Vibration devices: Do they reduce pain linked to dental injections in children?

shutterstock_54042145 - Child, dentists & X-ray

This review evaluating the effect of vibration devices on paediatric dental injection pain reduction identified 6 RCTs. The findings suggest that the use of the DentalVibe was not effective but the evidence ws of low quality.

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Top Dental Elf Blogs: Jan – Mar 2020

The Dental Elf

Our most popular blogs from January, February and March 2020 were about the FiCTION trial, local anaesthesia and factors associated with third molar surgical difficulty.

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Molar-Incisor Hypomineralisation: Bonding to Adhesive Materials

mih

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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Direct pulp capping in primary teeth

900px-Pulp_cap

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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Molar incisor hypomineralisation: systemic associations

mih

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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Articaine: is it more effective than lidocaine in paediatric dentistry?

shutterstock_54042145 - Child, dentists & X-ray

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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Primary molars: Hall technique most effective caries management option

PMC 2

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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Teething: signs and symptoms

Baby, bathwater, nuff said...

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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Oral health-related quality of life improved in children following dental treatment under general anaesthesia.

The authors suggest a number of factors that may lead to increased prevalence, including depression, childhood trauma, low self-esteem and genetic risk.

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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Silver Diamine Fluoride can arrest caries in children

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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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