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

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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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Third molars: Which surgical technique for removal?

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This Cochrane review upate compares the relative benefits and risks of different techniques for surgical removal of mandibular wisdom teeth. While the review includes 25 new trials the quality of the studies was variable with many having biases that could have influenced the findings so no meaningful conclusions could be drawn.

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Micro-osteoperforation and the rate of orthodontic tooth movement

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This review of the effect of micro-osteoperforations (MOPs) on orthodontic tooth movement included 8 small RCTs of short duration providing low quality evidence.

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Third molars: Envelope or triangular flap for mandibular third molar surgery?

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This review comparing the effects of envelope and triangular flaps for mandibular third molar surgery included 20 RCTs involving 770 patients. A majority of the studies were of cross-over design with the findings suggesting no differences in teh outcomes between the two flap designs.

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Post-endodontic pain: Is it influenced by concentration of sodium hypochlorite irrigation?

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This large RCT involving 308 patients found that using 1.3% NaOCl was associated with less intense and less frequent post-endodontic pain than 5.25% NaOCl in mandibular molars with nonvital pulps treated in two visits.

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Caries management in children. The FiCTION trial

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The FiCTION trail compared 3 caries management strategies for dentinal caries in primary teeth finding no evidence of a difference between the approaches. This emphasises the importance of primary prevention of caries to avoid dental caries althogther.

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Orthodontics: How much force is needed to move teeth with fixed appliances?

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This review looking at the optimal force magnitude for achieving orthodontic tooth movement included 12 studies suggesting there is weak to moderate evidence showing that forces ranging between 50 cN and 100 cN are optimal for the rate of orthodontic tooth movement.

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Computerised local anaesthesia in paediatric patients

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This review ofwhether local computerised anaesthesia decreases the pain and disruptive behaviour in children when compared to conventional anaesthesia included 20 RCTs and suggested no diference between the two approaches.

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Articaine: Is it the best local anaesthetic for teeth with irreversible pulpitis undergoing root canal treatment?

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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.

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