Pulp treatments in primary teeth

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This Cochrane review of pulp treatments for primary teeth included 87 trials. Pulp treatments were generally successful with many trials having no clinical or radiological failure in either arm.
Mineral trioxide aggregate (MTA) may be the best medicament to apply after pulpotomy. For pulpectomy there was no conclusive evidence that one medicament or technique is superior to another.

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Chemomechanical caries removal in primary teeth

caries upper arch

This review of the effectiveness of chemomechanical caries removal in primary teeth identified 15 studies with 10 contributing to the quantitative analysis. The findings suggest this approach is less painful but takes longer than traditional approaches.

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Cleft lip and palate patients have higher caries experience

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Twenty four studies were included in this review of caries status in children with cleft lip and palate. The findings suggest that caries experience in higher in children with cleft lip and palate in both primary and permanent dentition

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Crowns more effective than fillings for decay in primary molar teeth

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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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Sealants reduced caries in high-risk primary molars

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This split-mouth trial conducted in 4-5 year old children found that sealants were superior to fluoride varnish applications in preventing the development and progression of caries in occlusal surfaces of primary molars over 1 year.

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Pulpectomy in primary molars: little difference with 3 filing materials

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This small trial compared the success rates of 3 different filling materials (RC Fill, Vitapex and Pulpdent ) following pulpectomy in primary molars. At 30 months there were no significant differences between the groups.

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Traumatic dental injury in primary teeth not associated with socioeconomic status?

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This review of the the association between socioeconomic indicators and traumatic dental injury in the primary dentition included 16 observational studies. The majority were from Brazil and no clear association was demonstrated.

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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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Primary tooth trauma may be associated with developmental disorders in the permanent successors suggests review

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Trauma to primary teeth is relatively common. As the developing permanent teeth are closely related and trauma to primary teeth could adversely affect the permanent successor. This review looked for studies to assess this relationship. Only 17 low quality studies were identified and while they suggest a relationship the low quality means that the findings should be interpreted with caution.

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

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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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