Sonic and ultrasonic oscillating devices for the management of pain and dental fear in children or adolescents that require caries removal: a systematic review

Abstract

ObjectivesTo evaluate the effectiveness and degree of acceptance by children and adolescents of the use of oscillating tips compared with rotating drills.DesignSystematic review.Data sourcesPubMed, the Cochrane Central Register of Controlled Trials (CENTRAL), the Cochrane Library and Web of Science (October 2017).Eligibility criteriaControlled randomised or non-randomised trials that evaluated sonic and ultrasonic oscillating devices versus rotating drill.Data extractionEligible studies were selected and data extracted independently by two reviewers. Risk of bias was assessed using the Cochrane Method.ResultsTwo controlled clinical trials comprising 123 children aged 2–12 years old were identified. Both trials were at high risk of selection bias and unclear risk of detection bias. In one trial, pain due to the use of oscillating drill resulted lower than employing rotating drill (Verbal Hochman Scale: RR 0.64 (95% CI 0.41 to 1.00); Visual Facial Expression Scale: RR 0.64 (95% CI 0.44 to 0.94)). In another study, compared with traditional drill ultrasonic tip was associated with a lower level of patient’s discomfort (RR 0.40 (95% CI 0.20 to 0.79)) but not with dental anxiety (RR 1.29 (95% CI 0.97 to 1.71)). The effectiveness of the removal of caries as well as fillings durability were only considered in one study, but no statistically significant differences were found between the two interventions.ConclusionsThe evidence based on two low-quality studies was insufficient to conclude that the use of oscillating tips for the management of pain and dental fear in children or adolescents compared with rotating drills was more effective.

Barriers in Access to Dental Services Hindering the Treatment of People with Disabilities: A Systematic Review

“…One of the most common barriers was the lack of preparation and experience of the professional for dental care of disabled persons [5,70,75,[77][78][79][80]84]. Knowledge is fundamental for good dental practice, and innovation and the use of instruments that can facilitate the time of care can always help in the treatment of people with disabilities when we do not have a collaboration during the consultation [91].…”

“…One of the most common barriers was the lack of preparation and experience of the professional for dental care of disabled persons [ 5 , 70 , 75 , 77 – 80 , 84 ]. Knowledge is fundamental for good dental practice, and innovation and the use of instruments that can facilitate the time of care can always help in the treatment of people with disabilities when we do not have a collaboration during the consultation [ 91 ]. This is a significant finding, which reflects upon the training received by the dentist or even the dental curriculum, which does not consistently cover the theme of dental care for people with disabilities [ 92 ].…”

Is the Temporomandibular Joints’ Reciprocal Clicking Related to the Morphology and Position of the Mandible, as Well as to the Sagittal Position of Lower Incisors?—A Case-Control Study

“…Patients diagnosed with TMJ reciprocal clicking require an interdisciplinary approach to the treatment, including physiotherapy and occlusal splint therapy, and could be offered innovative strategies in the field of conservative dentistry [ 42 , 43 , 44 ].…”

A Novel Dental Caries Model Replacing, Refining, and Reducing Animal Sacrifice

“…Caries removal was mostly done by traditional low-speed and high-speed rotatory instruments. Recently, several innovative techniques have been suggested for minimal-invasive caries removal: sonic and ultrasonic oscillating devices [22], lasers [23], and chemo-mechanical solutions [24]. Caries modeling is necessary for evaluating innovative restorative and removal materials before clinical trials.…”