective studies were included providing limited evidence that needs to be interpreted cautiously.

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Resin-bonded fixed dental prostheses: 5 year survival and complication rates

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This review of survival and complication rates of resin-bonded fixed dental prosthesis included 209 studies. The findings suggest overall survival rates of 91.3 % (95%CI; 88–93.7) . The quality of the available studies suggest that this should be interpreted cautiously.

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Caries lesions in enamel – Still drill and fill?

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This review of dental clinicians thresholds for intervention in teeth with caries included 30 studies over a 31year time span. 21% (95%CI;15%-28%) of dentists/therapists would intervene invasively for lesions confined to enamel doubling in high risk patients with little changed being noted over time.

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Oral Health in people with dementia

This study is the first of its kind from an RCT perspective which clearly shows that treating major depression in older adults using interventions in primary care settings can extend life

This review of oral health in older people with dementia included 37 mainly observational studies of limited quality. The findings suggest that oral health was generally poorer in those with dementia.

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Computer games for oral health education in young children

Behavioural and cognitive-behavioural group-based parenting interventions are effective at improving child conduct problems, parental mental health and parenting skills in the short term, in the parents of children aged 3-12.

This small RCT of a computer game to deliver oral health education in high caries risk children and families was highly satisfactory to users. Improvements in knowledge were demonstrated is the short term > however there was a high drop out rate an further studies are needed to assess change sin other groups and longer term benefits.

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Top Dental Elf Blogs of 2016

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During 2016 the Dental Elves has published 158 blogs covering a broad range of topics. The most popular blogs of each month are highlighted.

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Secondary caries: limited evidence from in-situ studies

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Nine small in-situ studies were included in this review of the impact of restoration type on secondary caries providing insufficient evidence to make any firm conclusions.

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Autism spectrum disorders- caries and periodontal disease levels high?

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7 small observational studies were included in this review of oral health status in people with autism spectrum disorders higher levels of caries and periodontal disease are suggested in this population.

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Stepwise and partial-caries-removal –reduces longer term pulpal complications?

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This review of stepwise or partial caries removal for deep caries suggesting included 5 studies ( 2 RCTs) of limited quality. Findings suggest better pulpal outcomes with these approaches compare with traditional treatment.

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