Latest & greatest articles for caries

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Top results for caries

161. In Adult Dental Patients, Weak Evidence Suggests That Using A Caries Risk Assessment To Guide Treatment Planning May Result In Lower Caries Incidence

In Adult Dental Patients, Weak Evidence Suggests That Using A Caries Risk Assessment To Guide Treatment Planning May Result In Lower Caries Incidence UTCAT2392, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title In Adult Dental Patients, Weak Evidence Suggests That Using A Caries Risk Assessment To Guide Treatment Planning May Result In Lower Caries Incidence Clinical Question In an adult dental patient, does the use (...) of a Caries Risk Assessment instrument to guide treatment planning result in a lower caries incidence? Clinical Bottom Line In an adult dental patient, using a caries risk assessment to guide treatment planning results in lowered caries risk and may result in lower caries incidence, according to a randomized controlled trial. Caries increment (change in DMFS) was lower in the treatment group, though other measures of caries incidence showed no statistical difference between the treatment and control

2013 UTHSCSA Dental School CAT Library

162. No difference in caries outcome between resin-modified glass ionomer cements and resin-based composites

showed no difference between the two materials, and seven showed that RM-GIC had a greater caries-preventive effect than did RBC. Evidence Quality Rating Limited Evidence This summary is published in the Journal of the American Dental Association and can be accessed at: Critical Summary Publication Date: 12/4/2012 These summaries are not intended to, and do not, express, imply, or summarize standards of care, but rather provide a concise reference for dentists to aid in understanding and applying (...) No difference in caries outcome between resin-modified glass ionomer cements and resin-based composites No difference in caries outcome between resin-modified glass ionomer cements and resin-based composites ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only practice content Investing in better oral health for all. Together. Take advantage

2012 ADA Center for Evidence-Based Dentistry

163. No difference in caries outcome between resin-modified glass ionomer cements and resin-based composites

showed no difference between the two materials, and seven showed that RM-GIC had a greater caries-preventive effect than did RBC. Evidence Quality Rating Limited Evidence This summary is published in the Journal of the American Dental Association and can be accessed at: Critical Summary Publication Date: 12/4/2012 These summaries are not intended to, and do not, express, imply, or summarize standards of care, but rather provide a concise reference for dentists to aid in understanding and applying (...) No difference in caries outcome between resin-modified glass ionomer cements and resin-based composites No difference in caries outcome between resin-modified glass ionomer cements and resin-based composites ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only practice content Investing in better oral health for all. Together. Take advantage

2012 ADA Center for Evidence-Based Dentistry

164. No difference in caries outcome between resin-modified glass ionomer cements and resin-based composites

showed no difference between the two materials, and seven showed that RM-GIC had a greater caries-preventive effect than did RBC. Evidence Quality Rating Limited Evidence This summary is published in the Journal of the American Dental Association and can be accessed at: Critical Summary Publication Date: 12/4/2012 These summaries are not intended to, and do not, express, imply, or summarize standards of care, but rather provide a concise reference for dentists to aid in understanding and applying (...) No difference in caries outcome between resin-modified glass ionomer cements and resin-based composites No difference in caries outcome between resin-modified glass ionomer cements and resin-based composites ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only practice content Investing in better oral health for all. Together. Take advantage

2012 ADA Center for Evidence-Based Dentistry

165. Supplemental topical fluoride effective in preventing and/or remineralizing dental caries in moderate- to high-caries-risk adults.

Supplemental topical fluoride effective in preventing and/or remineralizing dental caries in moderate- to high-caries-risk adults. Supplemental topical fluoride effective in preventing and/or remineralizing dental caries in moderate- to high-caries-risk adults. ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only practice content Investing in better (...) Evidence Education * Associated Topics Supplemental topical fluoride effective in preventing and/or remineralizing dental caries in moderate- to high-caries-risk adults. Sachin Seth DDS . Overview Systematic Review Conclusion A systematic review of 17 randomized controlled trials and clinical trials found supplemental topical fluoride use in moderate- to high-caries-risk adults is effective in preventing and/or remineralizing dental caries. Critical Summary Assessment This is a high quality of limited

2012 ADA Center for Evidence-Based Dentistry

166. Supplemental topical fluoride effective in preventing and/or remineralizing dental caries in moderate- to high-caries-risk adults.

Supplemental topical fluoride effective in preventing and/or remineralizing dental caries in moderate- to high-caries-risk adults. Supplemental topical fluoride effective in preventing and/or remineralizing dental caries in moderate- to high-caries-risk adults. ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only practice content Investing in better (...) Evidence Education * Associated Topics Supplemental topical fluoride effective in preventing and/or remineralizing dental caries in moderate- to high-caries-risk adults. Sachin Seth DDS . Overview Systematic Review Conclusion A systematic review of 17 randomized controlled trials and clinical trials found supplemental topical fluoride use in moderate- to high-caries-risk adults is effective in preventing and/or remineralizing dental caries. Critical Summary Assessment This is a high quality of limited

2012 ADA Center for Evidence-Based Dentistry

167. Supplemental topical fluoride effective in preventing and/or remineralizing dental caries in moderate- to high-caries-risk adults.

Supplemental topical fluoride effective in preventing and/or remineralizing dental caries in moderate- to high-caries-risk adults. Supplemental topical fluoride effective in preventing and/or remineralizing dental caries in moderate- to high-caries-risk adults. ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only practice content Investing in better (...) Evidence Education * Associated Topics Supplemental topical fluoride effective in preventing and/or remineralizing dental caries in moderate- to high-caries-risk adults. Sachin Seth DDS . Overview Systematic Review Conclusion A systematic review of 17 randomized controlled trials and clinical trials found supplemental topical fluoride use in moderate- to high-caries-risk adults is effective in preventing and/or remineralizing dental caries. Critical Summary Assessment This is a high quality of limited

2012 ADA Center for Evidence-Based Dentistry

168. Dental treatment to correct dental caries in patients undergoing surgery: a review of clinical evidence on safety

Dental treatment to correct dental caries in patients undergoing surgery: a review of clinical evidence on safety Dental treatment to correct dental caries in patients undergoing surgery: a review of clinical evidence on safety Dental treatment to correct dental caries in patients undergoing surgery: a review of clinical evidence on safety CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality (...) of this assessment has been made for the HTA database. Citation CADTH. Dental treatment to correct dental caries in patients undergoing surgery: a review of clinical evidence on safety . Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). 2012 Authors' conclusions Limited evidence from three observational studies suggests that patients not undergoing dental treatment have a similar risk of harm compared to those receiving dental treatment or to those for which dental treatment prior to heart

2012 Health Technology Assessment (HTA) Database.

169. 5,000 ppm F dentifrice for caries prevention in adolescents. Full Text available with Trip Pro

5,000 ppm F dentifrice for caries prevention in adolescents. Randomised controlled trial.Volunteers aged 14-16 years with DMFS ≥ 5 were recruited, those with orthodontic appliances were excluded. Participants were assigned dentifrices for unsupervised toothbrushing. The test group received Duraphat 5,000 ppm F (Colgate-Palmolive AB, Danderyd, Sweden) and the control group Pepsodent Superfluor 1,450 ppm F (Lever Fabergé, Stockholm, Sweden), both as NaF. Toothbrushes and dentifrices were (...) delivered to their home addresses by post, every third month. Patricipants and their parents were instructed to keep the 5,000 ppm dentifrice in a safe place away from small children. Evaluations were carried out at two years and a compliance questionnaire was administered.The outcome variables were caries incidence and progression of proximal and occlusal caries.28% of participants were considered to have had poor compliance as assessed by questionnaire. Those using 5,000 ppm F toothpaste had

2012 Evidence-based dentistry Controlled trial quality: uncertain

170. 10% chlorhexidine varnish did not reduce caries in an adult population. (Abstract)

10% chlorhexidine varnish did not reduce caries in an adult population. A multi-centre, placebo-controlled, double-blind, randomised clinical trial involving 983 adults (aged 18-80 years old).The test group received chlorhexidine diacetate 10% weight per volume (w/v) dental coating and the control group received a placebo coating. Coatings were applied weekly for four weeks and a fifth time six months later.The Pitts and Fyffe taxonomy was used to measure caries progression or reversal, which (...) identifies three stages of lesion on coronal surfaces. The primary outcome was the total net increment in D(1-2)FS; secondary outcomes included the cumulative net D(1-2)FS increment and the total crude D(1-2)FS increment and the cumulative crude D(1-2)FS increment.No significant difference was seen between the treatment and placebo groups over a 13 month study period.Ten percent chlorhexidine diacetate coating did not show a reduction in caries in an adult population.

2012 Evidence-based dentistry Controlled trial quality: predicted high

171. Daily use of xylitol gum by children over a period of time can have long term caries reducing effects even after the gum is no longer used

. The Hujole 1998 study was not a randomized trial. 510 children started, 310 completed the 2 year portion (61% of 510) and 288 (93% of 310) were re-evaluated at 5 years. Applicability These results are applicable most specifically to children in the mixed dentition stage. The long-term caries-preventive effects of xylitol gum can be maximized, if chewing is started at least one year before permanent teeth erupt. Specialty/Discipline (Public Health) (General Dentistry) (Pediatric Dentistry) (Dental Hygiene (...) principles, laws and research?) by Brent Winward (San Antonio, TX) on 09/17/2012 The biological basis for this treatment outcome is rooted in Loesche's hypothesis that the characteristics of the plaque flora established at the time of tooth eruption determines the life-long caries risk of the tooth (PMID ). Long-term use of xylitol results in the emergence of a xylitol-resistant mutans that is less virulent and cariogenic than its parent strains (PMID ). The less cariogenic mutants colonize the plaque

2012 UTHSCSA Dental School CAT Library

172. Fluoride releasing properties of glass-ionomer sealants may have no additional benefit in preventing secondary caries in children over properly applied resin based materials

years or longer were considered. One hundred-ten clinical reports qualified for meta-analysis. Data on premolars was excluded. Heterogeneity of the studies was addressed using random effects model. Yengopal V. et al. was also a systematic review with meta-analysis using random effects model. Clinical trials in English, Portuguese, and Spanish that had a two arm-longitudinal study design were considered. Each tooth and the number of caries free teeth were assessed at 6, 12, 24 and 36 months (...) There is little contention that resin based sealants are the superior material in preventing primary invasion of bacteria in dental caries. Retention rates have a large impact on sealant longevity due to their main function as physical barriers to caries causing bacteria. However, the concept of the fluoride releasing mechanism in glass-ionomer sealants has challenged the bacteria-barrier method with additional enamel fortifying effects. Resin based sealants have shown higher retention and wear rates than

2012 UTHSCSA Dental School CAT Library

173. Dental Treatment to Correct Dental Caries in Patients Undergoing Surgery: A Review of Clinical Evidence on Safety

status in terms of number of teeth, number of decayed teeth, periadicular lesions, plaque, and periodontal pocket depth was comparable between groups. The mean value of gingivitis was significantly higher in the GP group. The use of antibiotics perioperatively was not reported. Survival rate at 16 years after heart surgery was the clinical outcome of this study. Dental Treatment to Correct Dental Caries in Patients Undergoing Surgery 4 The retrospective cohort study by Wu et al., 2008 13 determined (...) Dental Treatment to Correct Dental Caries in Patients Undergoing Surgery: A Review of Clinical Evidence on Safety Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources and a summary of the best evidence on the topic that CADTH could identify using all reasonable efforts

2012 Canadian Agency for Drugs and Technologies in Health - Rapid Review

174. Fluoride Is More Effective Than Xylitol At Preventing Caries

Fluoride Is More Effective Than Xylitol At Preventing Caries UTCAT2253, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Fluoride Is More Effective Than Xylitol At Preventing Caries Clinical Question In patients susceptible to dental caries, is fluoride more effective than xylitol at preventing caries? Clinical Bottom Line Fluoride is better than xylitol at preventing caries, but fluoride with xylitol is better than (...) by inhibiting bacterial enolase. Xylitol did not affect acid production. P=.017 #3) Stecksen-Blicks/2008 160 high caries risk 10-12 year old patients Randomized Controlled Trials Key results Using lozenges with xylitol or both xylitol and fluoride did not affect the development of caries in high caries risk children. Also, there was no significant difference between the two groups (p>.05). Evidence Search ("Fluorides"[Mesh]) AND "Xylitol"[Mesh] Comments on The Evidence The studies listed seemed to have

2012 UTHSCSA Dental School CAT Library

175. Exposure to Secondhand Smoke May Increase Caries Risk in Children

attributable risk from passive smoking is 27% for decayed and 14% for filled tooth surfaces. This data shows an association between passive smoke and risk of caries in children. Evidence Search (("Tobacco Smoke Pollution"[Mesh]) AND "Dental Caries"[Mesh]) AND "Child"[Mesh] Comments on The Evidence The systematic review used 15 high-quality studies, 14 case-control studies and one cohort study. Having the total number of patients and their ages from the studies would have improved this review (...) cotinine level was significantly associated with decayed and filled tooth surfaces in deciduous teeth (odds ratio [OR] 2.1, 95% confidence interval [CI] 1.5-2.9; OR 1.4, 95% CI, 1.1-1.8, respectively). There continued to be a relationship even after adjustment for age, sex, race, family income, geographic region, frequency of dental visits, and blood lead level. For decayed tooth surfaces, the adjusted OR was 1.8 (95% CI, 1.2-2.7) and 1.4 (95% CI, 1.1-2.0) for filled surfaces. The estimated population

2012 UTHSCSA Dental School CAT Library

176. Clinically Significant Data to Prove Chlorhexidine Ineffective in Caries Prevention

ratios associated with chlorhexidine rinsing compared to placebo for a sound surface to become filled, decayed, or extracted was 0.87 for coronal surfaces (95% confidence interval: 0.71-1.14, p = 0.20) and 0.91 for root surfaces (95% confidence interval: 0.73-1.14, p = 0.41). In the chlorhexidine group 91% and in the placebo group 89% of the coronal surfaces remained sound over the 5-year study. Evidence Search "Chlorhexidine"[Mesh] AND "Dental Caries"[Mesh] Comments on The Evidence Both studies (...) ) (Restorative Dentistry) (Dental Hygiene) Keywords Chlorhexidine, caries, prevention ID# 2236 Date of submission: 04/25/2012 E-mail walding@livemail.uthscsa.edu Author Travis Walding Co-author(s) Co-author(s) e-mail Faculty mentor/Co-author Charles Hermesch, DMD Faculty mentor/Co-author e-mail hermesch@uthscsa.edu Basic Science Rationale (Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical

2012 UTHSCSA Dental School CAT Library

177. No evidence of caries reduction found in a school xylitol and erythritol lozenge programme. Full Text available with Trip Pro

. One group did not receive lozenges. Clinical examination was undertaken at baseline and after 48 months primarily by one dentist who was blinded to the assignment of each child. Radiographical examination was undertaken at 48 months, with two calibrated dentists undertaking the analysis.Change in caries: decayed missing or filled surfaces at dentinal level (ΔD3MFS).Forty-eight months after commencement of the research there were no statistically significant differences between the proportion (...) of ΔD3MFS=0 (clinically or radiographically) within the groups (xylitol/maltitol or erythritol/maltitol lozenges). Seventy-five of the children were lost to follow up, seven discontinued through other reasons.The use of xylitol-maltitol or erythritol-maltitol lozenges within a cohort of low caries children either over nine months or 21 months were not effective in reducing dental caries in primary school children.

2012 Evidence-based dentistry Controlled trial quality: predicted high

178. Glass ionomer cement shows no caries preventive advantage over resin-based fissure sealants

no caries preventive advantage over resin-based fissure sealants Romesh Nalliah BDS . Overview Systematic Review Conclusion There is no evidence that either GIC or resin-based fissure sealant is superior to the other in preventing dental caries. Critical Summary Assessment Clinician judgment should determine material selection for fissure sealants as there is no clear evidence in support of GIC or resin based materials as the superior material in preventing caries. Evidence Quality Rating Limited (...) to the other in preventing dental caries. Source of Funding: No funding is reported Commentary Importance and Context: Although there is strong evidence in support of the use of fissure sealants, there is no clear evidence as to which material is best to reduce caries. Strengths and Weaknesses of the Systematic Review: Strengths of the current study included the use of nine databases, two independent reviewers and the use of dual, independent data extraction and quality assessment. The authors combined

2012 ADA Center for Evidence-Based Dentistry

179. Glass ionomer cement shows no caries preventive advantage over resin-based fissure sealants

no caries preventive advantage over resin-based fissure sealants Romesh Nalliah BDS . Overview Systematic Review Conclusion There is no evidence that either GIC or resin-based fissure sealant is superior to the other in preventing dental caries. Critical Summary Assessment Clinician judgment should determine material selection for fissure sealants as there is no clear evidence in support of GIC or resin based materials as the superior material in preventing caries. Evidence Quality Rating Limited (...) to the other in preventing dental caries. Source of Funding: No funding is reported Commentary Importance and Context: Although there is strong evidence in support of the use of fissure sealants, there is no clear evidence as to which material is best to reduce caries. Strengths and Weaknesses of the Systematic Review: Strengths of the current study included the use of nine databases, two independent reviewers and the use of dual, independent data extraction and quality assessment. The authors combined

2012 ADA Center for Evidence-Based Dentistry

180. Glass ionomer cement shows no caries preventive advantage over resin-based fissure sealants

no caries preventive advantage over resin-based fissure sealants Romesh Nalliah BDS . Overview Systematic Review Conclusion There is no evidence that either GIC or resin-based fissure sealant is superior to the other in preventing dental caries. Critical Summary Assessment Clinician judgment should determine material selection for fissure sealants as there is no clear evidence in support of GIC or resin based materials as the superior material in preventing caries. Evidence Quality Rating Limited (...) to the other in preventing dental caries. Source of Funding: No funding is reported Commentary Importance and Context: Although there is strong evidence in support of the use of fissure sealants, there is no clear evidence as to which material is best to reduce caries. Strengths and Weaknesses of the Systematic Review: Strengths of the current study included the use of nine databases, two independent reviewers and the use of dual, independent data extraction and quality assessment. The authors combined

2012 ADA Center for Evidence-Based Dentistry