This summary is based on the Cochrane systematic review: Preparing tooth surfaces in preparation for the bonding of fixed orthodontic braces Context Acid etching of tooth surfaces to promote the bonding of orthodontic attachments to the enamel has been a routine procedure in orthodontic treatment since the 1960s. Various types of orthodontic etchants and etching techniques have been introduced in the past five decades. Although a large amount of information on this topic has been published, there is a significant lack of consensus regarding the clinical effects of different dental etchants and etching techniques. Purpose of the Review To compare the ...Read More »
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This summary is based on the article published in the International Journal of Oral and Maxillofacial Pathology: Efficacy of Toluidine Blue and Brush Biopsy in Oral Lesions (January 2013) Context Oral cancer is a global health problem and its early detection is of prime importance. In vivo stains and brush biopsy have emerged in recent years to aid as clinical diagnostic tools. Purpose of the Study The study assessed the efficacy and accuracy of Toluidine blue and brush biopsy in comparison to wedge biopsy in patients with oral pre-malignancies and malignant lesions. Key Messages The combined evaluation of Toluidine blue ...Read More »
What are the effects of oral health education and motivation on disease prevention and health promotion?
This summary is based on the article published by the Dental Press Journal of Orthodontics: Education and motivation in oral health — preventing disease and promoting health in patients undergoing orthodontic treatment (May-June 2011) Context It is incumbent upon dentists to prevent disease, minimize risks and promote health. Patients also need to be made aware of their role in oral health care. Patients undergoing orthodontic treatment find it particularly difficult to maintain satisfactory oral hygiene owing to the presence of bands, wires and ligatures. It is therefore crucial to establish preventive motivation and guidance methods to ensure mechanical control of dental plaque. In order to promote and maintain satisfactory oral ...Read More »
What will it be: Ibuprofen or acetaminophen for pain relief after surgical removal of lower wisdom teeth?
This summary is based on the Cochrane systematic review: Ibuprofen versus paracetamol (acetaminophen) for pain relief after surgical removal of lower wisdom teeth Context Both paracetamol and ibuprofen are commonly used analgesics for the relief of pain following the surgical removal of lower wisdom teeth (third molars). In 2010, a novel analgesic (marketed as Nuromol) containing both paracetamol and ibuprofen in the same tablet was launched in the United Kingdom. This drug has shown promising results to date and there is a need to compare the combined drug with the single drugs using this model. In this review, the optimal doses ...Read More »
Pathways to Health Equity for Aboriginal Peoples (Pathways) is a CIHR Signature Initiative with an overall goal to develop a better understanding of how to design, implement and scale up population health interventions that will improve Aboriginal health in four exemplars: Suicide, Diabetes/Obesity, Tuberculosis, and Oral Health. The objectives of the EOI phase are to: Inform subsequent launch timelines for the full applications per exemplar Aid in the establishment of potential partnerships for full competitions within each exemplar Assist in informing CIHR and partners on community readiness across the exemplars The Pathways Implementation Research Teams (IRTs) Funding Opportunity supports this ...Read More »
This summary is based on the Cochrane systematic review: Triclosan/copolymer containing toothpastes for oral health Context Periodontal disease and dental caries are highly prevalent oral diseases that can lead to pain and discomfort, oral hygiene and aesthetic problems, and eventually tooth loss, all of which can be costly to treat and are a burden to healthcare systems. Triclosan is an antibacterial agent with low toxicity, which, along with a copolymer for aiding retention, can be added to toothpastes to reduce plaque and gingivitis (inflammation of the gums). It is important that these additional ingredients do not interfere with the anticaries effect ...Read More »
Evidence-based prosthodontics: what are the fundamental considerations, limitations, and guidelines?
This summary is based on the article published in the Dental Clinics of North America: Evidence-Based Prosthodontics: Fundamental Considerations, Limitations, and Guidelines (January 2014) Key Messages Prosthodontics is a unique specialty that offers numerous advantages and disadvantages for application of principles of evidence-based dentistry (EBD). An important difference between medical and dental models of care is the level of control a patient has about how, when, and whether it is necessary to treat a dental problem. This is especially true in the discipline of prosthodontics. Hence, an absolute extrapolation of evidence-based concepts from medicine to prosthodontics is not possible. Current lack of “strong” evidence for a particular ...Read More »
The Dental Economics Magazine has recently published the findings of the its 7th annual Practice Research Report. This post presents these findings. The survey was conducted among a broad cross-section of U.S. general dentists – from solo practitioners to multidoctor practices, providing care in rural areas, small towns, suburbs, and large cities. Key Findings Patients are coming back and accepting more treatment but practice profits are not keeping up due to outdated systems, Overhead cost is increasing and collection rates are low: many dentists are doing more work yet have little to show for it. Stress, though reduced, remains too high: perhaps ...Read More »