Sealants for primary molar teeth

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This Cochrane review of the effects of sealants compared to no sealant or a different sealant in preventing pit and fissure caries on the occlusal surfaces of primary molars in children. Nine small RCTs were included providing limited evidence of low to very low certainty.

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Top Dental Elf Blogs: Jul – Sep 2021

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Treatments for cavitated dentine caries, topical anaesthetics to reduce injection pain and vital pulp therapy for permanent teeth were out most popular blogs duing July, August and September 2021.

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Early enamel caries: Detection and diagnosis

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This comparative analysis of 5 Cochrane caries diagnostic test accuracy studies provides summary estimates for most currently available technologies. However the certainty of the evidence is considered low and it is difficult to predict real world performance.

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Prevention toolkit from Public Health England

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An updated version of ‘Delivering Better Oral Health, ’ the oral health prevention toolkit published iby Public Health England to provide practical evidence-based guidance for promoting oral health and preventing oral disease is now available.

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Caries detection using visual or visual-tactile examination

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This diagnostic test accuracy review of visual classification systems for the detection and diagnosis of non-cavitated coronal dental caries in children or adults included 67 studies. The findings suggest that these classificationssystems have resonable performance but the certainty of the evidence is low.

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Caries detection using electrical conductance

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This Cochrane review of the diagnostic accuracy of different electrical conductance devices for the detection and diagnosis of non-cavitated coronal dental caries included 7 studies. The quality of the studies mean we are very uncertain of how electrical conductance devices are in detecting and diagnosing early tooth decay.

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Interproximal caries detection: near-infrared light transillumination (NILT) compared to bitewing radiograph

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This review of the accuracy of the near-infrared light transillumination (NILT) for the detection of interproximal dental caries in permanent dentition included 13 studies with 6 contributing to a meta-analasis. Findings suggest that NILT is reasonably comparable to bitewings.

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Potassium iodide: Does it reduce silver diamine fluoride induced tooth staining?

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This review of the effectiveness of potassium iodide (KI) in reducing staining after silver diamine fluoride use identified just 6 studies 5 of which were conducted in-vitro providing little clinically relevant evidence for the use of KI.

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Primary teeth: Efficacy of 3 caries removal strategies

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This review of the efficacy of 3 caries removal strategies (complete, selective and stepwise) in primary teeth included 8 RCTs suggesting a lower risk of pulp exposure with selective and stepwise approaches.

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Caries prevalence in preterm and low birth weight children

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This review of the prevalence of dental caries in preschool children born preterm and/or with a low birth weight included 59 observational studies suggesting caries prevelence was similar to full term children of normal weight. However, the certainty of teh evidence was very low.

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