Step wise caries removal sustained pulp vitality up to 5 years

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This well designed trial compares the impact on pulp vitality of step wise verses traditional caries removal. after 5 years. THe findings suggest significantly improved outcomes with the step wise approach.

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Endodontics or extraction and implant for the pulpally involved tooth?

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45 studies are included in this review of endodontic treatment or implants for the pulpally involved tooth. The studies are are observational with few comparative studies and while they summarise success rates for various treatments they should be interpreted cautiously. High quality comparative studies are needed as well as agreement on common reporting outcomes.

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Autotransplantation of permanent teeth with an open apex

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21 methodologically weak studies were included in this review of autotransplantation of permanent teeth with open apex. The findings suggest good survival and success rates however the limited quality of the studies mean the findings should be interpreted with caution.

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Mini-screws for orthodontic treatment- self drilling or self-tapping?

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Six studies were included in this review comparing the success rates of self-drilling and self-tapping mini-screws in orthodontic practice. The findings suggest no difference but the studies were small and of short duration and none of the included studies was a randomised trial so the findings should be interpreted cautiously.

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Calcium phosphate plasma-spray-coated dental implants

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This review of calcium phosphate plasma-spray-coated dental implants includes 8 studies of uncertain quality and suggests 71.1 % success in the maxilla and 72.2 % in the mandible after 10 years.

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Inferior alveolar nerve block: mepivacaine-lidocaine no better than lidocaine alone suggests trial

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This well conducted and reported trial found that there was no difference between 3% mepivacaine & 2% lidocaine with 1:100,000 epinephrine and 2 cartridges of 2% lidocaine with 1:100,000 epinephrine in terms of injection pain, onset time, and pulpal anesthetic success for the IAN block.

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No robust evidence to indicate maximum insertion torque levels for orthodontic mini-implants

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Yesterday (Dental Elf 13th Nov 2012) we looked at a systematic review assessing failure rates of mini-screw implants for orthodontic anchorage.  Today we are looking at a review consider whether recommended maximum insertion torque values of 5 to 10 Ncm were associated with higher success rates of orthodontic mini-implants than those inserted with torque values [read the full story…]

Review finds good success rates with sialendoscopy for treating salivary gland obstruction

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About 50% of benign salivary gland disease results from obstructive sialadenitis. The majority of cases are seen in the submandibular gland (80-90%) with 10-15% in the parotid and  < 1% in the sublingual gland.  The aim of this review was to summarize the current literature and determine the efficacy and safety of sialendoscopy in the [read the full story…]