Treatments for cavitated or dentine carious lesions

tooth diagramme, caries

This Cochrane review of interventions to treat carious lesions conventionally considered to require restorations in primary or permanent teeth with vital pulps included 27 RCTs. Compared with conventional treatment there were lower numbers of failures with the Hall technique and selective excavation (SE) in primary teeth and with SE and stepwise removal in permanent teeth.

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Early childhood caries: Global prevalence

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The 2019 Bangkok Declaration defined early childhood caries (ECC) as the presence of a primary tooth with one or more carious (non-cavitated or cavitated lesions), missing (due to caries), or filled surfaces in a child under the age of six years. While dental caries is a preventable chronic health problem it remains a significant public [read the full story…]

Traumatic dental injuries in primary teeth

Can the physically active, playful environments of pre-school settings provide a blueprint for obesity prevention in primary schools?

This review of the prevalence of traumatic dental injuries (TDI) in primary teeth and factos associated with TDI includes 21 cross-sectional studies.

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Caries detection methods: How accurate are they?

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This review of the accuracy of different methods for detecting carious lesions in primary and permanent teeth compares visual inspection, radiographs and fluorescence-based detection. 240 studies were included and the findings suggest that visual inspection was adequate for most patients.

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Top Dental Elf Blogs: Jan – Mar 2020

The Dental Elf

Our most popular blogs from January, February and March 2020 were about the FiCTION trial, local anaesthesia and factors associated with third molar surgical difficulty.

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Etching time and bonding of adhesive systems to dentine of primary teeth

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This review the influence of reducing the etching time on the dentine of primary teeth for bonding with etch-and-rinse and self-etching adhesive systems included 8 laboratory studies. The findings suggest that that reductions in acid-etching and primer application did not impact the immediate bond strength.

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Palatally Displaced Permanent Canines: Interceptive management

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This review of orthodontic procedures for the management of displaced permanent canines in the mixed dentition. 5 RCTs, all at high risk of bias were identified with treatment comparisons being mainly based on single studies.

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Primary teeth: Efficacy of 3 caries removal strategies

caries upper arch

This review of the efficacy of 3 caries removal strategies (complete, selective and stepwise) in primary teeth included 8 RCTs suggesting a lower risk of pulp exposure with selective and stepwise approaches.

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FiCTION Trial: the cost effectiveness of dental caries management in primary teeth

Money

THe FiCTION trial examied 3 strategies for the management of dental caries in primary teeth of children aged 3 to 7yrs in the UK This summarises the detailed cost-effectiveness element of that mult-centre RCT in primary care.

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Caries management in children. The FiCTION trial

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The FiCTION trail compared 3 caries management strategies for dentinal caries in primary teeth finding no evidence of a difference between the approaches. This emphasises the importance of primary prevention of caries to avoid dental caries althogther.

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