Most popular Dental Elf Blogs July – Sep 2023

Achnahaird beach

Blogs on oil pulling for oral health, stress in patients and dentists during root canal treatment and incremental v bulk fill composite resin restorations were the most popular between July and September.

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Coronal microleakage prevention after root canal treatment

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This review of the efficiency of orifice barriers in preventing coronal microleakage after root canal treatment included 18 in-vitro studies. The findings suggest the placement of an orifice barrier helped prevent coronal leakage. However the relevance of this to the clinical environment remains to be examined.

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Composite resin restorations – incremental or bulk fill?

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This review of the clinical effectiveness of bulk-fill versus incrementally layered conventional resin composites included 18 RCTs. Owing to the variety of composite materials and bonding systems used a narrative summary was presented with the findins suggesting no important differences between incremental and bulk-fill techniques.

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Restorative treatments for caries lesions – ADA guideline

Photograph of carious teeth

In this blog we take a look at the latest clinical practice guideline from the American Dental Association on restorative treatments for primary and permanent teeth with moderate and advanced caries.

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Direct restorative materials for treating cavitated carious lesions

Dental_Restoration

This review of different direct restorative materials for treating cavitated caries lesions on anterior and posterior primary and permanent teeth included 38 RCTs. None of the included studies was at low risk of bias and the findings suggest that the effectiveness of each included direct restorative material varied across outcomes. There was also limited evidence to support clinically important differences between the direct restorative materials assessed.

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Restorative survival rate -self-adhesive resin cement versus selective-etch, total-etch and self-etch adhesives

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This review assessing the durability of self-adhesive resin bonding, postoperative sensitivity, and the overall survival rate of indirect restorations compared to total-etch, selective-etch, and self-etch adhesives includes 9 RCTs.

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Composite resin restorations in posterior teeth – incremental or bulk fill?

Composite filling

This review of the performance (retention/fracture) of bulk-fill and incremental filled composite restorations place in the posterior teeth of adult patients included 14 RCTs. Only 4 of the studies were at low risk of bias and while no difference was shown between the two approaches but the number of failures was small small.

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Class II restorations in primary molars

shutterstock_72680830 - erupting incisors & caries

This review comparing compare the success rate of five tooth-coloured materials for class II restorations in primary molars included 10 RCTs. No differences in failure rates were seen for composite resin,resin-modified glass ionomer cement or compomers although all included studies were at high risk of bias.

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Composite resin or amalgam fillings for permanent posterior teeth

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This updated Cochrane review of the efficacy and safety of direct composite fillings versus amalgam fillings included 8 RCTs. Low‐certainty evidence suggests that composite resin restorations may have almost double the failure rate of amalgam restorations.

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Bisphenol-A: Exposure from dental treatment

Bisphenol-A

This review on Bisphenol-A (BPA) exposure from dental treatment included 7 studies and suggests an increase in urinary BPA after 24 hours returning to baseline by 14 days.

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