Top Dental Elf Blogs: Sep – Dec 2018

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Between September and December 2018 our most popular blogs considered guidelines for non-restorative options for caries management , orthodontic management of the developing dentition and aligners for orthodontic treatment.

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Micro-invasive treatments for proximal caries

shutterstock_54584944  - mixed dentition

Seven RCTs were included in this review of of micro-invasive interventions for non-cavitated proximal caries suggesting that resin infiltration is effective in arresting caries progression.

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Resin infiltration of proximal caries lesions

shutterstock_34500700 - caries sign

9 RCTs were included in this review of resin infiltration for the clinical management of early non-cavitated proximal caries lesions. The findings indicate that resin infiltration when combined with oral hygiene measures was promising and more effective than oral hygiene measures alone.

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Proximal caries: seal or infiltrate early lesions?

shutterstock_34500700 - caries sign

This review of micro-invasive treatments for proximal caries included 13 split-mouth RCTs. There was moderate quality evidence to support sealing in infiltration of early proximal caries compared with non-invasive treatments such as diet and bio-film management and topical fluorides.

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Micro-invasive treatments can slow caries progression

shutterstock_54584944  - mixed dentition

8 trials involving a total of 365 patients were included in this Cochrane review of micro-invasive treatments for proximal caries. Micro-invasive treatment significantly reduced the odds of lesion progression compared with non-invasive treatment (e.g fluoride varnish) or oral hygiene advice (e.g to floss) OR=0.24, (95% CI; 0.14 to 0.41).

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