Top Dental Elf Blogs: Apr – Jun 2021

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Blogs on alveolar ridge preservation techniques, rubber dam and restoration survival and curcumin mouthwashes were the most popular topics between April and June of 2021.

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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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Primary teeth: Efficacy of 3 caries removal strategies

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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

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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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Atraumatic restorative treatment or conventional treatment for root caries in older adults?

This study is the first of its kind from an RCT perspective which clearly shows that treating major depression in older adults using interventions in primary care settings can extend life

This review of atraumatic restorative treatment or conventional treatment for restoration of root caries lesions in older adults included 3 RCTs providing is insufficient data to clearly rule out whether differences between ART and CT exist.

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Cavity liners for resin-based composite restorations

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No new trials were available for this Cochrane review update. Only 8 RCTs were available providing inconsistent, low-quality evidence for a difference in postoperative hypersensitivity after placing a liner for posterior resin-based composite restorations in adult permanent teeth.

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Dental restorations: repair or replace?

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10 studies were included in this review of the effectiveness of minimally invasive repair or replacement of dental restorations. The reviewers suggest that seal and refurbishment techniques did not present a significant difference in clinical longevity in comparison to the replacement technique in permanent teeth. However, both the amount and the quality of the available evidence is limited.

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Atraumatic Restorative Treatment (ART)

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15 RCTs were included in this Cochrane review of Atraumatic Restorative Treatment (ART) comparing with conventional treatment for managing dental caries lesions in the primary and permanent teeth provided low quality evidence that ART using H-GIC may have a higher risk of restoration failure in primary teeth.

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Cavity liners for posterior resin based composites?

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This Cochrane review of liners under posterior composite restoration included 8 RCTs identifying little evidence to show that they reduced sensitivity and no evidence of an effect on longevity of restorations.

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