Direct pulp capping in permanent teeth more successful with MTA

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This review compared direct pulp capping in permanent teeth with MTA and calcium hydroxide including 13 studies, 10 of which were RCTs. The odds of success were higher with MTA, OR = 2.26; (95% CI, 1.33–3.85).

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Elf Break

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The Dental Elf is taking a short break and will be back on the 25th May

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Temporomandibular disorders: is botulinum toxin effective?

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This review of botulinum toxin (BTX) for treating temporomandibular disorders identified 5 RCTs involving a total of 117 patients. There was marked heterogeneity between the studies and the therapeutic benefits are unclear. Well reported high quality RCTs are needed.

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Dental implants: smokers have poorer outcomes suggests review

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This review of the impact of smoking on dental implants had broad inclusion criteria and included 107 studies. The findings suggest smoking affects implant failure rates, incidence of postoperative infections, as well as the marginal bone loss.

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Cervical composite resin restorations: bevel or not?

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The number of non-carious cervical lesions (NCCLs) that will require management in the future is expected to increase. This review was only able to identify 4 RCTs looking at whether bevelling the enamel margin improves retention, so there is limited evidence for the clinician.

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Peri-implant mucositis: adjuncts to improve professional plaque removal

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Only 7 small trials with 140 patients in total were available for this review. It suggests that adjunctive treatments did not significantly improve the efficacy of professional plaque removal in improving gingival indices, bleeding on probing or pocket depth.

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Benign parotid tumors: Superficial or total conservative parotidectomy

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13 retrospective studies were included in this review comparing superficial and total conservative parotidectomy approaches for the management of benign parotid tumours. The review suggests that superficial approach is better but the quality of the evidence is low.

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Bisphosphonate-related osteonecrosis of the jaw treatments

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97 papers describing 4879 cases of bisphosphonate-related osteonecrosis were included in this review. A wide range of management approaches were identified but the quality of the available evidence is limited.

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Dental implants: platform switching may decrease bone loss

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This review of platform switching for dental implants included 18 RCTs in a meta-analysis and suggests an improvement in marginal bone loss. However, the longest study were only of 3 years duration and the authors recommend the results be interpreted with caution due to the presence of uncontrolled confounding factors in the included studies.

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Dentine hypersensitivity: which treatments are best?

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This review of dentine hypersensitivity treatment was broad, covering 11 agents and 105 RCTs. Most treatments suggested some benefits but the quality of available evidence was limited and there was little information on the relative effectiveness of the various agents.

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