Endodontic microsurgery

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This review of the clinical and radiographic long-term outcome of endodontic microsurgery in teeth diagnosed with secondary apical periodontitis included 10 studies suggesting an overall success rate ranging from 69-93%.

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Occlusal reduction: Does it reduce post endodontic pain?

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This review of the effect of occlusal reduction on post-operative pain following root canal treatment included 7 RCTs. While the findings suggest that occlusal reduction may reduce post endodontic pain the quality of the available evidence is very low so teh findings should be viewed cautiously.

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Avulsed teeth: Storage media used before replantation

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This review of the effectiveness of any technique available to laypeople for storing an avulsed tooth compared with storage in milk or saliva included 33 studies. Findings suggest that milk, Hank’s balanced salt solution, propolis, oral rehydration salts, rice water, and cling film extend periodontal ligament cell viability before replantation.

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Endocrowns: A review of success and survival rates

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Thibault Colloc looks at a systematic review that assesses whether endocrowns are an appropriate restorative option with a predictable outcome for extensively damaged endodontically treated teeth

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Cracked teeth: Outcomes after endodontic treatment

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This review of the success and survival rate of endodontically treated cracked posterior teeth included 7 retrospective studies suggesting a 1 year survival rate of 88% (95%CI; 81% – 94%).

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Post-endodontic pain: Is it influenced by concentration of sodium hypochlorite irrigation?

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This large RCT involving 308 patients found that using 1.3% NaOCl was associated with less intense and less frequent post-endodontic pain than 5.25% NaOCl in mandibular molars with nonvital pulps treated in two visits.

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Post-endodontic pain: Is it reduced by occlusal reduction?

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This review of the efficacy of occlusal reduction on the management of post-operative endodontic pain included 6 small RCTs of high risk of bias. The fidings suggested non benefitc from occlusal reduction in the first 48 hours but some benefit at 72 hours. However the findings should be viewed cautiously because of the limited study quality.

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Cracked teeth: outcomes from endodontic treatment

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This review of outcomes following rooth canal treatment in cracked teeth included 4 small retrospective cohort studies which suggested an overall survival of 84.1% at 60 months.

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Endodontic treatment for compromised first permanent molars.

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This review of the clinical success rates of endodontic therapies used on compromised first permanent molar teeth in a child aged 16 and under included 11 studies. While good success rates are suggested for pulpotomy the limited evidence means definative conclusions cannot be drawn.

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Top Dental Elf Blogs Jul – Sep 2019

The Dental Elf brings you daily updates of evidence-based dentistry research

Pulpotomy of permanent teeth with irreversible pulpitis, the management of direct anticoagulant agents for invasive dental treatments and laser preparation of tooth surfaces for fissure sealant placement were out most popular blogs in July, August and September.

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