Fissure sealants: performance not affected by tooth characteristics

Fissure sealant

16 studies affect of were included in this review of tooth characteristics on sealant performance. With the exception of lower sealant failure rate on premolars sealants were not affected negatively by mouth side, jaw, or tooth type.

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Interceptive primary canine extraction for palatally displaced permanent canines

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4 RCTs were included in this review of interceptive primary canine extraction. They provide some limited evidence that extractions may facilitate permanent canine eruption but the study quality is low.

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Developmental defects of enamel and caries in primary dentition

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This blog post is by Hayley Foulds, current CT 1 in Paediatric Dentistry at Glasgow Dental Hospital and School. The following article was the topic for discussion at the most recent Paediatric Dentistry Journal Club.

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Pulp capping in primary and permanent teeth-limited high quality studies

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This review of pulp capping in primary and permanent teeth included 11 studies involving a total of 1196 teeth in 922 patients . Most materials did not show superiority compared with calcium hydroxide.

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Irrigants for pulpectomy in primary teeth- little evidence available

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This review of irrigants for pulpectomy in primary teeth only identified 7 small RCTs providing little conclusive evidence. More high quality studies are needed.

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Calcium hydroxide cavity lining in primary teeth

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This review looks at the benefits and harms of cavity lining. However, only 3 very low quality studies comparing calcium hydroxide lining in primary teeth were identified. Restoration without lining did not significantly affect the risk of failure.

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Fluoridated milk: low quality evidence of benefit

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The updated Cochrane review only included 1 low quality RCT. A substantive reduction in decay for primary teeth was seen equivalent to a prevented fraction of 31% but further research is likely to have an important impact on this estimate.

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Traumatic dental injury associated with overweight/obese children?

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This review of observations studies of traumatic dental injury includes 17 studies and found a higher risk of injury in overweight/obese children. Odds ratio = 1.30 (95% CI, 1.11–1.53; P < 0.05).

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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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Caries: review suggests a higher risk in HIV-infected children

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This review included 5 case-controlled studies only 2 of which were at low risk of bias and suggested that HIV-infected children have a higher risk of cavitated caries in their primary teeth, OR = 2.98, 95% CI; 1.59-5.59.

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