Subcutaneous emphysema during root canal treatment

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This review of the factors affecting the development ofsubcutaneous emphysema during root canal therapy included
51 studies describing 65 cases. A majority (48%) were linked to drying tooth canals with pressurised air in three-way syringe

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Root canal obturation: Does apical extent of obturation affect outcome?

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Mark-Steven Howe looks at this review of the association between obturation extent and final treatment outcome of root canal treatment. Twenty two studies were included with 11 contributing to the meta-analysis suggestign that obturation extent may have an effect.

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Pulpotomy for permanent teeth with irreversible pulpitis?

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This review of success rates of coronal pulpotomy in carious teeth with signs and symptoms indicative of irreversible pulpitis included 8 studies only one of which was a RCT. The data suggest this this procedure may be an alternative to root canal treatment.

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Avulsed teeth – what is the best management option?

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4 RCTs were included in ths Cochrane review update of interventions for avulsed and replanted permanent front teeth. None of the included studies was at low risk of bias and there is insufficient evidence to support or refute the effectiveness of different interventions.

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Nonsurgical root canal therapy: What is the most effective oral premedication to reduce post treatment pain?

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This review of the most effective oral premedication in reducing pain in adults after nonsurgical root canal therapy including 16 studies. While a premedication of choice is suggested most outcomes are only supported by very low quality evidence.

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Irreversible pulpitis: What is the most effective local anaesthetic for inferior alveolar nerve block?

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This review of the most effective anaesthetic solutions for inferior alveolar nerve blocks for mandibular teeth with irreversible pulpitis included 11 RCTs. The findings suggest that mepivacaine with epinephrine performed better than lidocaine with epinephrine but the number of trials is limited and the quality of evidence was very low to moderate.

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Top Dental Elf Blogs: Jan – Apr 2018

If this your idea of fun, do drop us a line.

Between January and April 2018 our most popular blogs considered restorations in primary teeth,digital impressions, root canal irrigants and fissure sealants.

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Vital pulp treatments in mature molars

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4 different vital pulp treatments for deep caries management of mature permanent molars were tested in this stud .The findings suggest that these techniques could be used but other approaches are available.

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Regenerative endodontic treatment: Does apical diameter affect outcome?

By Drs. Ken Hargreaves and Obadah Austah, Dept of Endodontics, University of Texas Health Science Center at San Antonio - Ken Hargreaves, CC BY 3.0 us, https://commons.wikimedia.org/w/index.php?curid=30784169

This review of regenerative endodontic treatment included 14 small observational studies of limited quality suggesting a possible influence of apical diameter on clinical outcomes.

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Post endodontic pain: Is it affected by type of instrumentation?

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17 studies, none of which were at low risk of bias, were included in this review of the effect of type of instrumentation on post endodontic pain. The findings suggest lower incidence and intensity of postoperative pain with rotary instruments compared to hand files.

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