Motivational Interviewing: Is it effective in preventing early childhood caries?

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This review of teh effectivenesss of motivational interviewing (MI) in the prevention of early childhood caries included 14 trials of which eight ccontributed to the meta-analyses. The findings suggest that approached based on MI may be useful in prevention of early childhood caries.

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Interproximal caries detection: near-infrared light transillumination (NILT) compared to bitewing radiograph

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This review of the accuracy of the near-infrared light transillumination (NILT) for the detection of interproximal dental caries in permanent dentition included 13 studies with 6 contributing to a meta-analasis. Findings suggest that NILT is reasonably comparable to bitewings.

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Potassium iodide: Does it reduce silver diamine fluoride induced tooth staining?

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This review of the effectiveness of potassium iodide (KI) in reducing staining after silver diamine fluoride use identified just 6 studies 5 of which were conducted in-vitro providing little clinically relevant evidence for the use of KI.

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Primary teeth: Efficacy of 3 caries removal strategies

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This review of the efficacy of 3 caries removal strategies (complete, selective and stepwise) in primary teeth included 8 RCTs suggesting a lower risk of pulp exposure with selective and stepwise approaches.

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Caries prevalence in preterm and low birth weight children

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This review of the prevalence of dental caries in preschool children born preterm and/or with a low birth weight included 59 observational studies suggesting caries prevelence was similar to full term children of normal weight. However, the certainty of teh evidence was very low.

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FiCTION Trial: the cost effectiveness of dental caries management in primary teeth

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THe FiCTION trial examied 3 strategies for the management of dental caries in primary teeth of children aged 3 to 7yrs in the UK This summarises the detailed cost-effectiveness element of that mult-centre RCT in primary care.

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Drug use and oral health status

Very few studies in this review, measured or adjusted for use of other substances such as cannabis.

This review investigating the relationship between drug use (methamphetamines, heroin, opiates, cocaine, cannabis and crack) and oral health includes 10 observational studies showing a higher risk of caries.

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Sugar-free chewing gum – does it reduce caries?

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This review of the effect of sugar-free chewing gum(SFG) on dental caries included 12 studies 11 of which were RCTs. None of the included studies was at low risk of bias and ther findings suggest there is evidence to support the use of SFG in the control of dental caries in children.

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Caries prevention in children: The RECUR trial

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This multi-centre RCTs of a single dental nurse delivered ‘talking’ intervention informed by motivational interviewing approaches was successful in reducing new caries experience in a group of high risk children at 2 years.

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Endodontic treatment for compromised first permanent molars.

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This review of the clinical success rates of endodontic therapies used on compromised first permanent molar teeth in a child aged 16 and under included 11 studies. While good success rates are suggested for pulpotomy the limited evidence means definative conclusions cannot be drawn.

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