In this blog Thibault Colloc looks at a review of comparing the effectiveness of contemporary root canal instrumentation compared with conventional stainless-steel instruments in terms of clinical and patient-related outcomes. The review includes 9 studies (6 RCTs and 3 retrospective clinical studies) and was one of a series designed to inform guidelines for the European Society of Endodontics.[read the full story...]
Vital pulp therapies in the management of nontraumatic pulpitis
Thibault Colloc takes a look at this review of vital pulp therapies in mature and immature permanent teeth with nontraumatic pulpitis. Only 3 RCTs reported in 4 papers involving a total of 330 patients were included. Further high quality well reported studies are needed to clarify the evidence for vital pulp therapies.[read the full story...]
Direct or indirect composite resin restorations on endodontically treated posterior teeth?
This review comparing direct and indirect restoration of endodontically treated posterior teeth included 22 studies . None of the included studies was considered to be at low risk of bias and only 2 RCTs were included.[read the full story...]
Avulsed teeth – what is the best management option?
4 RCTs were included in ths Cochrane review update of interventions for avulsed and replanted permanent front teeth. None of the included studies was at low risk of bias and there is insufficient evidence to support or refute the effectiveness of different interventions.[read the full story...]
Endodontic microsurgery or single tooth implants after failed root canal treatment
This systematic review was looking to compare endodontic microsurgery with single implant placement. No studies directly comparing the two treatments were available. 44 studies of single implants and 6 studies of endodontic microsurgery found 2 -4 years survival rates for endodontic microsurgery were 94% and single implants 96%. The quality of the available evidence was moderate.[read the full story...]
What is the rate of disease progression in aggressive periodontitis?
Periodontitis is common, but aggressive periodontitis (AgP) is thought to progress faster than chronic periodontitis (CP). Reviews suggest that tooth loss as a result of periodontitis is in the order of 1.5-9.8%. The aim of this current review was to investigate tooth loss and disease progression in aggressive periodontitis cases. The Medline and Embase databases [read the full story…]
Double crown tooth abutments and dentures demonstrated a wide range of survival rates
Double crown reconstructions provide the possibility of restoring a dentition using a few remaining teeth located in unfavorable positions for other prosthetic approaches Although they require high precision from both the dental technician and clinician. The aim of this review was to systematically screen the literature for data related to the survival and complication rates [read the full story…]