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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Articaine: Is it the best local anaesthetic for teeth with irreversible pulpitis undergoing root canal treatment?

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5 systematic reviews were included in this umbrella review of whether articaine or lidocaine is the most appropriate local anaesthetic solution for teeth with irreversible pulpitis undergoing root canal treatment.

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Post and core restorations: does the ferrule effect influence success?

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This review evaluating the presence or absence of a ferrule influences the failure rate in fibre-reinforced composite (FRC) post-and-core restorations included 4 studies. While the findings indicate no differences in failure rates between restoration with and with out a ferrule the quality of the evidence is low.

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Guideline: Antibiotics for Dental Pain and Swelling

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This new guideline from the American Dental Association is about the the appropriate use of systemic antibiotics for the urgent management of symptomatic irreversible pulpitis with or without symptomatic apical pulpitis, pulp necrosis and symptomatic apical periodontitis and pulp necrosis and localized acute apical abscess.

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Partial pulpotomy for permanent posterior teeth with carious vital pulp exposure

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This review of the success rate of partial pulpotomy in treating permanent posterior teeth with carious vital pulp exposure included 11 studies 5 of which are RCTs. The findings suggest that partial pulpotomy is a reliable treatment option.

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Pulpotomy in immature permanent teeth

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This review of different pulpotomy dressing agents for pulpotomy treatment in immature permanent teeth. While the review suggested that the various agents tested had similar success rates the findings should be viewed cautiously as all the studies were at high risk of bias.

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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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