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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Dexamethasone for post endodontic pain

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This review of dexamethasone for controlling pain following endodontic treatment included 5 relatively small RCTs . The findings suggest statistically significant reduction of pain in patients receiving dexamethasone at 8,12, and 24 hours.

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Inferior alveolar nerve block: can NSAIDs improve anaesthetic success?

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This review of the efficacy of non-steroidal anti-inflammatory drugs (NSAIDs) as premedication on the success of inferior alveolar nerve block includes 13 RCTs suggesting NSAIDs have a positive impact on success.

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Corticosteroids for post-endodontic pain

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This review of the efficacy of corticosteroids on postoperative endodontic pain. found that patients receiving corticosteroids reported significantly lower pain scores at 6, 12 and 24hrs postoperatively.

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Inferior Alveolar Nerve Block: improving anaesthetic success in patients with irreversible pulpitis

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This network meta-analysis of oral premedication to improve anaesthetic success of inferior alveolar nerve block in patients with irreversible pulpitis suggest that that oral premedication with dexamethasone, NSAIDs and Tramadol increases the success rate.

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Root canal treatment – irrigant activation techniques to remove smear layer and debris?

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Kenny Strain looks at this new review of in-vitro studies examining irrigant activation techniques during root canal treatment. The findings suggest improvemed removal of smear layer and debris. However the impact on clinical outcomes needs further investigation.

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Root canal obturation using core-carrier techniques

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19 studies were included in this review of core-carrier obturation techniques in endodontic treatment. Success rates was 83%(95CI; 69-91%) with 24% suffering postoperative pain and 31% having overfilling.

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Regenerative endodontics in non-vital immature permanent teeth

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 endodontics for non-vital immature permanent teeth included 14 studies. Although suggesting good outcomes overall they were of low quality with a high risk of bias. Larger high quality studies are needed.

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