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.

[read the full story...]

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.

[read the full story...]

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.

[read the full story...]

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).

[read the full story...]

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.

[read the full story...]

Silver Diamine Fluoride can arrest caries in children

shutterstock_93474835

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.

[read the full story...]

Caries management: trial finds Hall technique more successful than other approaches in primary molars

shutterstock_54042145 - Child, dentists & X-ray

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.

[read the full story...]

Trial suggests that two types of mineral trioxide aggregate both out perform calcium hydroxide for primary molar pulpotomy

shutterstock_54785035-cement

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…]

Review suggests that mineral trioxide aggregate had best clinical and radiographic outcomes at 9-12 months for primary molar pulpotomy

shutterstock_54785035-cement

When I was training formocresol was the standard dressing for primary teeth following pulpotomy . However, it  use is now questionable because of potential adverse effects such as potential carcinogenicity, mutagenicity, and cytotoxicity.  Consequently a range of other materials have been investigated,  ferric sulphate, gluatraldehyde preparations , mineral trioxide aggregate (MTA), electrosurgery, calcium hydroxide, and laser [read the full story…]

Which pulp dressing after pulpotomy in primary molars?

shutterstock_72680830 - erupting incisors & caries

The aim of this study was to compare the use of ferric sulphate (FS), formocresol (FC), mineral trioxide aggregate (MTA) and sodium hypochlorite (NaOCl) as pulp dressing following pulpotomy in primary molars. Symptom-free vital primary molars with carious pulp exposure with the possibility of proper restoration of the teeth with a minimum of three walls [read the full story…]