This latest critical summary prepared under the auspices of the ADA Center for Evidence Based Dentistry looks at a 2012 meta-analysis by Kühnisch et al that looks at the retention rates of pit and fissure sealants. The results of the meta-analysis suggest that resin-based sealants have the highest retention rates at 5-years. The appraiser notes [read the full story…]
Worldwide dental caries remains one of the most prevalent chronic diseases of childhood. Sadly, in many countries a significant proportion of this decay remains untreated leading to pain, sepsis and occasionally more severe complications. Studies have shown associations between caries and poor growth, low weight gain, missed school and poorer performance. The aim of this [read the full story…]
Yesterday we looked at the management of large carious lesions and today we are considering the other end of the caries process, the detection of the early or non-cavitated carious lesion (NCCLs). With changes in the severity of dental disease in some population there has been more interest in the identification and management of the [read the full story…]
The traditional approach to treatment of dental caries has been complete removal and subsequent restoration. During the past decade this approach has been challenged, based on a greater understanding of the disease process. The focus being on adequate restorations rather than a complete excavation of caries, with particular benefits for the treatment of deep caries. [read the full story…]
There is substantive evidence from systematic reviews for the effectiveness of fluoride varnish (FV) in caries prevention (Marhino et al 2002). The aim of this study (Divaris et al 2012) was to assess whether there were differential effects for FV according to tooth surface and baseline pathology. This was a secondary analysis of a cluster-randomised [read the full story…]
One of the adverse effects of orthodontic treatment is the development of white spot lesions (WSLs). The incidence of these early carious lesions has been reported to vary between 5-97% . The aim of this trial was to effectiveness of MI Paste Plus and PreviDent fluoride varnish (22,600 ppm of fluoride) with a standard oral [read the full story…]
Dental caries is a chronic disease that usually progresses slowly. The demineralisation of the tooth seen in the early stages of dental decay are reversible so progression to cavitation can be prevented. The aim of this review was to appraise the evidence for the efficacy of nonsurgical caries preventive methods to arrest or reverse the [read the full story…]
Caries in children aged 71 months and younger or early childhood caries (ECC) has been reported with a prevalence of between 20 and 80% in some populations. The aim of this review was two fold, to assess the association between the acquisition of oral cariogenic bacteria and caries outcomes in infants and to identify the [read the full story…]
Two new critical summaries are now available at the ADA-EBD site The first one is of a 2011 review by Yengopal and Mickenautsh; The aim of the review was to assess whether resin-modified glass-ionomer cement (RM-GIC) offered a significant caries-preventive effect compared with resin-based composite (RBC)? The appraiser generally considers the review to be well [read the full story…]
There is increasing interest in the use of salivary proteins as biomarkers for oral diagnostics and some studies have suggested potential for these biomarkers in oral cancer and Sjögrens syndrome . The aim of this review was to evaluate the potential of salivary proteins as biomarkers for dental caries An electronic search was performed in [read the full story…]
