Crowns improved survival of root treated teeth suggests review

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This technology review looked at the effectiveness of crowns on root treated teeth. 3 systematic reviews and 4 non-randomised studies were included. They found that the short term survival with crowns or direct fillings is comparable but long term root canal treated teeth may have better survival.

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Gingival recession: root surface modifiers did not improve surgical outcomes

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Six small randomised controlled trials were found for this review assessing the use of root surface modifiers to improve the outcome of gingival recession surgery. None of the agents evaluated were seen to be of benefit.

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Dry socket prevention: eugenol dressing or chlorhexidine gel?

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This trial compared eugenol dressing or chlorhexidine gel for dry socket prevention against no intervention. Both agents reduced the incidence of dry socket but the reduction was greater with eugenol.

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Diode laser for fibrous hyperplasia – faster but more swelling and longer healing

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This small trial suggests that that while the diode laser treatment was marginally quicker than the traditional scalpel removal of fibrous hyperplasia, it required fewer analgesics and no sutures. However, there was more swelling, and wound healing was longer.

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Desensitising agents use during tooth bleaching

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Ten studies involving a total of 394 patients were included in this review of desensitising agents during tooth bleaching. While the results suggest a reduction in sensitivity variation in the concentration of the agents used, the quality of the included studies means the results should be interpreted with caution.

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Oral potentially malignant disorders and impact on quality of life

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14 studies were included in this review of the impact of oral potentially malignant disorders of the quality of life. However, they were mainly focused on oral lichen planus, so they provide little evidence for the impact of the wide range of OPMDs on the quality of life.

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Oral leukoplakia: malignant transformation rate highly variable

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This review of the malignant transformation rate of oral leukoplakia included 24 studies, the majority of which were retrospective. The range of malignant transformation was between 0.13% and 34.0%. The quality of the available data was limited and there is a need for higher quality well-reported studies.

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Traumatic dental injury in primary teeth not associated with socioeconomic status?

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This review of the the association between socioeconomic indicators and traumatic dental injury in the primary dentition included 16 observational studies. The majority were from Brazil and no clear association was demonstrated.

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Root fracture detection with CBCT

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This review included 12 small in vitro and in vivo studies of Cone Beam Computed Tomography (CBCT) for the diagnosis of a root fracture. While the data suggest the ability to detect root fractures in non-endodontically treated teeth, the findings should be interpreted with caution.

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Guideline: Nonsurgical treatment of chronic periodontitis

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This new systematic review from the ADA includes 72 RCTs on nonsurgical treatment approaches for chronic periodontitis. The systematic review provides the basis for a new clinical practice guideline.

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