Silver diamine fluoride: The effect on vital dental pulp

Plexus_of_Raschkow

In this review Iris Vaid looks at a systematic review of the dental pulp response to silver diamine flouride (SDF) treatment. Only a small number of studies focused on the biological effects of SDF on the dental pulp and none of them were clinical trials.

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Vital pulp therapies in the management of nontraumatic pulpitis

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Thibault Colloc takes a look at this review of vital pulp therapies in mature and immature permanent teeth with nontraumatic pulpitis. Only 3 RCTs reported in 4 papers involving a total of 330 patients were included. Further high quality well reported studies are needed to clarify the evidence for vital pulp therapies.

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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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Regenerative endodontic treatment: Does apical diameter affect outcome?

By Drs. Ken Hargreaves and Obadah Austah, Dept of Endodontics, University of Texas Health Science Center at San Antonio - Ken Hargreaves, CC BY 3.0 us, https://commons.wikimedia.org/w/index.php?curid=30784169

This review of regenerative endodontic treatment included 14 small observational studies of limited quality suggesting a possible influence of apical diameter on clinical outcomes.

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Stepwise and partial-caries-removal –reduces longer term pulpal complications?

occlusal caries, molar teeth

This review of stepwise or partial caries removal for deep caries suggesting included 5 studies ( 2 RCTs) of limited quality. Findings suggest better pulpal outcomes with these approaches compare with traditional treatment.

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Intrusive luxation in permanent teeth

PDS scores at follow up showed gains were maintained

This review of treatments for teeth with intrusive luxation included 8 studies. The studies were all considered to be at high risk of bias and suggested that spontaneous re-eruption should be the treatment of choice. However the small number of studies and limited quality means these findings should be interpreted with caution.

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Lasers for caries removal: evidence insufficient to support their use

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This Cochrane review included 9 small RCTs with either a high or unclear risk of bias providing evidence that was insufficient to support the use of laser as an alternative to the drill for caries removal.

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