Microwave disinfection of acrylic dentures

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This review of effect of microwave disinfection on the dimensional stability of denture base acrylic resins included 7 in-vitro studies. A wide range of microwave disinfection protocols were used with the reviewers specifying two protocols that may be safe. However because of the heterogeneity and the small number of studies included these finding should be considered cautiously.

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Atraumatic restorative treatment (ART)

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This review of the survival of atraumatic restorative treatment (ART) in both permanent and primary teeth, when performed in conventional dental clinics and field settings included 34 studies. The findings suggest similar survival rates in both clinica and field settings but the quality of the evidence is low.

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Dental implants – post-operative pain management

The authors sought to review available literature relating to SSRI withdrawal syndromes

This review evaluating clinical efficacy of analgesics in mitigating orofacial pain following dental implant surgery included 9 RCTs. While the findings suggest analgesics may be beneficial the number of studies is small an additional infromation is required on which medication,, dosage, dosing schedule, administration route and adverse effects.

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Class II restorations in primary molars

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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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Vital pulp therapy in permanent teeth

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This review aimed to evaluate the association of preoperative factors or intraoperative factors with treatment outcomes of vital pulp therapy. 14 RCTs were included with the findings indicating a 93.2% (95%CI; 91-6% to 94.9%) success rate using contemporary bioceramic material based on low certainty evidence.

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Face-bow transfer and prosthetic outcomes

Facebow

This review of face‐bow transfer on the outcome of a dental prosthesis fabrication included 15 RCTs involving 406 patients. All but one study reported either no difference or better outcomes without the use of the face-bow.

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CAD-CAM systems and complete dentures

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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.

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Occlusal reduction and post-endodontic pain

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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.

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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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Fibre or metal posts for restoring endodontically treated teeth?

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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.

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