Occlusal schemes for complete dentures

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This overview of reviews of the influence of occlusal schemes on the clinical performance of and patient satisfaction with complete dentures included 10 systematic reviews. While the findings suggest that occlusal schemes might interfere with the clinical performance the results should be carefully considered because of the low quality of the systematic reviews included.

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Photodynamic therapy for denture stomatitis

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This review of comparing photodynamic therapy (PDT) and antifungals or the treatment of denture stomatitis included 5 studies involving a total of 218 patients. While the findings suggest that PDT is effective none of the the studies was at low risk of bias and the treatment protocols investigated differ.

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Implant-supported overdentures and fixed prostheses in edentulous mandibles

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This review comparing patient-reported outcome measures (PROMs) and clinical outcomes associated with implant-supported overdentures and fixed prostheses in edentulous mandibles included 10 small studies. While the findings suggest better PROMS with fixed prosthesis the available evidence is limited in quality and quantity.

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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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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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