Direct or indirect composite resin restorations on endodontically treated posterior teeth?

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This review comparing direct and indirect restoration of endodontically treated posterior teeth included 22 studies . None of the included studies was considered to be at low risk of bias and only 2 RCTs were included.

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Vital pulp therapy in traumatised permanent teeth

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This review of vital pulp treatment in the management of traumatised human vital permanent teeth diagnosed with complicated crown or crown-root fractures included 14 studies. Whiel the findings suggest good outcomes most of the included studies were observational with substantial heterogeneity in clinical protocols employed, assessment criteria and outcome reporting.

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Endodontic sealers and the outcome of endodontically treated permanent teeth

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This review comparig the outcomes of silicate-based sealers with resin-based sealers in non-surgical root treatments included 12 studies (9 RCTs). The findings suggest no difference between the two sealant types in the short term.

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Palatally displaced canines: Procedures to promote eruption

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This Cochrane review update of interceptive procedures included 4 RCTs to promote the eruption of palatally displaced permanent canines (PDCs) involving a total of 199 patients. The findings indicate that extraction of the primary canine man increase the the proportion of erupted PDCs but the evidence is very uncertain.

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Top Dental Elf Blogs: Jul – Sep 2021

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Treatments for cavitated dentine caries, topical anaesthetics to reduce injection pain and vital pulp therapy for permanent teeth were out most popular blogs duing July, August and September 2021.

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Atraumatic restorative treatment (ART)

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This review of the survival of atraumatic restorative treatment (ART) in both permanent and primary teeth, when performed in conventional dental clinics and field settings included 34 studies. The findings suggest similar survival rates in both clinica and field settings but the quality of the evidence is low.

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Vital pulp therapy in permanent teeth

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This review aimed to evaluate the association of preoperative factors or intraoperative factors with treatment outcomes of vital pulp therapy. 14 RCTs were included with the findings indicating a 93.2% (95%CI; 91-6% to 94.9%) success rate using contemporary bioceramic material based on low certainty evidence.

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Treatments for cavitated or dentine carious lesions

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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.

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Caries detection methods: How accurate are they?

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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.

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Caries prevention in children: Fluoride varnishes or sealants?

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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.

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