Post endodontic pain: Is it affected by irrigation technique?

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This review of whether ultrasonic irrigation results in less postoperative root canal treatment pain than conventional irrigation included 6 RCTs. The suggests less pain with ultrasonic irrigation for the first 48 hours but no difference at 72 hours.

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Occlusal reduction and post-endodontic pain

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This review analysing the influence of occlusal reduction on postoperative pain levels after endodontic treatment includes 12 RCTs. The findings suggests no difference was seen in post-treatment pain levels after occlusal reduction.

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Photodynamic therapy for oral lichen planus

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This review looked at the efficacy of photodynamic therapy (PDT) for the treatment or oral lichen lplanus (OLP) and compares PDT with steroid therapy. 16 studies were included with the findings suggesting that photodynamic therapy may offer patients with OLP improved pain relief and better efficacy compared to topical corticosteroids.

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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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Intra-articular injection for temporomandibular joint arthralgia: Methylprednisolone or saline?

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54 patients with temporomandibular joint (TMJ) arthralgia were randomised to recieve either methylprednisolone or saline to reduce pain. Findings suggest no difference in TMJ pain

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Local anaesthetics for preventing pain during dental treatment

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123 RCTs were included in this Cochrane review of local anaesthetic agents for preventing pain during dental treatment. 14 types of local anaesthetic were included evidence to support the use of one over another was limited so further research is needed to clarify the effectiveness and safety of one local anaesthetic over another.

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Glutaraldehyde or fluoride varnish for dentine hypersensitivity?

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This review of glutaraldehyde or fluoride varnish for dentine hypersensitivity included just 4 small RCTs . The findings suggest a benefit in favour of glutaraldehyde at 7 days but the short-term nature of the studies and their limited quality means these findings should be interpreted cautiously.

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Computer games for oral health education in young children

Behavioural and cognitive-behavioural group-based parenting interventions are effective at improving child conduct problems, parental mental health and parenting skills in the short term, in the parents of children aged 3-12.

This small RCT of a computer game to deliver oral health education in high caries risk children and families was highly satisfactory to users. Improvements in knowledge were demonstrated is the short term > however there was a high drop out rate an further studies are needed to assess change sin other groups and longer term benefits.

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Third molar removal: conventional or piezoelectric device for osteotomy?

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Fifteen studies (5 RCTs) were included in this review of piezoelectric surgery for third molar removal. The findings suggest better outcomes with piezoelectric surgery however the limited quality of the available evidence means that the findings should be viewed with caution.

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Pre-operative analgesia for patients with pulpitis improved anaesthetic success

Many drugs are licensed for use in Generalised Anxiety Disorder (GAD), but it is unclear what works best.

16 RCTs involving 1900 patients were included in this review of pre-op analgesia for patients with pulpitis . The findings suggest that premedication with analgesics improves the success rate of local anaesthesia.

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