White spot lesion prevention during orthodontic treatment

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This review of the efficacy of preventive interventions against the development of white spot lesions (WSLs) during fixed appliance orthodontic treatment included 23 RCTs tha majority of which were at high risk of bias. The findings suggest some benefit from sealants and fluoride varnishes but more high quality research is neeeded.

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Top Dental Elf Blogs: Sep – Dec 2018

The National Elf Service aims to close the gap between research and practice.

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Between September and December 2018 our most popular blogs considered guidelines for non-restorative options for caries management , orthodontic management of the developing dentition and aligners for orthodontic treatment.

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Carious lesions: guidelines for non-restorative treatments.

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This evidence-based clinical practice guideline on the non-restorative treatments for carious lesions in primary and permanent teeth from the American Dental Association provides 11 recommendations.

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Micro-invasive treatments for proximal caries

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Seven RCTs were included in this review of of micro-invasive interventions for non-cavitated proximal caries suggesting that resin infiltration is effective in arresting caries progression.

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Dental restorations: repair or replace?

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10 studies were included in this review of the effectiveness of minimally invasive repair or replacement of dental restorations. The reviewers suggest that seal and refurbishment techniques did not present a significant difference in clinical longevity in comparison to the replacement technique in permanent teeth. However, both the amount and the quality of the available evidence is limited.

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Fissure sealants: performance not affected by tooth characteristics

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16 studies affect of were included in this review of tooth characteristics on sealant performance. With the exception of lower sealant failure rate on premolars sealants were not affected negatively by mouth side, jaw, or tooth type.

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Sealants or fluoride varnish for caries prevention?

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This Cochrane review update included 8 trials involving 1746 participants. Some low-quality evidence suggesting the superiority of resin-based fissure sealants over fluoride varnish applications was identified

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Micro-invasive treatments can slow caries progression

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8 trials involving a total of 365 patients were included in this Cochrane review of micro-invasive treatments for proximal caries. Micro-invasive treatment significantly reduced the odds of lesion progression compared with non-invasive treatment (e.g fluoride varnish) or oral hygiene advice (e.g to floss) OR=0.24, (95% CI; 0.14 to 0.41).

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Sealants reduced caries in high-risk primary molars

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This split-mouth trial conducted in 4-5 year old children found that sealants were superior to fluoride varnish applications in preventing the development and progression of caries in occlusal surfaces of primary molars over 1 year.

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Sealing non-cavitated proximal lesions- review suggests it can reduce caries progression

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Interest in the use of sealants to protect smooth tooth surfaces is growing. This review of 10 small short-term studies found some evidence to suggest if could be effective in preventing caries progression but larger better quality long-term studies are needed.

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