Ceramic Inlays More research needed to determine whether tooth-coloured ceramic inlays compare well over the long term with amalgam, resin or gold inlays Veneers No strong evidence about the effects of different veneer restorations for stained and discoloured teeth Ozone No evidence that ozone therapy can reverse or stop tooth decay Pit and fissure sealants Children who have their molar teeth covered by a resin sealant are less likely to get dental decay in their molar teeth than children without sealant Extensive decay in primary teeth Not enough evidence to show the effectiveness of pulp treatments for children with dental decay that has reached the tooth’s nerve AB’s for irreversible pulpitis Antibiotics do not appear to significantly reduce toothache caused by irreversible pulpitis
Longevity of dental restorations: No conclusive evidence What type of filling? 60% dentistry for replacement fillings Amalgam material of choice unless aesthetics important. Lasts longest and cheapest Newer generation bonding agents have better retention than predecessors Sandwich technique cannot be recommended Variations in decision-making GIC’s No overall evidence for or against a treatment effect of inhibition of secondary caries by GIC’s
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Evidence for up-to-date clinical dental practice – a review of 10 years of the Cochrane Oral Health Group 30 th -31 st May 2006, Manchester What is going on in the Specialties?: Restorative Dentistry Dr AJE Qualtrough Review of 10 years