There is a well-established association between sugar and dental caries which was reinforced in a recent systematic review by Moynihan and Kelly (Dental Elf 12th Dec 2013). S ugar-sweetened beverages (SSB) which have sucrose (table sugar), high-fructose corn syrup or fruit- juice concentrates, either as purchased or added after purchase have seen sales and consumption [read the full story…]
Dental caries remains a major public health problem. It has been demonstrated in in vitro studies that Casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) has a remineralising effect on enamel lesions. The aim of this systematic review was to assess the long-term (>3 months) remineralizing effect of CPP-ACP on early caries lesions in vivo compared with placebo [read the full story…]
Public Health England has just launched the third edition of the evidence-based toolkit for prevention. The first edition was published in 2007 and is considered to have been important in ensuring consistency of advice delivered as part of preventive treatment plans. Within England it has also helped inform commissioners develop dental contracts that encourage prevention. [read the full story…]
Despite fails in caries level in recent decades caries is still a significant problem for many children The aim of this study was to compare the effect of infiltration and fissure sealing with fluoride varnish applications. Children aged 5-8 with at least three primary molars with initial lesions on three occlusal surfaces in each child [read the full story…]
There is good quality review evidence (Ahovuo-Saloranta et al. 2013) that resin-based fissure sealants are effective at preventing or controlling occlusal caries. The aim of this trial was to assess whether sealing first permanent molars with fluoride releasing compounds reduced the caries increment on the distal surface of the second primary molars. Children with at [read the full story…]
There is good evidence for the effectiveness of fissure sealants in the prevention of caries (Dental Elf 8th April 2013) and some evidence for its use in the treatment of carious lesions. There is also evidence for the effectiveness of partial rather complete caries removal (Dental Elf 13th Apr – 2014).The aim of this study [read the full story…]
The use of motivational interviewing is increasing in dentistry and the recent SIGN guideline (Dental Elf 18th March 2014) recommended that oral health promotion interventions should be based on recognised health behaviour theory and models such as motivational interviewing. The aim of this review was to analyze the effectiveness of motivational interviewing in changing oral [read the full story…]
The aim of this study was to compare 24-month pulp health outcomes of partial caries removal (PCR) and total caries removal (TCR) with composite restoration in primary molars. Children (3–8 years), in good general health and amenable to treatment, with at least one molar with acute, deep carious lesion into dentine were included. The teeth [read the full story…]
Probiotics have been used in the management of a wide range of conditions and have been shown to have a beneficial effect in gastrointestinal disease for example. A potential role in the prevention of caries has been suggested and the aim of this review was to evaluate the caries preventive effect of probiotics. Searches were [read the full story…]
Sadly caries remains a significant public health problem across the world, particularly in children. The aim of this study was to assess the cost-effectiveness of caries treatment and prevention strategies in the Netherlands. The study was conducted alongside a randomised controlled trial (RCT) evaluating the effects of two caries prevention strategies compared with regular dental [read the full story…]
