Amalgam has been used for filling teeth for around 150 years. Over that time amalgam restoration have been shown to be a predictable, successful and cost effective. Concerns regarding aesthetics and their mercury content together with improvement in tooth-coloured dental resin cements have seen a decline in their use. Recently the Minamata Convention on Mercury [read the full story…]
The Scottish Intercollegiate Guidelines Network (SIGN) have just launched a new guideline on caries prevention in children. The guideline replaces two existing guidelines; SIGN 47 on preventing dental caries in children at high caries risk and SIGN 83 on prevention and management of dental decay in the pre-school child. The guideline was developed using SIGN [read the full story…]
Despite the improvements in oral health the management of dental caries still presents challenges particularly in children. While some guidelines still recommend complete removal of caries there is growing interest in more conservative approaches. The aim of this study was to compare children’s behaviour and pain perception when approximal dentinal caries lesions in primary molars [read the full story…]
The aim of this study was to compare the outcome of partial pulpotomies in cariously exposed pulps of young permanent molars using mineral trioxide aggregate (MTA) and calcium hydroxide in a randomized controlled trial. Eighty-four teeth in 80 patients (aged 7-10yrs) having one or two first permanent molars with deep occlusal carious lesions that resulted [read the full story…]
There has been much discussion in the UK about the possibility of banning smoking in cars when children are present. This latest summary from the ADA-EBD looks at a 2011 systematic review by Hanioka et al that considered the possibility of a link between second hand smoke (SHS) and dental caries that we first highlighted [read the full story…]
Cochrane reviews have clearly documented the anti-caries benefits of fluoridated toothpastes (Marhino et al 2003, Walsh et al 2010). New agents to improve caries prevention would assist efforts to reduce the impact of caries, particularly on children. The aim of this study was to investigate the efficacy of two dentifrices containing 1.5% arginine, an insoluble [read the full story…]
The effectiveness of fluoride varnishes for caries prevention for children and adolescents is well established with the recent update of the Cochrane review (Marinho et al 2013) estimating the pooled preventive fraction of 43% (95% CI 30-75%) for permanent teeth and 37% (95% CI 24-51%) for primary teeth. However although 22 trails were included there [read the full story…]
The aim of this clinical trial was to test the effectiveness of high-fluoride toothpaste (5000 ppm F) on root caries lesions in adults and to test the hypothesis that high concentration fluoride tooth- paste would effectively improve the surface hard- ness in root caries lesions in adult patients. Adult patients (18-75yrs) with 10 or more [read the full story…]
This ADA Critical Summary looked at a 2012 systematic review by Hafez et al. The aim of the review was to assess the relationship between dental crowding and the development of caries. The summariser notes that the search was comprehensive but the inclusion criteria were not clear. Studies were assessed for quality and all the [read the full story…]
This is an update of a Cochrane review first published in 2009. The aim of the review was to assess the effects of antibacterial agents incorporated into composite restorations for the prevention of dental caries. Searches were conducted in the Cochrane Oral Health Group’s Trials Register the Cochrane Central Register of Controlled Trials (CENTRAL) Medline, [read the full story…]
