Occlusal stabilisation appliances for temporomandibular disorders

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This review the efficacy of stabilisation appliances in the management of painful temporomandibular disorders (TMDs) included 24 RCTs. The findings suggest they have an efficacy beyond the placebo effect however the evidence of low to very low certainty.

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Irreversible pulpitis: Do larger volumes of local anaesthetic improve success of inferior alveolar nerve blocks?

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This review of the efficacy of 1.8 and 3.6 mL of the same anaesthetic solution for inferior alveolar nerve blocks (IANBs) for treating mandibular teeth with irreversible pulpitis included 4 RCTs (280 teeth). The findings show arger volumes of local anaesthetic solutions significantly increase the success rate of IANBs.

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Aromatherapy and dental anxiety

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This review of the efficacy of aromatherapy on dental anxiety included 17 studies (11 RCTs, 6 CCTs). The evidence suggets aromatherapy may reduce dental anxiety and has comparable effects on dental anxiety compared to music intervention but the evidence is limited and of low to very low certainty

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

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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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Endodontic retreatment:Post-operative pain in single or multiple visits

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This review assessing the postoperative pain after non- surgical endodontic retreatment in a one visit compared to multiple visits included 4 RCTs. The availabe evidence suggests little difference between teh two approaches.

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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

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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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