Atraumatic Restorative Treatment (ART)

caries upper arch

15 RCTs were included in this Cochrane review of Atraumatic Restorative Treatment (ART) comparing with conventional treatment for managing dental caries lesions in the primary and permanent teeth provided low quality evidence that ART using H-GIC may have a higher risk of restoration failure in primary teeth.

[read the full story...]

Fissure sealants effective in preventing caries in children and adolescents

Fissure sealant

38 trials were included in this updated Cochrane review of the effect of fissure sealants on occlusal caries. The data show a reduction in caries of between 11-51% at 24months compared to no sealant. The benefit was also maintained at longer-term follow up.

[read the full story...]

Pulp capping carious exposures in adults: calcium hydroxide or MTA?


This small but well conducted RCT compares the effectiveness of MTA and calcium hydroxide for direct pulp capping material in adult molars with carious pulpal exposure finding better performance for MTA at 3 years.

[read the full story...]

Retrograde root filling: insufficient evidence for best material


The Cochrane review of of materials for retrograde root filling identified 6 RCTs all at high risk of bias. The trials provide insufficient evidence to draw any conclusion as to the benefits of any one material over another so more high quality studies are needed.

[read the full story...]

Sealants or fluoride varnish for caries prevention?

Fissure sealant

This Cochrane review update included 8 trials involving 1746 participants. Some low-quality evidence suggesting the superiority of resin-based fissure sealants over fluoride varnish applications was identified

[read the full story...]

Laminate restorations in posterior teeth: evidence limited


This review included 13 small studies of limited quality. While the available evidence suggests there may be no difference, further long-term high quality studies are required to confirm if this is the case.

[read the full story...]

Atraumatic restorative treatment for older adults


This randomised controlled trial compares atraumatic restorative treatment in older patients to conventional care finding no statistically significant difference at 2 years.

[read the full story...]

Direct anterior restorations have good survival rates


This review of direct anterior restorative materials included 21 studies and covered a wide range of materials and adhesive systems. Overall the failure rates were low for both class III and class IV restorations.

[read the full story...]

Review finds glass ionomer had lowest annual failure rate in non-carious cervical lesions


Non-carious cervical lesions (NCCLs) are saucer or wedge-shaped defects that appear along the cementum-enamel junction as a result of gradual loss of dental tissues in the absence of caries. Their aetiology has not been fully clarified. NCCLs are restored using adhesive materials glass-ionomers and their resin-modified version, poly-acid modified composites (known as ‘compomers’), composite and [read the full story…]

Study suggests benefits to adjacent teeth from application of fluoride containing fissure sealants


There is good quality review evidence (Ahovuo-Saloranta et al.  2013) that resin-based fissure sealants are effective at preventing or controlling occlusal caries. The aim of this trial was to assess whether sealing first permanent molars with fluoride releasing compounds reduced the caries increment on the distal surface of the second primary molars. Children with at [read the full story…]