Metal or fibre posts for restoration of endodontically treated teeth?

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This review of the comparative efficacy of fibre and metal posts used for the restoration of endodontically treated teeth included 25 RCTs. The findings suggest that fibre post performe better than metal posts but the findings should be interpreted with caution.

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Orofacial injuries in people with cerebral palsy

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This review of the prevalence of orofacial injuries in patients with cerebral palsy (CP) included 12 studies. Ten studies were included in a meta-analysis which estimates the assess the prevalence of orofacial injuries in patients with CP at 34% (95%CI; 18 – 25%).

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Mandibular overdentures – stud or ball retained?

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This review of the clinical performance and self-reported patient outcomes of ball and stud attachments as mandibular overdenture retainers included 17 studies. While greater patient satisfaction was seen with the stud type almost all of the included studies were considered to be at high risk of bias so the findingas should be interpreted cautiously.

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Oral piercing and oral complications

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This review examining the association between oral manifestations and the use of oral piercings included 54 studies. Damage to periodontal health and tooth structure were the most commonly reported complications however the quality of the evidence is of very low certainty.

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Pulp survival after tooth fracture

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This review assessing factors related to pulp survival after tooth fracture included 24 studies (4 RCTs, 6 prospective cohort studies, 12 retrospective cohorts, and 2 case-control studies). However the available evidence is overall of very low certainty.

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Rigid and non-rigid connections between implants and teeth: biological and technical complications.

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Mark-Steven Howe assesses a systematic review looking at the impact of rigid and non-rigid connectors between natural teeth and implants on the biological, functional and/or the prosthetic complication rates. Ten mainly retrospective studies were included providing limited evidence that needs to be interpreted cautiously.

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Ferrule effect improved outcomes in endodontically treated teeth?

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The majority of the included studies in this review of the ferrule effect in-vitro studies ( 32 out of 37) and while they indicate greater longevity in teeth with ferrules further information is needed from clinical studies.

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Oral piercings-tooth and gum damage common suggests review

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Twelve observational studies were included in this review which suggested that lip and tongue piercings increased the risk of gum and tooth damage . The relative risk for tooth damage with lip piercings was 1.33 (95%CI; 0.74 to 2.41) and 2.44 (95%CI;1.35 to 4.41) for tongue piercings.

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Review suggests that Cone Beam Computed Tomography may have role in diagnosis of root fractures

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While Computed Tomography (CT) is a well-established diagnostic tool in many areas of medicine it is only since the development of Cone Beam Computed Tomography (CBCT) that is use in dentistry is beginning to be explored.  2012 saw the publication of new European evidence-based guidelines on CBCT for dental and maxillofacial radiology as a result [read the full story…]

Surgical extrusion for crown-root and cervical root fractures

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Crown-root and cervical root fractures present a restorative challenge due to sub-gingival position of the fracture margin. . A number of treatment approaches have been proposed, crown lengthening, intentional re-implantation, re-attachment of the coronal fragment to root surface, root extrusion (orthodontic or surgical) or extraction.   Two reviews have recently been published ( Das et al [read the full story…]