No clinical justification for replacing conventional toothbrushes with more expensive models

shutterstock_26227375 toothbrushes and toothpaste

The aim of this single-blind cross-over study was to compare the performance of three different toothbrush models in the control of dental biofilm and maintaining a healthy gingival condition. The sample was randomly divided into three groups (A, B and C), each of which used one of the three toothbrushes tested. The brushes had bristles [read the full story…]

Predictors of caries in preschool Hong Kong children

shutterstock_4881124

A  systematic review has identified 106 potential risk factors to be associated with the prevalence or incidence of dental caries in primary teeth.  The aim of this study was to describe the development of new caries over 2 years and to identify risk factors that can predict new caries development. A random sample of preschool [read the full story…]

Asthma doubles the risk of caries in both primary and permanent dentition

shutterstock_3275732-caries -9-10yr old

Asthma and caries are two of the commonest health problems affecting children.  This review and meta-analysis was conducted to synthesize the evidence on the relation between asthma and caries. The authors searched Medline, Government reports and conference proceedings for case-control, cohort, or cross sectional studies   that provided relevant and applicable quantitative information on the relation [read the full story…]

Preventive and non-invasive treatment for dental caries appears to be cost-effective

shutterstock_68251921 dental education young girl and nurses

The aim of this study was to assess the efficacy and cost-effectiveness of a non-invasive approach to dental caries management in private dental practice. The Caries Management System is a 10-step non-invasive strategy to arrest and remineralize early lesions. The main principle is that caries management must include consideration of the patient at risk, the [read the full story…]

In deep cavities stepwise excavation of caries can preserve pulp

shutterstock_54092779 open mouth during dental treatment

Clinicians regularly encounter deep carious cavities which can lead to pulp exposure if the caries is completely removed.  This may lead to pulpectomy and root canal treatment.  However the pulp possess a regenerative ability so stepwise approaches to caries removal have been investigated.  The aim of this review was to investigate the best possible methods [read the full story…]

Vital permanent teeth with cariously exposed pulp can be treated successfully with vital pulp therapy

pulp

This systematic review aims to illustrate the outcome of vital pulp therapy, namely direct pulp capping, partial pulpotomy, and full pulpotomy, in vital permanent teeth with cariously exposed pulp. Electronic database MEDLINE via Ovid, PubMed, and Cochrane databases were searched. Hand searching of the reference lists of endodontic textbooks, endodontic-related journals (International Endodontic Journal, Journal [read the full story…]

Second-hand smoke and dental caries associated

iStock_000014406705XSmall passive smoking child square

This review evaluates the relationship between second-hand smoke (SHS) and dental caries in epidemiological studies. Only Medline and reference lists of identified articles were searched. The review included 14 studies, one cohort and 14 case-controls. Quality was assessed using the modified Newcastle–Ottawa Scale. They found, 11 studies examined early childhood caries, with a significant independent [read the full story…]

Inconclusive evidence on chlorhexidine varnish for preventing caries in children and adolescents

Photograph of carious teeth

A new systematic review reports inconclusive evidence on chlorhexidine varnish for preventing caries in children and adolescents. The reviewers set out to establish its effectiveness compared with placebo or no treatment.  A secondary aim was to summarise the evidence of the effectiveness of chlorhexidine varnish compared to fluoride varnish. The authors searched Medline, Embase and [read the full story…]