Treatments for cavitated or dentine carious lesions

tooth diagramme, caries

This Cochrane review of interventions to treat carious lesions conventionally considered to require restorations in primary or permanent teeth with vital pulps included 27 RCTs. Compared with conventional treatment there were lower numbers of failures with the Hall technique and selective excavation (SE) in primary teeth and with SE and stepwise removal in permanent teeth.

[read the full story...]

Caries detection methods: How accurate are they?

shutterstock_67512859 - dental examination

This review of the accuracy of different methods for detecting carious lesions in primary and permanent teeth compares visual inspection, radiographs and fluorescence-based detection. 240 studies were included and the findings suggest that visual inspection was adequate for most patients.

[read the full story...]

Caries prevention in children: Fluoride varnishes or sealants?

Fissure sealant

11 RCTs were included in this Cochrane review which looked at the relative effectiveness of fissure sealants compared with fluoride varnishes for the prevention of caries in the occlusal surfaces of permanent teeth.

[read the full story...]

Palatally Displaced Permanent Canines: Interceptive management

shutterstock_161863670

This review of orthodontic procedures for the management of displaced permanent canines in the mixed dentition. 5 RCTs, all at high risk of bias were identified with treatment comparisons being mainly based on single studies.

[read the full story...]

Developmental enamel defects – are they related to preterm birth?

shutterstock_203756728

This review of the possible association between preterm birth and developmental defects of enamel (DDE) included 20 observational studies and suggest an increased risk of DDE in preterm children.

[read the full story...]

Non-carious cervical lesions: How common are they in adults?

Gum_graft_fig_1

This review of the worldwide prevalence of non-carious cervical lesions (NCCLs) in adults included 26 cross-sectional studies providing a weighted prevalence estimate estimate of 46.7 %(95%CI; 38.2 to 55.3 %).

[read the full story...]

Top Dental Elf Blogs Jul – Sep 2019

The Dental Elf brings you daily updates of evidence-based dentistry research

Pulpotomy of permanent teeth with irreversible pulpitis, the management of direct anticoagulant agents for invasive dental treatments and laser preparation of tooth surfaces for fissure sealant placement were out most popular blogs in July, August and September.

[read the full story...]

Pulpotomy for permanent teeth with irreversible pulpitis?

shutterstock_51359269 dentist and patient looking at x-ray

This review of success rates of coronal pulpotomy in carious teeth with signs and symptoms indicative of irreversible pulpitis included 8 studies only one of which was a RCT. The data suggest this this procedure may be an alternative to root canal treatment.

[read the full story...]

Overjet and dental trauma risk

shutterstock_120050842

This review of different overjet sizes that present an increased risk for developing dental trauma across different ages and dentition stages included 41 cross-sectional studies showing a a significant association between increased overjet and traumatic dental injury.

[read the full story...]

Pulpotomy for permanent teeth

Pulp_cap

This review of the efficacy and cost-effectiveness of pulpotomy and associated medicaments in permanent teeth with pulp exposure included 17 RCTs some os which are still ongoing. The findings suggest that pulpotomy may be a potential treatment option for permanent teeth but more research is needed.

[read the full story...]