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EPSDC (Endo Perio Specialist Dental Clinic) Hiroshi Miyashita DDS.

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Antibiotic use for irreversible pulpitis (Cochrane Review) Keenan JV, Farman AG, Fedorowicz Z, Newton JT

Authors' conclusions:
This review which was based on one methodologically sound but low powered small sample trial provided some evidence that there is no significant difference in pain relief for patients with untreated irreversible pulpitis who did or did not receive antibiotics in addition to analgesics.

Pulp management for caries in adults: maintaining pulp vitality

H Miyashita, HV Worthington, A Qualtrough Year: 2002

PRIMARY OBJECTIVE To examine the effectiveness of techniques which aim to maintain pulp vitality (e.g. indirect pulp capping, stepwise technique, direct pulp capping and pulpotomy) in comparison with pulpectomies in adults with asymptomatic, extensively decayed teeth.

SECONDARY OBJECTIVE To examine the relative effectiveness of techniques/medicament used to maintain pulp vitality in adults with asymptomatic extensively decayed teeth.

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Pulp treatment for extensive decay in primary teeth (Cochrane Review) Nadin G, Goel BR, Yeung CA, Glenny AM

 

Authors' conclusions:


Based on the available RCTs, there is no reliable evidence supporting the superiority of one type of treatment for pulpally involved primary molars. No conclusions can be made as to the optimum treatment or techniques for pulpally involved primary molar teeth due to the scarcity of reliable scientific research. High quality RCTs, with appropriate unit of randomisation and
analysis are needed.

Routine scale and polish for periodontal health in adults (Cochrane Review) Beirne P, Forgie A, Worthington HV, Clarkson JE

Authors' conclusions:


The research evidence is of insufficient quality to reach any conclusions regarding the beneficial and adverse effects of routine scaling and polishing for periodontal health and regarding the effects of providing this intervention at different time intervals. High quality clinical trials are required to address the basic questions posed in this review.

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Enamel matrix derivative (EmdogainŽ) for periodontal tissue regeneration in intrabony defects (Cochrane Review) Esposito M, Coulthard P, Worthington HV

 

Authors' conclusions:


Emdogain is able to significantly improve PAL levels (1.3mm) and PPD reduction (1mm) when compared to flap surgery, however these results may not have a great clinical impact, since it has not been shown that more periodontally compromised teeth could be saved. There was no evidence of clinically important differences between GTR and Emdogain.

Recall intervals for oral health in primary care patients (Cochrane Review) Beirne P, Forgie A, Clarkson JE, Worthington HV

 

Authors' conclusions:


There is insufficient evidence from randomised controlled trials (RCTs) to draw any conclusions regarding the potential beneficial and harmful effects of altering the recall interval between dental check-ups. There is insufficient evidence to support or refute the practice of encouraging patients to attend for dental check-ups at 6-monthly intervals. It is important that high quality RCTs are conducted for the outcomes listed in this review in order to address the objectives of this review.

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Copyrights(c) 2001 Hiroshi Miyashita DDS. All rights reserved.