Endodontic treatment – single and multiple visits have similar outcomes

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The over of systematic reviews comparing single and multiple visits endodontic treatments included 8 systematic reviews find no evidece to support significant differences between the two approaches.

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Endodontic pain can be managed with non-steroidal anti-inflammatory drugs

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This review of the use of non-steroidal anti-inflammatory drugs (NSAIDs) for the management of post endodontic pain demonstrates that they do help to manage the pain.

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Post-endodontic pain: is it lower with rotary or reciprocating instruments?

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This review of the effect of rotary or reciprocating instruments on post-endodontic pain included 3 RCTs involving 1317 patients. There is limited evidence of any clear difference between the two techniques.

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Endodontics or extraction and implant for the pulpally involved tooth?

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45 studies are included in this review of endodontic treatment or implants for the pulpally involved tooth. The studies are are observational with few comparative studies and while they summarise success rates for various treatments they should be interpreted cautiously. High quality comparative studies are needed as well as agreement on common reporting outcomes.

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Dental pulp testing: insufficient evidence to evaluate clinical performance

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This review of pulp sensibility and vitality tests identified 8 studies (4 Cohorts, 4 Case-controlled) . The number of studies matching the inclusion criteria did not provide a sufficient foundation to evaluate the clinical performance of pulp vitality tests.

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Pre-operative analgesia for patients with pulpitis improved anaesthetic success

This RCT does not establish equivalence between mindfulness-based cognitive therapy and antidepressants for recurrent depression.

16 RCTs involving 1900 patients were included in this review of pre-op analgesia for patients with pulpitis . The findings suggest that premedication with analgesics improves the success rate of local anaesthesia.

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Endodontic postoperative pain: which non-steroidal anti-inflammatory drug?

This RCT does not establish equivalence between mindfulness-based cognitive therapy and antidepressants for recurrent depression.

The review of NSAIDs for endodontic postoperative pain suggests that NSAIDs are effective. A combination of ibuprofen 600 mg and acetaminophen 1000 mg and Ibuprofen 600 mg were both effective. More studies are need to assess teh most effective NSAIDs dosages and does intervals.

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Retrograde root filling: insufficient evidence for best material

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The Cochrane review of of materials for retrograde root filling identified 6 RCTs all at high risk of bias. The trials provide insufficient evidence to draw any conclusion as to the benefits of any one material over another so more high quality studies are needed.

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Top Dental Elf Blogs of 2016

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During 2016 the Dental Elves has published 158 blogs covering a broad range of topics. The most popular blogs of each month are highlighted.

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Root canal treatment: single or multiple visits?

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This Cochrane review update included 25 RCTs comparing single verses multiple root canal treatment approaches. They found no evidence to suggest that one treatment regimen is better than the other.

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