Caries is one of our commonest diseases and increasing emphasis is being placed on identifying its earliest stages in order to employ effective interventions. Visual examination and radiographs have been the traditional approaches to caries detection but newer adjunctive methods based on fiber-optics, fluorescence or electrical impedance have been developed and introduced during the past [read the full story…]
Interproximal dental stripping or interproximal enamel reduction (IER) was originally suggested back in the 1940s as a method of gaining space in the lower incisor region. The aim of this review was to investigate the enamel roughness resulting from IER as well as the cariogenicity of IER in orthodontic patients. The databases, PubMed, Scopus, The [read the full story…]
September has seen the publication of one new protocol from the Cochrane Oral Health Group. Sharif MO, Ahmed F, Worthington HV. Xylitol-containing products for preventing dental caries in children and adolescents (Protocol). Cochrane Database of Systematic Reviews 2013, Issue 9. Art. No.: CD010743. DOI: 10.1002/14651858.CD010743. The aim of the review is to assess the [read the full story…]
Varnishes have been is use as a delivery system for topical fluoride since the 1960s. Their effectiveness was highlighted to a greater extent following the publication of the first version of this Cochrane review in 2002. Since then use of fluoride varnish has been recommended in evidence-based guidance from SIGN, the SDCEP and the American [read the full story…]
Good oral health can be achieved and maintained by compliance with preventive and curative measures and effective self-care. However, adherence to positive behaviours such as toothbrushing, interdental cleaning, smoking cessation and good dietary habits can be variable. Traditional approaches of patient education revolve around disseminating information and normative advice. Increasingly the use of motivational interviewing [read the full story…]
Fluoridated salt has for many years been proposed as a vehicle for the prevention of caries. A 2010 systematic review by Yengopal et al indicated that salt fluoridation could reduce caries. The aim of this study was to evaluate the effect of school-based and domestic distribution of fluoridated salt on caries increment in schoolchildren residing [read the full story…]
Cystic fibrosis (CF) is a genetic disorder that leads to the overproduction and accumulation of mucus in the lungs, which can result in airway obstruction and life-threatening bacterial. Four risk factors related to CF are considered to increase the risk of dental caries; a 20- fold increase in intraoral Streptococcus mutans levels; gastroesophageal reflux disease [read the full story…]
The traditional management of caries by the removal of all softened demineralised dentine before a filling is placed is being increasingly challenged. This updated Cochrane review aims to assess the effects of stepwise, partial or no dentinal caries removal compared with complete caries removal for the management of dentinal caries in previously unrestored primary and [read the full story…]
The March issues of the Cochrane Library includes two new protocols relevant to Oral Health. The first protocol :- Arora A, Foster JP, Gillies D, Moxey AJ, Moody G, Curtis B. Breastfeeding for oral health in preschool children (Protocol). Cochrane Database of Systematic Reviews 2013, Issue 3. Art. No.: CD010416. DOI: 10.1002/14651858.CD010416. Has the main [read the full story…]
Fissure sealants have been in use since the 1960s and previous reviews have shown them to be effective in reducing caries. This review is the 4th update of the Cochrane review by Ahovuo-Saloranta et al and includes studies up November 2012. The main aim of the review was to compare the effects of different types [read the full story…]
