Caries: little evidence to support use of chlorhexidine varnishes or gels for prevention

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This new Cochrane review included 8 trials, involving a total of 2,876 children finding little evidence to support or refute the use of chlorhexidine varnish or gel in reducing caries or mutans streptoccoci levels.

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Caries: review suggests a higher risk in HIV-infected children

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This review included 5 case-controlled studies only 2 of which were at low risk of bias and suggested that HIV-infected children have a higher risk of cavitated caries in their primary teeth, OR = 2.98, 95% CI; 1.59-5.59.

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Xylitol in toothpaste may provide small additional benefit over fluoride toothpastes

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This Cochrane review included 10 studies and found low quality evidence that fluoride toothpaste containing xylitol may be more effective than fluoride-only toothpaste for preventing caries in the permanent teeth. The evidence for other xylitol products is insufficient to assess effectiveness.

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Atraumatic restorative treatment for older adults

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This randomised controlled trial compares atraumatic restorative treatment in older patients to conventional care finding no statistically significant difference at 2 years.

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Caries: micro- and minimally invasive treatments for pit-and-fissure lesions

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This network meta-analysis included 14 studies (10 RCTs) and suggests that minimally invasive strategies would rank first followed by micro invasive approaches to pit and fissure caries. However, for some comparisons only a few studies are available and then are generally small and with short follow up periods.

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Untreated caries: a significant global problem

gross caries, anterior teeth

This review is part of the 2010 Global Burden of Disease study. It included a large number of observational studies and estimates that 2.4 Billion have untreated decay in permanent teeth and 621 million children have untreated caries in primary teeth.

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Xylitol gum reduced mutans streptococci transmission

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This review identified 5 trials reported in 11 publications and found that the chewing of xylitol gum by mothers significantly reduced transmission of mutans streptococci to their children. However the effects on caries were inconsistent.

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Dental screening: a role for hygiene-therapists?

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This study compared the diagnostic accuracy of dental screening by hygiene-therapists with dentists. The results show that they could be used to screen for caries and periodontal disease. This could allow for a change in the traditional model of dental care seen in the UK.

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Root caries: little evidence available on which to base restorative treatment recommendations

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This systematic review only identified 5 small studies focussed on a limited sub group of the populations at risk of root caries. The available evidence is limited and cannot be used to provide recommendations on restorative treatment for root caries.

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