Most popular Dental Elf Blogs Jan – Mar 2023


Topics covered in our most popular blogs in the first quarter of the 2023. included , selective caries removal, root canal dressings and pain management following dental extractions

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Botulinum toxin and idiopathic dentoalveolar pain

Botulinum toxin

This review of the use of botulinum toxin (BONT-A) for pain-relief in patients with persistent idiopathic dentoalveolar pain included just 3 small uncontrolled studies providing a very limited amounh of very low quality evidence.

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Orthodontic pain: The efficacy of analgesics


This review of the efficacy of of analgesics on the relief of pain during orthodontic treatment included 12 RCTs. The findings demonstrate that analgesics were more effective than placebo in controlling orthodontic pain

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COX-2 inhibitors for pain management after third molar removal

Many drugs are licensed for use in Generalised Anxiety Disorder (GAD), but it is unclear what works best.

This review comparing the efficacy of Cox-2 inhibitors with ibuprofen after third molar removal included 12 RCTs suggesting that COX-2 inhibotors and Ibuprofen provide similar pain relief at 6, 8, and 12 h after third molar removal.

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Fixed orthodontic appliances: What is the most effective debonding technique?


This review of different methods for reducing pain and discomfort during removal of fixed orthodontic appliances included 6 RCTs providing weak evidence for pre-debonding analgesia and other approaches.

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Non-medical use of prescription drugs #NonMedicalDrugs


Ian Hamilton and Julia Buxton from the University of York preview the #NonMedicalDrugs event that will take place in York on Friday 16th March 2018.

The meeting will bring together people who can offer personal and professional insights of the extent of the issue and how we can support people who develop problems.

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Pain during orthodontic treatment –pharmacological treatments

iStock_000002551343XSmall colourful braces on teeth

This Cochrane review of drug interventions for pain during orthodontic treatment including 32 RCTs find that analgesics were effective in reducing pain. However, low quality evidence did not show a difference in effectiveness between systemic NSAIDs compared with paracetamol, or topical NSAIDs compared with local anaesthetic.

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New Cochrane Protocols for December 2012


December brings two new protocols to the Cochrane Library from the Cochrane Oral Health Group. The first of these:-  Liu JLY, Walsh T, Kerr AR, Lingen M, Brocklehurst P, Ogden G, Warnakulasuriya S, Scully C. Diagnostic tests for oral cancer and potentially malignant disorders in patients presenting with clinically evident lesions (Protocol). Cochrane Database of [read the full story…]

Analgesics for pain experienced by patients having orthodontic treatment

iStock_000002259334XSmall braces on teeth

One of the potential side effects of orthodontic treatment is pain and discomfort. This can lead to  reduced compliance  or discourage patients from treatment.   The aim of this study was to evaluate the effectiveness of pharmacological interventions on pain experienced by patients undergoing orthodontic treatment.  What did they do The Medline and Cochrane databases were [read the full story…]

Cognitive behavioural therapy effective for pain control in the initial stage of orthodontic treatment

shutterstock_81157801-orthodontic appliance

Pain is not an uncommon experience during orthodontic treatment, and has been reported as a cause of treatment discontinuation. The aim of the study was to assess the efficacy of a cognitive behavioural therapy (CBT) intervention for patients experiencing pain during orthodontic treatment. Eligible patients were randomised into three groups CBT intervention(n=150), ibuprofen intervention(n=150), and [read the full story…]