This review of pulpotomy ( partial or full) v root canal treatment (RoCT) in permanent teeth with pulpitis included 2 RCTs involving 957 teeth. The findings suggests no difference in pain at 7 days or in success rates at 1 and 5 years but the evidence is limited.[read the full story...]
Pulpal and periapical pathosis after placing indirect coronal restorations
This review investigating the incidence of and influential factors on pulp necrosis and periapical pathosis of vital teeth following indirect restorations included 37 studies. The findings suggest an overal incidence of pulpal necrosis of 5.02% (3.70 to 6.52%).[read the full story...]
What irrigation and canal dressings are most effective in the treatment of Apical Periodontitis?
In this blog Thibault Collloc looks at a review of is the effectiveness of instrumentation and irrigation with NaOCl and EDTA compared to any other root canal irrigant. The review was one of a number undertaken to inform guidelines for the European Society of Endodontics.[read the full story...]
Apical surgery versus non-surgical root canal treatment or retreatment
This review of apical surgery compared with non-surgical root canal treatment or retreatment for teeth with apical periodontitis included 5 studies.None of the included studies were at low risk of bias so the findings should be viewed very cautiously.[read the full story...]
Inferior alveolar nerve block 2% mepivacaine versus 4% articaine – trial
This well conducted randomised controlled trial assessed inferior alveolar nerve block (IANB) success of 2% mepivacaine and 4% articaine in patients with symptomatic irreversible pulpitis (SIP) in mandibular molars during access cavity preparation and instrumentation.[read the full story...]
Bioactive glass and hydroxyapatite to occlude dentinal tubules
In her first blog for the Dental Elf Rebecca Manson takes a look at an in-vitro review of bioactive glass and hydroxyapatite for the occlusion of dentinal tubules. The findings provide some evidence that that bioactive glass/hydroxyapatite are effective in occluding dentinal tubules in an in-vitro setting. Well conducted long term clinical trials are needed to assess effectiveness in a clinical setting.[read the full story...]
Apical Periodontitis – Is treatment with modern root canal instrumentation more effective?
In this blog Thibault Colloc looks at a review of comparing the effectiveness of contemporary root canal instrumentation compared with conventional stainless-steel instruments in terms of clinical and patient-related outcomes. The review includes 9 studies (6 RCTs and 3 retrospective clinical studies) and was one of a series designed to inform guidelines for the European Society of Endodontics.[read the full story...]
How common is root canal treatment?
This review of prevalence of root filled teeth in the adult population worldwide included 76 observational studies. The findings suggest that 8.2% (95%CI; 7.3% to 9.1%) of teeth has been root filled and that 55.7% (95%CI; 49.6% to 61.8%) of people had at least one tooth root filled.[read the full story...]
Vital pulp therapies in the management of nontraumatic pulpitis
Thibault Colloc takes a look at this review of vital pulp therapies in mature and immature permanent teeth with nontraumatic pulpitis. Only 3 RCTs reported in 4 papers involving a total of 330 patients were included. Further high quality well reported studies are needed to clarify the evidence for vital pulp therapies.[read the full story...]
Pulpitis – How effective are diagnostic tests?
This review of clinical tests for the diagnosis of the condition of the dental pulp included 28 studies from 29 publications. The quality of the included studies was low providing limited scientific evidence regarding the accuracy and reproducibility of diagnostic tests.[read the full story...]