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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Traumatic dental injuries affect around 1 billion people

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This review of traumatic dental injuries (TDIs) included 152 observational studies providing an estimate of global prevalence of TDIs in permanent teeth of 15.2% (95%CI, 13.0%-17.4%)

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Glass ionomer cement or composite resin for class II restoration in primary molars

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This review of composite resin or glass ionomer cement for Class II restorations in primary molars included 10 RCTSs finding similar clinical performance.

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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

anatomy of teeth

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

shutterstock_72680830 - erupting incisors & caries

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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