What is going on in the specialties: restorative/endodontics


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  • 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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  • What is going on in the specialties: restorative/endodontics

    1. 1. 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
    2. 2. Restorative Dentistry <ul><li>Fixed and Removable Prosthodontics </li></ul><ul><li>Operative Dentistry </li></ul><ul><li>Endodontics </li></ul><ul><li>Dental Materials </li></ul><ul><li>(Childrens’ Dentistry) </li></ul>Dr AJE Qualtrough Review of 10 years
    3. 3. Challenges <ul><li>New materials </li></ul><ul><li>Commercial pressures </li></ul><ul><li>Increasing life-span </li></ul><ul><ul><li>The older patient </li></ul></ul><ul><ul><li>Repair and maintenance </li></ul></ul><ul><li>The patient </li></ul><ul><ul><li>Standards </li></ul></ul><ul><ul><li>Aesthetics </li></ul></ul><ul><ul><li>Informed </li></ul></ul><ul><li>Funding issues </li></ul>Dr AJE Qualtrough Review of 10 years
    4. 4. Restorative Dentistry <ul><li>Cochrane Reviews </li></ul><ul><li>Other reviews </li></ul><ul><li>Regional and National Research Programme (http://www.nrr.nhs.uk/) </li></ul>Dr AJE Qualtrough Review of 10 years
    5. 5. Cochrane Reviews <ul><li>Published </li></ul><ul><ul><li>*Ceramic Inlays </li></ul></ul><ul><ul><li>*Veneers </li></ul></ul><ul><ul><li>*Ozone </li></ul></ul><ul><ul><li>*Pit and fissure sealants </li></ul></ul><ul><ul><li>*Pulp treatment for extensive decay in primary teeth </li></ul></ul><ul><ul><li>*AB’s for irreversible pulpitis </li></ul></ul><ul><li>Refereeing process </li></ul><ul><ul><li>Replacement of missing teeth </li></ul></ul><ul><ul><li>Carisolv </li></ul></ul><ul><ul><li>Composite v amalgams </li></ul></ul><ul><ul><li>Materials for retrograde endo </li></ul></ul><ul><ul><li>Surgical v non surgical endo </li></ul></ul>Dr AJE Qualtrough Review of 10 years
    6. 6. Other Reviews <ul><li>*Longevity of dental restorations </li></ul><ul><li>*Management of acute apical abscesses </li></ul><ul><li>*What type of filling? </li></ul><ul><li>*Secondary caries effect of GIC’S </li></ul><ul><li>Fixed partial denture survival </li></ul><ul><ul><li>Implant-borne </li></ul></ul><ul><ul><li>Conventional </li></ul></ul><ul><ul><li>Cantilever </li></ul></ul>Dr AJE Qualtrough Review of 10 years
    7. 7. National Research Register <ul><li>Database of ongoing and completed research projects funded by, or of interest to the UK NHS </li></ul><ul><li>350 contributing organisations </li></ul><ul><li>Regional and National Research Programmes </li></ul><ul><li>Single centre projects </li></ul>Dr AJE Qualtrough Review of 10 years
    8. 8. National Research Register <ul><li>Completed studies (National) </li></ul><ul><li>Ion leachable glasses v amalgam </li></ul><ul><li>Pulp protection by bonding? </li></ul><ul><li>*Improved effectiveness of adhesive bridges in primary care </li></ul><ul><li>Endo in GDP </li></ul>Dr AJE Qualtrough Review of 10 years
    9. 9. Thank you <ul><li>Text </li></ul>Own logo Review of 10 years Review of 10 years