Most popular Dental Elf Blogs Oct – Dec 2023

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Digital v confentional impressions for implant supported fixed prosthesis, extraction v non-extraction orthodontics and flap v flappless surgery for implant placement were popular blogs between October and December.

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Plaque accumulation with clear aligners and fixed orthodontic appliances

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This review comparing plaque accumulation in orthodontic patients undergoing clear aligner (CA) and conventional fixed appliance treatment included 14 studies. The findings suggested less plaque accumulation with CA but all the included studies were at moderate to high risk of bias.

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Extraction or non-extraction treatment and orthodontic outcomes

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This review of premolar extraction v non-extraction orthodontic treatment included 30 studies. Of these studies were 29 were retrospective and all 30 studies were considered to be at high risk of bias. The certainty of evidence is vey low so additional high quality research is required.

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Fixed orthodontic bonded retainers – failure rates

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This review assessing the prevalence of failure of both maxillary and mandibular fixed orthodontic bonded retainers (FOBRs) included 34 studies. The findings incicate an overall failure rate of 28.17% (23.19 to 33.15%) based on 31 studies. However the certainty of the evidence was very low to low so the findings should be interpreted cautiously.

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High-fluoride toothpaste or high fluoride mouthrinse to prevent white spot lesions in adolescent orthodontic patients – trial

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270 pateints were randomised in this trial to compare high-fluoride toothpaste and high-fluoride mouth rinse for preventing white spot lesions during orthodontic treatment. The findings suggest a benefit for high fluoride toothpaste and fluoride mouth rinse in preventing white spot lesions.

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Manual v powered toothbrushing in adolescent orthodontic patients – trial

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The aim of this randomised trial was to compare the efficacy of a powered versus manual toothbrush in controlling plaque and gingival health in participants undergoing fixed orthodontic treatment in respect of both the short term and long term. The findings showed no differences between the brush types at any time points ( 1, 6 or 12 months).

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CAD/CAM versus conventional fixed retainers in orthodontic patients

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This review comparing the effect of CAD/CAM-based and conventional fixed retainers on the stability of treatment outcomes and periodontal health in patients undergoing orthodontic retention using fixed retainers includeds 7 RCTs. The studies are of moderate size and relatively short duration (6 to 12months) and there are quality concerns so the findings should be viewed cautiously.

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Dental water jet and oral health maintenance in orthodontic patients

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This review assessing the effect of incorporating the dental water jet (DWJ) into the oral hygiene routines of orthodontic patients included 6 RCTs. While the findings suggest a benefit from the use of the DWJ the limited number of small studies none of which were at low risk of bias means the findings should be interpreted cautiously.

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Eruption of maxillary incisors after surgical removal of supernumerary teeth

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Thte review of the percentage of impacted maxillary incisors that successfully erupt after surgical removal of supernumerary teeth included 15 studies. With the exception of one study all were retrospective with meta-analysis indicating a mean eruption success of 57.6% (95%CI; 47.8 to 67.0%). However the certainty of the evidence is very low to low.

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Orthodontic space closure after tooth extraction- early or delayed?

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This review of early versus delayed initiation of space closure after tooth extraction on the rate of orthodontic tooth movement included 11 RCTs. The findings suggest little difference between the two approaches but the included studies are small and none of the theam are at low risk of bias.

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