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…]

Study suggests that fissure sealants can arrest caries in primary molars

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There is good evidence for the effectiveness of fissure sealants in the prevention of caries (Dental Elf 8th April 2013) and some evidence for its use in the treatment of carious lesions. There is also evidence for the effectiveness of partial rather complete caries removal (Dental Elf 13th Apr – 2014).The aim of this study [read the full story…]

Trial found similar outcomes with total and partial caries removal in primary molars

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The aim of this study was to compare 24-month pulp health outcomes of partial caries removal (PCR) and total caries removal (TCR) with composite restoration in primary molars. Children (3–8 years), in good general health and amenable to treatment, with at least one molar with acute, deep carious lesion into dentine were included. The teeth [read the full story…]

Potential for non-conventional management of approximal caries in primary molars shown by study

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Despite the improvements in oral health the management of dental caries still presents challenges particularly in children. While some guidelines still recommend complete removal of caries there is growing interest in more conservative approaches.  The aim of this study was to compare children’s behaviour and pain perception when approximal dentinal caries lesions in primary molars [read the full story…]

Review suggests that mineral trioxide aggregate had best clinical and radiographic outcomes at 9-12 months for primary molar pulpotomy

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When I was training formocresol was the standard dressing for primary teeth following pulpotomy . However, it  use is now questionable because of potential adverse effects such as potential carcinogenicity, mutagenicity, and cytotoxicity.  Consequently a range of other materials have been investigated,  ferric sulphate, gluatraldehyde preparations , mineral trioxide aggregate (MTA), electrosurgery, calcium hydroxide, and laser [read the full story…]

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…]

Atraumatic restorative treatment had similar survival rates to conventional approaches in primary teeth but evidence limited

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Atraumatic restorative treatment (ART) involves the removal of so softened carious enamel and dentine with hand instruments and filling the cavity with a adhesive restorative material. Typically this is a high-viscous glass ionomer cement (GIC).   This approach was about 25 years ago  to provide care in less industrialised areas with high disease levels but is [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…]

Mineral trioxide aggregrate for endodontic treatment of primary molars

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Mineral trioxide aggregate (MTA) has been put to a range of dental uses, direct pulp capping root-end filling, apexogenesis and apexification in immature teeth, filling root canals an treatment of root fractures. The aim of this review was to evaluate whether the currently available evidence is of an appropriate quality to support the long-term effectiveness [read the full story…]