Occlusal reduction: Does it reduce post endodontic pain?

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This review of the effect of occlusal reduction on post-operative pain following root canal treatment included 7 RCTs. While the findings suggest that occlusal reduction may reduce post endodontic pain the quality of the available evidence is very low so teh findings should be viewed cautiously.

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Root canal disinfection: Sodium hypochlorite or chlorhexidine?

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This review comparing the antimicrobial efficacy of chlorhexidine (CHX) and sodium hypochlorite (NaOCl) in root canal disinfection included 8 small RCTs. While teh findings suggest that CHX and NaOCL have similar efficacy the certainty of teh availabel evidence is low.

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Cracked teeth: Outcomes after endodontic treatment

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This review of the success and survival rate of endodontically treated cracked posterior teeth included 7 retrospective studies suggesting a 1 year survival rate of 88% (95%CI; 81% – 94%).

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Post-endodontic pain: Is it influenced by concentration of sodium hypochlorite irrigation?

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This large RCT involving 308 patients found that using 1.3% NaOCl was associated with less intense and less frequent post-endodontic pain than 5.25% NaOCl in mandibular molars with nonvital pulps treated in two visits.

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Post-endodontic pain: Is it reduced by occlusal reduction?

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This review of the efficacy of occlusal reduction on the management of post-operative endodontic pain included 6 small RCTs of high risk of bias. The fidings suggested non benefitc from occlusal reduction in the first 48 hours but some benefit at 72 hours. However the findings should be viewed cautiously because of the limited study quality.

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Cracked teeth: outcomes from endodontic treatment

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This review of outcomes following rooth canal treatment in cracked teeth included 4 small retrospective cohort studies which suggested an overall survival of 84.1% at 60 months.

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Top Dental Elf Blogs Oct – Dec 2019

The Dental Elf brings you daily updates of evidence-based dentistry research

In October, November and December out most popular blogs were on Molar Incisor Hypomineralisation, local anaesthesia for root canal treatment and long or short dental implants fro restoration of the posterior jaw.

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Articaine: Is it the best local anaesthetic for teeth with irreversible pulpitis undergoing root canal treatment?

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5 systematic reviews were included in this umbrella review of whether articaine or lidocaine is the most appropriate local anaesthetic solution for teeth with irreversible pulpitis undergoing root canal treatment.

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Guideline: Antibiotics for Dental Pain and Swelling

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This new guideline from the American Dental Association is about the the appropriate use of systemic antibiotics for the urgent management of symptomatic irreversible pulpitis with or without symptomatic apical pulpitis, pulp necrosis and symptomatic apical periodontitis and pulp necrosis and localized acute apical abscess.

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Subcutaneous emphysema during root canal treatment

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This review of the factors affecting the development ofsubcutaneous emphysema during root canal therapy included
51 studies describing 65 cases. A majority (48%) were linked to drying tooth canals with pressurised air in three-way syringe

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