Malocclusion and dental caries

shutterstock_48513667

This review of malocclusion and the severity of dental caries among children and adolescents in the permanent dentition included 5 cross-sectional studies suggesting an association. However the quality of the evidence is limited so should be interpreted cautiously.

[read the full story...]

Caries risk models – Predictive performance

shutterstock_48486751 stomatologist shows x-ray

Sergio Uribe in his first Dental ELf blog looks at this review of the predictive performance of seven caries risk assessment models. While the findings suggest a resonable performance from the full and reduced Cariogram more high quality studies are needed in particular in relation to communication of risk to patients and its impact.

[read the full story...]

Treatments for cavitated or dentine carious lesions

tooth diagramme, caries

This Cochrane review of interventions to treat carious lesions conventionally considered to require restorations in primary or permanent teeth with vital pulps included 27 RCTs. Compared with conventional treatment there were lower numbers of failures with the Hall technique and selective excavation (SE) in primary teeth and with SE and stepwise removal in permanent teeth.

[read the full story...]

Ten Years of the Dental Elf

The Dental Elf

It is now 10 years since the very first Dental Elf Blog. Since then we have published 1626 blogs covering a wide range of topics so we present a brief overview of the categories covered.

[read the full story...]

Caries detection using visual or visual-tactile examination

shutterstock_51503758

This diagnostic test accuracy review of visual classification systems for the detection and diagnosis of non-cavitated coronal dental caries in children or adults included 67 studies. The findings suggest that these classificationssystems have resonable performance but the certainty of the evidence is low.

[read the full story...]

Early childhood caries: Global prevalence

shutterstock_156617546

The 2019 Bangkok Declaration defined early childhood caries (ECC) as the presence of a primary tooth with one or more carious (non-cavitated or cavitated lesions), missing (due to caries), or filled surfaces in a child under the age of six years. While dental caries is a preventable chronic health problem it remains a significant public [read the full story…]

Sugar free gum and streptococcus mutans levels

shutterstock_88561078

This review of the impact of sugar-free gum (SFG) on the level of oral micro-organisms, specifically Streptococcus mutans included 13 studies 11 of whihc were RCTs. The findings indicated that SFG reduces the load of Streptococcus mutans in the oral cavity compared to controls but noe of teh included studies were at low risk of bias.

[read the full story...]

Caries detection methods: How accurate are they?

shutterstock_67512859 - dental examination

This review of the accuracy of different methods for detecting carious lesions in primary and permanent teeth compares visual inspection, radiographs and fluorescence-based detection. 240 studies were included and the findings suggest that visual inspection was adequate for most patients.

[read the full story...]

Caries detection using electrical conductance

shutterstock_25902463

This Cochrane review of the diagnostic accuracy of different electrical conductance devices for the detection and diagnosis of non-cavitated coronal dental caries included 7 studies. The quality of the studies mean we are very uncertain of how electrical conductance devices are in detecting and diagnosing early tooth decay.

[read the full story...]

Dental imaging methods for early caries detection and diagnosis

shutterstock_46934869

This Cochrane review of the diagnostic accuracy of different dental imaging methods for early enamel lesions included 104 datasets from 77 studies. Low-certainty evidence suggests that imaging for the detection or diagnosis of early tooth decay may result in a relatively high proportion of false-negative results.

[read the full story...]