Preoperative NSAIDs improve local anaesthetic success for root canal treatment of mandibular teeth

shutterstock_17571817- injection

Inferior alveolar nerve block (IANB) is the most frequently used injection technique for achieving local anaesthesia for root canal treatment of mandibular teeth. However it is not always successful in endodontics with studies failure rates occurring between 44% and 81% of the time.  The aim of this randomised trial was to determine the effect of [read the full story…]

How much pain is experienced before, during, and after root canal treatment?

shutterstock_73929085 dental pain bearded man

Root canal procedures are commonly believed to be the most painful dental treatment yet only 17% have described it as their most painful dental experience. The aim of this review was to determine the influence of root canal treatment on pain prevalence and severity and estimate the prevalence and severity of pre-treatment, treatment, and post-treatment [read the full story…]

Vital permanent teeth with cariously exposed pulp can be treated successfully with vital pulp therapy

pulp

This systematic review aims to illustrate the outcome of vital pulp therapy, namely direct pulp capping, partial pulpotomy, and full pulpotomy, in vital permanent teeth with cariously exposed pulp. Electronic database MEDLINE via Ovid, PubMed, and Cochrane databases were searched. Hand searching of the reference lists of endodontic textbooks, endodontic-related journals (International Endodontic Journal, Journal [read the full story…]

Traditional root-end surgery or endodontic microsurgery for best outcomes?

iStock_000011087984XSmall teeth x-ray

The aim of this systematic review was to compare the outcomes of two different approaches to endodontic surgery, traditional (TRS) or microsurgical (EMS). The databases, Medline, PubMed and Embase were searched along with the following journals: Journal of Endodontics, International Endodontic Journal, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics, Journal of Oral and [read the full story…]

Does quality of the final restoration or root canal filling have greatest impact on final outcome?

iStock_000013123590XSmall root canal x-ray

This review looked whether the quality of the final restoration or the quality of the root canal filling had the greatest impact on the outcome of the root canal filling. Medline, Embase, the Cochrane Library, the Wiley online database, four journals; (Journal of Endodontics, International Endodontic Journal, Oral Surgery Oral Medicine Oral Pathology Oral Radiology [read the full story…]

Cost effectiveness of implants versus root canal treatment

Cross section of a dental implant

A new summary has just been added to the CRD Economic Evaluation Database (EED).  The review contains a structured abstract of the methods and findings of a cost-effectiveness study of conventional approaches vs implants in root canal treatment. This study evaluated the cost-effectiveness of available interventions to treat a maxillary incisor tooth with irreversible pulpitis [read the full story…]

Using lasers to treat dentine hypersensitivity suggests slight benefit

iStock_000001604217XSmall dental laser

This systematic review looks at whether laser therapy is more effective than desensitising agents for treating dentine hypersensitivity (DH).   DH is a common problem characterised by a short sharp pain which cannot be ascribed to any or dental problem.  It has increased in prevalence over the last few decades with prevalence being reported as high [read the full story…]