Pulpal and periapical pathosis after placing indirect coronal restorations

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This review investigating the incidence of and influential factors on pulp necrosis and periapical pathosis of vital teeth following indirect restorations included 37 studies. The findings suggest an overal incidence of pulpal necrosis of 5.02% (3.70 to 6.52%).

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Effervescent tablets for cleaning removable dentures

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This eview of the effectiveness of effervescent tablets in the cleaning and sanitising of removable prostheses included 23 RCTs. Six RCTs contributed to meta-analyses which indicate that use of brushing and effervescent tables reduce biofilm and bacterial conts more than brushing alone.

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Direct restorative materials for treating cavitated carious lesions

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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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Locking taper dental implant – abutment connections

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This review of the clinical performance and complications of single crowns retained by the locking taper system included 12 studies. The findings indicate that the locking taper system had similar performance to the conventional Morse taper system although none of teh studies included direct comparisons.

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Local and systemically delivered antimicrobials and surgical treatment of peri-implantitis

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This review of adjunctive systemic or local antimicrobials as an adjunct to surgical treatment of peri-implantitis included 4 RCTs. The included studies only included a total of 200 pateints and were all considered to be at high risk of bias. The studies antimicrobial and treatment protocols also showed marked variation. Consequently, there is little evidence available on the effectiveness of local or systemic antimicrobials as adjuncts to surgical treatment of peri-implantitis

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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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Autogenous dentine graft for implant placement

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This review comparing autogenous dentine graft (ADG) to other bone graft materials for implant placement included 9 studies five of whihc were RCTs. The findings suggest that ADG has similar outcomes to other bone graft material howevr the limited number and quality of the availabel studies means tha findings should be interpreted cautiously.

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Mandibular overdentures – stud or ball retained?

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This review of the clinical performance and self-reported patient outcomes of ball and stud attachments as mandibular overdenture retainers included 17 studies. While greater patient satisfaction was seen with the stud type almost all of the included studies were considered to be at high risk of bias so the findingas should be interpreted cautiously.

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Top Dental Elf blogs Apr – Jun 2022

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Traumatic dental injuries, hypomineraised primary molars and links between iron-deficiency and early childhood caries were the topics of our most read blogs in April , May and June of 2022.

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Early and delayed dental implant loading

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This review of the outcomes of early and delayed loading of dental implants included 18 RCTs. The findings suggest that early and delayed loading protocols had similar clinical outcomes. However none of the included studies was at a low risk and 13 of the 18 studies were considered to be at high risk of bias. While the findings are similar to other reviews teh availabel evidence is of low to very low certainty.

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