Surgical masks versus N95 respirators

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This review of the effectiveness of N95 respirators versus surgical masks for prevention of influenza included 6 RCTs involving 9171 participants. THe findings suggest that use of N95 respirators compared with surgical masks was not associated with a lower risk of laboratory-confirmed influenza.

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Caries management in children. The FiCTION trial

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The FiCTION trail compared 3 caries management strategies for dentinal caries in primary teeth finding no evidence of a difference between the approaches. This emphasises the importance of primary prevention of caries to avoid dental caries althogther.

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Molar incisor hypomineralisation: systemic associations

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This review of the systemic exposures associated with with molar incisor hypomineralisation (MIH) included 29 observational studies. VEry low quality evidence suggests that maternal illness, psychological stress, caesarean delivery, delivery complications, respiratory diseases, fever and childhood illnesses may be associated with MIH.

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Mandibular angle fractures: 1 or 2 miniplates?

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This review of the use of 1 or 2 miniplates for the treatment of mandibular angle fractures included 13 studies 3 of which were RCTs. The findings suggest fewer complications with single miniplate fixation.

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Orthognathic surgery: antibiotic prophylaxis reduced surgical site infection

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This new Cochrane review identified 11 RCTs and suggests that for those undergoing orthognathic surgery, long term antibiotic prophylaxis decreased the risk of surgical site infection compared with short-term regimens.

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Dental implant failures reduced with prophylactic antibiotic suggests review

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This new review covers similar ground to the 2013 Cochrane review. It includes non-randomised controlled trials, but as with the Cochrane review the findings suggest that antibiotics reduce early implant failure.

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Study suggests an increasing number of Americans are being hospitalised with periapical abscesses

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Periapical abscess is sequelae of the death of the dental pulp often as a result of dental caries or trauma.  It is normally managed in dental practice with root canal treatment or extraction. However, if left untreated it can lead in some circumstances lead to the destruction of bone and the spread of infection to [read the full story…]

Little good quality evidence on whether to leave or remove impacted third molars involved in fractures of the angle of the mandible

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Fracture of the mandible often occurs through the angle where it may be closely related to, or involve an impacted third molar. There is a debate about whether they should always be extracted or retained.  The aim of this review was to measure the occurrence of postoperative infection following mandibular fixation performed in the presence [read the full story…]

Moderate evidence that prophylactic antibiotics reduce the risk of infection, dry socket and pain following third molar extraction but benefit not enough to recommend routine use

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Tooth extraction is probably the most commonly conducted surgical procedure.  Teeth are normally extracted because of severe dental caries or periodontal (gum) infection, although they are also removed because they are poorly aligned or developed.  To aim of this Cochrane review was to determine the effect of antibiotic prophylaxis on the development of infectious complications [read the full story…]