Top Dental Elf Blogs: Jan – Apr 2018

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Between January and April 2018 our most popular blogs considered restorations in primary teeth,digital impressions, root canal irrigants and fissure sealants.

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Primary teeth: which restorative material last longer?

PMC 2

This review of the longevity of posterior restoration in primary teeth included 31 studies. composite resin had the lowest annual failure rate while stainless steel crowns had the highest success rate. The studies all have a high risk of bias so the findings should be interpreted cautiously.

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Molar-incisor hypomineralisation

mih

This review of molar-incisor hypomineralisation management only included 14 limited quality and mainly observations studies.For molars composites, preformed metal crowns or indirect restorations seem suitable but more high quality studies are needed.

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Preformed paediatric crowns: little evidence for aesthetic crowns

PMC 2

Only 7 small studies at high risk of bias were available for this review of preformed paediatric aesthetic crowns. They provide little evidence on which to r change of practice particular for posterior teeth where the use of stainless steel crowns is recommended.

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Crowns more effective than fillings for decay in primary molar teeth

PMC 2

Five RCTs were included in this Cochrane review comparing crowns with fillings for the management of caries in primary molars. Moderate evidence found crowns reduced the risk of major failure or pain in the long term compared to fillings

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Caries management: trial finds Hall technique more successful than other approaches in primary molars

shutterstock_54042145 - Child, dentists & X-ray

The Hall technique is a relatively new management technique for caries in primary molars. This trial compares it use against the conventional approach and a non-restorative approach. Results at one year suggest that the Hall technique performed best.

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Hall technique for managing carious primary molars shows good long term outcomes.

Photograph of carious teeth

There is a growing literature supporting caries management options where caries is sealed in beneath restorations or sealants. The aim of this trial to compare long-term (at 5 yrs) outcomes for carious primary molars managed by GDPs’ standard conventional restorative methods (control) with the Hall Technique in general dental practice.   The outcomes at 2 years [read the full story…]