Manas Dave in his debut blog for the Dental Elf looks at a review on bonding of adhesive materials to molar-incisor hypomineralisation (MIH) affected enamel. 10 studies were included only 4 of which were clinical so the findings need to be interpreted cautiously.
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This review of direct pulp capping in vital primary teeth included 12 RCTs testing 16 different pulp capping agents. Interpretation of the available data is limited as few trials comparign the same agents and the quality of the trials is low.
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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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This review comparing articaine and lidocaine for local anesthesia use in children only identified 6 low quality studies. Little difference was seen between the two agents.
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3 caries management options [conventional restorations (CR), the hall technique (HT), and non-restorative caries treatment (NRCT)] were investigated in this RCT. A 93% success rate was seen for the HT at 2.5 years compares with 70% for NRCT and 67% for CR.
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This review of the local or systemic signs and symptoms during the eruption of the primary teeth included 16 observational studies only 5 of which were at low risk of bias. The overall prevalence of signs and symptoms associated with primary tooth eruption in children between 0 and 36 months was 70.5% (95%CI; 54.1-84.6).
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20 studies were identified for this review of oral health related quality of life in children following general anaesthetic (GA). While a majority demonstrated an improvement following GA most are based on convenience samples and are of limited quality so more high quality research is needed.
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This review of silver diamine fluoride (SDF) to arrest caries included 19 studies and suggest that 38% SDF can arrest 81% ( 68-89%) of active caries. . However none of the available studies was at low risk of bias so the findings should be interpreted cautiously.
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The Hall technique is a relatively new management technique for caries in primary molars. This trial compares it use against the conventional approach and a non-restorative approach. Results at one year suggest that the Hall technique performed best.
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The aim of this study was to evaluate and compare two different white MTA cements as pulpotomy medicaments in human primary teeth, Pro-Root MTA and MTA Angelus. Child patients with deep occlusal carious lesion, which presented potential risk of pulp exposure during complete removal of carious dentin, as determined by clinical and radiographic assessment were [read the full story…]
