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

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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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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Review suggests that electronic apex locators may be useful in primary dentition

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Electronic apex locators (EALs) have used in permanent teeth since the 1960s and they have been gaining in popularity. The use of EALs in the primary dentitions was proposed in 1996. The aim of this review was to compare the accuracy of EALs in primary teeth when compared to actual root canal lengths (ARCLs). Searches [read the full story…]

Trial suggests that infiltrating early carious lesions in primary molars is effective

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Despite fails in caries level in recent decades caries is still a significant problem for many children The aim of this study was to compare the effect of infiltration and fissure sealing with fluoride varnish applications. Children aged 5-8 with at least three primary molars with initial lesions on three occlusal surfaces in each child [read the full story…]