This review comparing the antimicrobial efficacy of chlorhexidine (CHX) and sodium hypochlorite (NaOCl) in root canal disinfection included 8 small RCTs. While teh findings suggest that CHX and NaOCL have similar efficacy the certainty of teh availabel evidence is low.
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This review of canine autotransplantation included 6 low quality studies are suggests good survival although both resorption and ankylosis increase after 5 years
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This review of post-retained crowns on endodontically treated teeth included 9 RCTs. Findings suggest that that the number of remaining coronal walls and the use of posts are key factors for the success/ survival of these restorations. However the quality of the available evidence is low.
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This review of the effect of endodontic access on fracture resistance of all-ceramic crowns included 8 in-vitro studies providing some indication of potential factors that may impact on fracture resistance.
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This review of endodontic treatments for immature teeth included 7 small RCTs at medium to high risk of bias. They suggest that mineral trioxide (MTA) may provide better clinical outcomes in relation to apical closure but the findings should be interpreted with caution.
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A 2010 Cochrane review that was not able to include any dental studies did find that buffering lidocaine decreased pain on injection and augmented patient comfort and satisfaction. This new dental trial included 80 patients with symptomatic irreversible pulpitis but found no significant difference with success rates with buffered lidocaine.
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Yesterday (Dental Elf 14th Jan 2012) we looked at a review that compared cast and fibre posts in-vitro. Here we are looking at a trail that compares the use of more flexible, dentine-like (low Young modulus) glass fibre–reinforced epoxy resin posts (GFREPs) with rather rigid, stiff (higher Young modulus) titanium posts (TPs) in order to [read the full story…]
Mineral trioxide aggregate (MTA) has been put to a range of dental uses, direct pulp capping root-end filling, apexogenesis and apexification in immature teeth, filling root canals an treatment of root fractures. The aim of this review was to evaluate whether the currently available evidence is of an appropriate quality to support the long-term effectiveness [read the full story…]
In yesterday’s blog we looked at the outcomes of one versus two visit root canal treatment . Today we are looking at a review which seeks to identify what the prevalence of periapical radiolucencies and non-surgical root treatment is in the population. The authors searched the MEDLINE and EMBASE databases with hand searching of the [read the full story…]
This review was undertaken to evaluate the diagnostic accuracy of available radiographic methods in use for imaging the periapical bone tissue area. The review forms part of wider systematic review covering methods of diagnosis and treatment in endodontics published by the Swedish Council on Health Technology Assessment (SBU). An English version of this is available [read the full story…]
