Deep caries removal – Selective or stepwise?

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This review comparing stepwise removal (SWR) and selective removal (SCR) of deep carious lesions in primary and permanent teeth included 9 RCTs. The findings suggest that SCR may be more succesful than SWR but they should be interpreted cautiously because of the limited number of studies for some outcomes.

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Top Dental Elf blogs Oct – Dec 2022

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Our most read blogd in October, November and December 2022 covered treatments for burning mouth syndrome, recurrent oral aphthous stomatitis and preformed metal crowns on primary molars

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Preformed metal crown on primary molars – Conventional or Hall techniques?

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This review of the outcomes of preformed metal crowns placed on primary molars using conventional and Hall techniques included 5 studies. The findings suggest similar overal sucess and survival rates for both techniques.

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Silver diamine fluoride to arrest caries in cavitated primary molars

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This review of the efficacy of silver diamine fluoride (SDF) in controlling caries progression in cavitated primary molars included 9 RCTs. The findings found an overall effect in preventing caries progression = 33% (95%CI; 26 to 40%) at 12 months.

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Dental erosion in children and gastro-oesophageal reflux disease

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This review of the association between gastro-oesophageal reflux disease (GERD) and dental erosion in children included 13 observational studies. The findings suggest positive association association between GERD and dental erosion in children however this should be interpreted cautiously because of the wide variety of diagnostic methods used in the included studies.

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Glass ionomer restorations and caries prevention

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This review of the effectiveness of glass ionomer cement (GIC) restorations in preventing new caries in primary or permanent dentitions included 10 RCTs. The findings suggest that GIC restorations have a better preventive effect that other materials but the amount and quality of evidence is limited.

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Pulpotomy in primary teeth- success of medicaments and techniques

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This overview comparing the success rates of various pulpotomy medicaments or techniques, and assessing the methodological quality of reviews included 8 systematic reviews. While most pulpotomy medicaments/techniques, except calcium hydroxide had success rates of 80% or more there is a lack of evidence on the choice of pulpotomy agent.

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Traumatic dental injuries in primary teeth – prevalence of clinical and radiographic sequalae

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This review of the prevalence of clinical and radiographic sequelae following traumatic dental injuries to primary teeth included 25 cross-sectional studies. Crown discolouration followed by pulp necrosis with infection were the most common sequelae but the findings should be viewd with caution because the evidence is of very low certainty.

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Sealants for primary molar teeth

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This Cochrane review of the effects of sealants compared to no sealant or a different sealant in preventing pit and fissure caries on the occlusal surfaces of primary molars in children. Nine small RCTs were included providing limited evidence of low to very low certainty.

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Palatally displaced canines: Procedures to promote eruption

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This Cochrane review update of interceptive procedures included 4 RCTs to promote the eruption of palatally displaced permanent canines (PDCs) involving a total of 199 patients. The findings indicate that extraction of the primary canine man increase the the proportion of erupted PDCs but the evidence is very uncertain.

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