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#16
30.04.2007, 14:46
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[Ссылки доступны только зарегистрированным пользователям ]
American Dental Association есть информация и для пациентов [Ссылки доступны только зарегистрированным пользователям ] [Ссылки доступны только зарегистрированным пользователям ] The Royal College of Dental Surgeons of Ontario Раздел Публикации и ресурсы содержит руководства 
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#17
04.05.2007, 23:05
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[Изображения доступны только зарегистрированным пользователям]
[Ссылки доступны только зарегистрированным пользователям ] [Изображения доступны только зарегистрированным пользователям] [Изображения доступны только зарегистрированным пользователям] [Ссылки доступны только зарегистрированным пользователям ]
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#19
14.05.2007, 15:22
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Кохрановский обзор
Pulp management for caries in adults: maintaining pulp vitality Cochrane Database of Systematic Reviews 2007 Issue 2 Abstract Background There is a range of treatment options for the management of the pulp in extensively decayed teeth. These include direct and indirect pulp capping, pulpotomy or pulpectomy. If the tooth is symptomatic or if there are periapical bone changes, then endodontic treatment is required. However, if the tooth is asymptomatic but the caries is extensive, there is no consensus as to the best method of management. In addition, there has been a recent move towards using alternative materials and methods such as the direct or indirect placement of bonding agents and mineral trioxide aggregate. Most studies have investigated the management of asymptomatic carious teeth with or without an exposed dental pulp using various capping materials (e.g. calcium hydroxide, Ledermix, Triodent, Biorex, etc.). However, there is no long term data regarding the outcome of management of asymptomatic, carious teeth according to different regimens. Objectives This study aims to assess the effectiveness of techniques used to treat asymptomatic carious teeth and maintain pulp vitality. Search strategy Electronic searches of the following databases were undertaken: The Cochrane Oral Health Group's Trials Register (March 2006), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2006, Issue 1), MEDLINE (1966 to week 4, February 2006), EMBASE (1974 to 13 March 2006), National Research Register (March 2006), Science Citation Index - SCISEARCH (1981 to March 2006). Detailed search strategies were developed for each database. Handsearching and screening of reference lists were undertaken. There was no restriction with regard to language of publication. Selection criteria Studies included were randomised controlled trials (RCTs). Asymptomatic vital permanent teeth with extensive caries were included. Studies were those which compared techniques to maintain pulp vitality. Outcome measures included clinical success and adverse events. Data collection and analysis Data were independently extracted by three review authors. Authors were contacted for details of randomisation and withdrawals and a quality assessment was carried out. The Cochrane Oral Health Group's statistical guidelines were followed. Main results Only four RCTs were identified. Interventions examined included: Ledermix, glycerrhetinic acid/antibiotic mix, zinc oxide eugenol, calcium hydroxide, Cavitec, Life, Dycal, potassium nitrate, dimethyl isosorbide, and polycarboxylate cement. Only one study showed a statistically significant finding; potassium nitrate/dimethyl isosorbide/polycarboxylate cement resulted in fewer clinical symptoms than potassium nitrate/polycarboxylate cement or polycarboxylate cement alone when used as a capping material for carious pulps. Authors' conclusions It was disappointing that there were so few studies which could be considered as being suitable for inclusion in this review. The findings from this review do not suggest that there should be any significant change from accepted conventional practice procedures when the pulp of the carious tooth is considered. Further well designed RCTs are needed to investigate the potential of contemporary materials which may be suitable when used in the management of carious teeth. It is recognised that it is difficult to establish the 'ideal' clinical study when ethical approval for new materials must be sought and strict attention to case selection, study protocol and interpretation of data is considered. It is also not easy to recruit sufficient numbers of patients meeting the necessary criteria. -------------------------------------------------------------------------------- Plain language summary The management of the pulp in extensively decayed, vital and asymptomatic teeth presents something of a clinical problem and there is no agreement as to the most effective treatment modality. For example, there is no consensus as to whether the tooth should be indirectly pulp capped or directly pulp capped; whether a two-stage procedure should be carried out, nor as to which material is most effective. Recently, a variety of newer bonding materials have been introduced but the outcome regarding their use when included in the restoration of a carious tooth with respect to symptoms and maintenance of vitality is unknown This review set out to address the above by examining appropriate randomised clinical trials. However, it was disappointing to find that there were very few studies which could be included in this review (four). The findings did not indicate that there should be any significant change from accepted conventional procedures when management of the pulp is considered.
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#23
01.08.2009, 09:43
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Oral Health Information Tutorial
[Ссылки доступны только зарегистрированным пользователям ] As part of an NN/LM SCR funded project, SMILE (Sharing MedlinePlus/MEDLINE for Information Literacy Education), library staff from the UT Health Science Center, San Antonio developed an online tutorial to provide instruction that focuses on finding and evaluating information relevant to public health dental practice. The Oral Health Information Tutorial is now available for practitioners such as educators, dental hygienists and dentists working in the field of dental public health. You can view each of the 4 modules of the tutorial independently: .Module 1: Toolkit for Dental Public Health Professionals - Learn how to define public health dentistry and identify professional resources to help stay informed of developments in the field. .Module 2: Evidence-Based Dental Public Health - Learn how to find evidence-based scientific literature and apply it to your practice. .Module 3: Oral Health Data Tools and Statistics - Learn about available statistics related to oral health and how to find these resources on the Internet. .Module 4: Oral Health Resources - Learn what quality online resources exist for patients and consumers.
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Линейный вид
