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...]
Anaesthetic techniques for mandibular posterior teeth with symptomatic irreversible pulpitis
This review of the most effective method of anaesthesia for mandibular posterior teeth with symptomatic irreversible pulpitis included 22 RCTs. The findings suggest that buccal infiltraion and inferior alveolar nerve block ,Vazirani-Akinosi nerve block and introsseus injections performed better but the evidence was only of low to very low certainty.[read the full story...]
Irreversible pulpitis: Do larger volumes of local anaesthetic improve success of inferior alveolar nerve blocks?
This review of the efficacy of 1.8 and 3.6 mL of the same anaesthetic solution for inferior alveolar nerve blocks (IANBs) for treating mandibular teeth with irreversible pulpitis included 4 RCTs (280 teeth). The findings show arger volumes of local anaesthetic solutions significantly increase the success rate of IANBs.[read the full story...]
Occlusal reduction: Does it reduce post endodontic pain?
This review of the effect of occlusal reduction on post-operative pain following root canal treatment included 7 RCTs. While the findings suggest that occlusal reduction may reduce post endodontic pain the quality of the available evidence is very low so teh findings should be viewed cautiously.[read the full story...]
Pulpal anaesthesia for symptomatic irreversible pulpitis in mandibular molars
Colin Levey takes a look at this network meta-analysis of 46 RCTs assessing techniques and drugs for achieving pulpal anaesthesia for the non-surgical endodontic treatment of mandibular molars.[read the full story...]
Articaine: Is it the best local anaesthetic for teeth with irreversible pulpitis undergoing root canal treatment?
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.[read the full story...]
Guideline: Antibiotics for Dental Pain and Swelling
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.[read the full story...]
Partial pulpotomy for permanent posterior teeth with carious vital pulp exposure
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.[read the full story...]
Pulpotomy for permanent teeth with irreversible pulpitis?
This review of success rates of coronal pulpotomy in carious teeth with signs and symptoms indicative of irreversible pulpitis included 8 studies only one of which was a RCT. The data suggest this this procedure may be an alternative to root canal treatment.[read the full story...]
Pulpotomy for permanent teeth
This review of the efficacy and cost-effectiveness of pulpotomy and associated medicaments in permanent teeth with pulp exposure included 17 RCTs some os which are still ongoing. The findings suggest that pulpotomy may be a potential treatment option for permanent teeth but more research is needed.[read the full story...]