Review suggests twin-block appliance produces changes- but are they clinically important?


Fixed and removable functional appliances are used in the management of class II malocclusions. The Twin-block consists of upper and lower acrylic bite blocks with occlusal inclined planes that interlock at a 70 degree angle and guide the mandible forward and downward. It is considered that the twin-block is better tolerated by patients. The aim [read the full story...]

Review suggests that caries risk and number of restored surfaces impact on posterior composite survival rates


Dental amalgam has been the filing material for choice for more than 150 years. However, because of their aesthetics and concern over their mercury content their use has been declining. The Minamata Convention on Mercury has also proposed that their use be phased down according to local needs. The development of tooth-coloured resin composites from [read the full story...]

Review found no evidence showing that any particular type of dental implant had greater long-term success


Dental Implants now in regular use in dental practice. However they come in an almost bewildering array of sizes and materials and with a range of surface characteristics and modifications. Many of these modifications have been developed with the aim of improving clinical performance. This update of a Cochrane review which was last refreshed in [read the full story...]

Few trials on improving adherence amongst orthodontic patients


Successful orthodontic treatment requires that the patients to agree with and follow the treatment proposed. This requires the patients to keep appointments, maintaining good oral hygiene, wearing elastics, appliances and avoid damage. The aim of this review was to investigate the effectiveness of interventions to enhance adherence among orthodontic patients aged 12 to 18 years. [read the full story...]

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Study suggests that regular dental checks between 50-65yrs reduced major tooth loss


Regular dental examinations are considered an important element of preventive dental care. The aim of this cohort study was to assess the impact of routine dental attendance between the ages of 50 – 65 in relation to major tooth loss and Oral Health related Quality of life (OHRQoL) In 1992 all 50-year-olds in two Swedish [read the full story...]

Review suggests small benefits from enamel matrix derivative in the treatment of periodontal pockets of suprabony defects


A number of different regenerative techniques, guided tissue regeneration (GTR), bone grafting (BG) and the use of enamel matrix derivative (EMD) have been used to try and regenerate periodontal tissues. The aim of this review was to assess the effectiveness of EMD in the treatment of periodontal pockets of suprabony defects. Searches were conducted in [read the full story...]

Review finds that oral appliances produce improvements in some obstructive sleep apnoea indicators


Obstructive sleep apnoea (OSA) can result in day-time sleepiness, neurocognitive decline and, in the long terms cardiovascular problems. While nasal continuous positive airway pressure (CPAP) is the standard treatment for OSA oral appliances (OAs) have been used as an alternative approach. The aim of this review was to assess the effectiveness of OAs that advanced [read the full story...]

Small trial finds caries prevention potential in new silver fluoride agent


Dental caries is one of the commonest diseases of childhood and management is particularly challenging in underprivileged populations. In recent years there has been increasing interest in silver diamine fluoride. However, it tendency to stain carious tissue black and potential to cause oral mucosal lesions limit its potential use. Nano Silver Fluoride ® (NSF), a [read the full story...]

Study finds that non-conventional caries management approaches are acceptable to children, parents and dentists

shutterstock_54042145 - Child, dentists & X-ray

We are seeing a move towards more conservative methods of managing caries and also an increasing need to consider the patients perspectives of treatment. This study aimed to compare children’s behaviour and pain perception when approximal dentinal caries lesions in primary molars (in children aged 3–8 years old) were managed with three treatment strategies; conventional [read the full story...]

Review suggests the shortened dental arch may be an acceptable approach


The shortened dental arch (SDA) consisting of ten pairs of occluding anterior and premolar teeth is considered sufficient to provide good oral function. The WHO goal for developing countries of 20 functional, aesthetic natural teeth without resorting to a prosthesis is consistent with the SDA.   The aim of this review was compare the functional outcomes [read the full story...]