This Cochrane review was seeking to identify RCTs of interventions for the management of external root resorption in permanent teeth. No published trials were identified, so clinicians must decide on the most appropriate means of managing this condition according to their clinical experience with regard to patient-related factors.
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Dominic Hurst looks at the recent Cochrane review of interventions to help smokeless tobacco (ST) users quit. ST use is linked to oral cancer, precancer and periodontal disease, so dentists have an important role in encouraging users to quit.
The post Smokeless tobacco – do behavioural and pharmacological interventions help users quit? appeared first on National Elf Service.
For this review of molar incisor hypomineralisation (MIH) 28 low quality studies were identified. The available evidence suggest that prenatal and perinatal factors are infrequently associated with MIH but that early childhood illness (in particular fever) may be associated.
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Six small RCTs were included in this review. Findings suggest that botulinum toxin type A (BoTN-A) has a positive effect on post treatment pain. Hover the results should be interpreted cautiously as the quality of the evidence is limited and more high quality studies are needed.
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The aim of this Cochrane review was to assess the effectiveness, safety and acceptability of treatments for oral leukoplakia in preventing oral cancer.
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This review of the management of keratocystic odontogenic tumors included 14 mainly retrospective studies ans suggests that initial cystectomy, with or without adjuvant therapy, is associated with the least chance of recurrence.
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This review of the use of honey to educe the severity of radio/chemotherapy-induced oral mucositis identified 7 low quality RCTs that suggest that use of honey may reduce the severity of oral mucositis.
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This update of a 2005 Cochrane review identified 23 RCTs but a limited number at low risk of bias so there is insufficient evidence to support or refute the use of any interventions in managing burning mouth syndrome.
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15 in-vitro studies were included in this review of CBCT & periapical radiographs for the diagnosis of external root resorption. It suggests that CBCT performs better however further research is needed the clinical an cost -effectiveness of its use.
The post External root resorption diagnosis: cone-beam computed tomography or periapical radiographs? appeared first on National Elf Service.
This review of parotid gland tumours and mobile phone use included 3 case-controlled studies and hints at a possible association. However the limited evidence means that the findings should be viewed very cautiously.
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This review of chlorhexidine (CHX) for prevention & treatment of oral mucositis included 12 RCTs with 9 contribution to the meta-analysis. CHX was not significantly effective in preventing mucositis or reducing its severity.
The post Oral mucositis in cancer patients: no benefit from chlorhexidine mouthwash appeared first on National Elf Service.
This review of interventions for the management of denture stomatitis identified 35 RCTs. A majority of the RCTs were at high risk of bias. The findings suggest that nystatin and disinfecting agents have a positive effect but the results should be viewed cautiously because of the quality of the available evidence
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This review comparing low level laser therapy (LLLT) with steroids for the treatment of oral lichen planus only identified 5 studies none of which were at low risk of bias. Further high quality trials are needed to assess the efficacy of LLLT.
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This review of the association between hepatitis C virus (HCV) and oral lichen planus (OLP) identified 19 case-controlled studies. While a 6-fold increase in risk of HCV infection was noted in OLP patients a majority of the studies took place in areas with high endemic HCV rates and there is some concern regarding publication bias and the quality of the available studies.
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This Cochrane review of cytokines and growth factors for preventing oral mucositis in patients having cancer treatment included 35 RCTs finding keratinocyte growth factor beneficial in the prevention of oral mucositis .
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This review of the malignant transformation rate (TR) of oral lichen planus included 21 observational studies the majority of which were retrospective. The overall estimate of TR was 1.4%.
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This review of treatments for the management of symptomatic benign migratory glossitis (BMG) only included 11 small low quality studies providing little evidence for the management of symptomatic BMG.
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36 studies were included in this review of treatment options for xerostomia, hyposalivation and quality of life in patients with Sjögren's syndrome provinding evidence to support pilocarpine use. However the number of studies were limited and adverse effects were common.
The post Sjögren’s syndrome: treatments for dry mouth and hyposalivation appeared first on National Elf Service.
This review of the relationship between oral lichen planus and diabetes included 22 studies. While both meta-analysis suggest a relationship the confidence intervals cross the line of no effect so are not statistically significant.
The post Oral lichen planus and diabetes: are they associated? appeared first on National Elf Service.
This review effectiveness of aloe vera on alleviating the symptoms of oral submucous fibrosis included 6 RCTs . The findings suggest a possible benefit but 5 of the trials were at high risk of bias so the findings should be viewed cautiously.
The post Aloe vera for treatment of oral submucous fibrosis? appeared first on National Elf Service.
