Traumatic dental injuries affect around 1 billion people

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This review of traumatic dental injuries (TDIs) included 152 observational studies providing an estimate of global prevalence of TDIs in permanent teeth of 15.2% (95%CI, 13.0%-17.4%)

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Step wise caries removal sustained pulp vitality up to 5 years

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This well designed trial compares the impact on pulp vitality of step wise verses traditional caries removal. after 5 years. THe findings suggest significantly improved outcomes with the step wise approach.

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Fluoride mouthrinse: regular supervised use reduces tooth decay in children

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This Cochrane review includes 37 RCTs and found regular supervised use of fluoride mouthrinse by children and adolescents is associated with a large reduction in caries increment in permanent teeth.

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Pulp capping in primary and permanent teeth-limited high quality studies

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This review of pulp capping in primary and permanent teeth included 11 studies involving a total of 1196 teeth in 922 patients . Most materials did not show superiority compared with calcium hydroxide.

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Tooth autotransplantation: review suggests good survival but evidence limited

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Only 5 small studies were included in this review of the long term outcomes of tooth autotransplantation. All but one was retrospective so the findings which suggest 81% survival at 6 years should be interpreted with caution.

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Traumatic dental injury associated with overweight/obese children?

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This review of observations studies of traumatic dental injury includes 17 studies and found a higher risk of injury in overweight/obese children. Odds ratio = 1.30 (95% CI, 1.11–1.53; P < 0.05).

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Increased overjet: increases risk of dental trauma suggests review

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This systematic review of a 54 observations studies involving >10,000 patients suggested that overjet over 3-4mm double the risk of traumatic dental injuries (TDIs). With 22% of TDIs being attributable to increased overjet.

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Review suggests cleft lip and or palate patients may have higher prevalence of caries

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Cleft lip and palate is a relatively common birth defect that occurs in around 1 in 700  births and there have been contradictory reports of caries prevalence in CLP populations  with some studies finding no difference and others an increase in prevalence.  The aim of this review was to evaluate caries prevalence in non-syndromic patient [read the full story…]

Review finds no trials to inform the treatment of displaced luxated permanent teeth

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Trauma to the upper front teeth of children and young adults is relatively common. The aim of this Cochrane review was to assess the effects of interventions for treating displaced luxated permanent teeth. Searches of the Medline, Cochrane Oral Health Group’s Trials Register the Cochrane Central Register of Controlled Trials (CENTRAL), Embase and Lilacs databases [read the full story…]

No reliable evidence of benefit from extracting primary canine teeth for correcting poorly aligned permanent canines

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In a small proportion of children (1-3%) the upper permanent canine tooth is diverted into the roof on the mouth.  Treatment of this displacement can be complex and it is considered that the early removal of the primary canine tooth may improve the position f the developing permanent successor. The aim of this Cochrane review [read the full story…]