CAD-CAM systems and complete dentures

shutterstock_13679275

This review compare the clinical outcomes of complete denture fabrication with CAD-CAM technology and conventional techniques included just 6 small clinical studies. While the findings suggest better performance with CAD-CAm approaches the available evidence is limited and very weak and short term.

[read the full story...]

Occlusal reduction and post-endodontic pain

shutterstock_17046487

This review analysing the influence of occlusal reduction on postoperative pain levels after endodontic treatment includes 12 RCTs. The findings suggests no difference was seen in post-treatment pain levels after occlusal reduction.

[read the full story...]

Composite resin or amalgam fillings for permanent posterior teeth

shutterstock_58678612

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.

[read the full story...]

Fibre or metal posts for restoring endodontically treated teeth?

shutterstock_25133602 - Cast post & core on model

This review evaluating the difference between fibre and metal posts for endodontically treated teeth included 10 studies 6 of which were RCTs. The findings suggest no differences in outcomes between the two main types of post assessed. However, the evidence is of low certainty.

[read the full story...]

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.

[read the full story...]

Ten Years of the Dental Elf

The Dental Elf

It is now 10 years since the very first Dental Elf Blog. Since then we have published 1626 blogs covering a wide range of topics so we present a brief overview of the categories covered.

[read the full story...]

Rubber dam use and restoration survival

shutterstock_291173

This Cochrane review update of the effects of rubber dam isolation compared with other types of isolation for direct and indirect restorative treatments included 6 RCTs. The findings provide some low-certainty evidence that rubber dam may lead to fewer direct restoration failures compared with cotton roll use after six months.

[read the full story...]

Orofacial trauma in wheeled non-motorsports

chris-henry-tmTVxOjdV8I-unsplash

This review of the prevalence of orofacial trauma in wheeled non-motor sports athletes included 5 cross-sectional studies involving 132,132 participants. Analyses showed the overall prevalence of orofacial trauma = 21.7% (95%CI; 8.7 to 34.7%) however the evidence was of very low certainty.

[read the full story...]

Diabetes and dental implants

shutterstock_190809398

This review of the possible association between diabetes mellitus and dental implant complications included 10 cohort studies (8 prospective 2 retrospective). The findings suggest that patients with diabetes are more likely to have clinical complications with dental implants.

[read the full story...]

Denture adhesives: Are they effective?

shutterstock_24108289

This review of the efficacy of denture adhesives (DAs) for complete dentures included 39 studies ( 23 RCTs and 16 CCTs). None of teh included studies were at low risk of bias with the findings suggesting that Denture adhesives can improve denture retention, bite force and masticatory performance of complete denture wearers.

[read the full story...]