Slow-release fluoride devices: review finds insufficient evidence to show they reduce dental decay

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This new update of a Cochrane review only identified 1 study that randomised 174 children but analysed only 63. While there was a reduction in caries in those children with the slow-release fluoride glass bead the study is at high risk of bias and provides insufficient evidence to determine the caries-inhibiting effect of slow-release fluoride glass beads.

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Caries: review suggests complete removal not best approach

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This review of caries excavation strategies identified 28 studies including 19 RCTs. None were considered to be at low risk of bias . The results suggest that not attempting to remove all softened or stainable dentine could reduce the risk of complications

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Caries experience: risk higher in those from lower socioeconomic positions

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This review included 155 observational studies, which although of low quality consistently found caries parameters to be significantly higher in those from lower socioeconomic positions

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Caries Prevention: review suggests that education training and fairer payments would increase prevention delivered by dentists

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Seven qualitative studies and 41 surveys were included in this qualitative metasummary of factors that increase or decrease dentists delivery of caries prevention. While the surveys in particular, are of questionable quality some commonality emerges that further education and training coupled with a fairer pay scheme would be a reasonable approach to change the balance in favor of the provision of dental caries preventive measures by dentists

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Caries management: trial finds Hall technique more successful than other approaches in primary molars

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The Hall technique is a relatively new management technique for caries in primary molars. This trial compares it use against the conventional approach and a non-restorative approach. Results at one year suggest that the Hall technique performed best.

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Sealing non-cavitated proximal lesions- review suggests it can reduce caries progression

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Interest in the use of sealants to protect smooth tooth surfaces is growing. This review of 10 small short-term studies found some evidence to suggest if could be effective in preventing caries progression but larger better quality long-term studies are needed.

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How should I brush my teeth?

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Regular daily toothbrushing plays an important part in preventing periodontal disease and caries but is there consensus on how this should be carried out. The main aim of this study was to assess the methods of toothbrushing recommended for both adults and children by dental associations, toothpaste and toothbrush companies and professional dental sources such [read the full story…]

Small trial finds caries prevention potential in new silver fluoride agent

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Dental caries is one of the commonest diseases of childhood and management is particularly challenging in underprivileged populations. In recent years there has been increasing interest in silver diamine fluoride. However, it tendency to stain carious tissue black and potential to cause oral mucosal lesions limit its potential use. Nano Silver Fluoride ® (NSF), a [read the full story…]