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Professional article

Professional articles

Evidence-based dentistry for day-to-day clinical work. Peer-reviewed. Independent.

Professional article 43 articles
General Dentistry Dental Treatment During Pregnancy: What is Safe, What Can Wait, and What Cannot Wait? Professional article
Cariology & Prevention Deep Caries: Selective vs. Complete Removal—When to Leave and When to Excavate Completely? Professional article
General Dentistry Endodontics vs. Implants: When is Tooth Preservation the Better Evidence-Based Choice? Professional article
Diagnostics & Imaging TMD Diagnostics: When Is a Clinical Exam Enough—and When Isn't It? Professional article
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ddj
General Dentistry Dental Treatment During Pregnancy: What is Safe, What Can Wait, and What Cannot Wait?
Systematic reviews show most standard dental treatments are safe during pregnancy. The biggest risk is not the treatment itself, but delaying care.
ddj
Cariology & Prevention Deep Caries: Selective vs. Complete Removal—When to Leave and When to Excavate Completely?
Evidence strongly supports selective caries removal in deep lesions. Decisions involve 5 factors: depth, excavation, pulp care, teeth status, and restoration quality.
ddj
General Dentistry Endodontics vs. Implants: When is Tooth Preservation the Better Evidence-Based Choice?
For healthy teeth, root canal treatment and single implants offer similar long-term success. The choice requires assessing multiple factors, not just one finding.
ddj
Diagnostics & Imaging TMD Diagnostics: When Is a Clinical Exam Enough—and When Isn't It?
DDJ maps when a structured clinical exam is enough for TMD and when imaging or device-based testing adds real diagnostic value.
ddj
Diagnostics & Imaging CBCT in Dentistry: When Does It Add Diagnostic Value, and When Is It Overused?
DDJ analyzes where CBCT adds clinically relevant information beyond 2D imaging, and where indication creep outpaces the evidence.
ddj
Diagnostics & Imaging Caries Diagnosis: Visual Inspection, Bitewing Radiographs, and AI—What the Evidence Really Supports
The DDJ orders the diagnostic service of visual inspection, bite wing, and AI along clinical decision axes. 9 systematic reviews and meta-analyses, Evidence Level A, Moderate strength of conclusion.
ddj
Implantology Sinus lift in the posterior maxilla: When augmentation, when short implant?
Meta-analyses show no survival rate difference for short vs. standard implants with sinus lift in moderate maxillary atrophy (4-8mm). DDJ guides decisions based on this evidence.
ddj
Implantology Peri-implantitis Prevalence: What the numbers really say and where case definition makes a difference
Peri-implantitis rates vary by case definition, group studied, and care standards. DDJ reviews evidence across 5 clinical decision areas, not with one overall verdict.
ddj
Implantology Implant Success Rates: Why a Single Percentage Distorts Clinical Reality
Implant survival rates vary up to 14% based on endpoints, methods, and follow-up time. This article details these differences in clinical decision-making.
ddj
Implantology Supportive periimplant therapy: What the evidence really supports for aftercare
Local studies consistently show structured support therapy reduces peri-implantitis and implant loss. Conclusion strength is moderate; variability in timing, tools, and add-ons remains uncertain.
ddj
Implantology Peri-implantitis Therapy: Evidence-Based Escalation Logic from Biofilm Control to Surgical Intervention
DDJ finds strong evidence for treating peri-implantitis, guiding care across 5 key areas: initial treatment, surgery, adjunctive tech, antibiotics, and aftercare.
ddj
Diagnostics & Imaging Oral Cancer Screening: High-Risk Benefit or Routine Without Hard Added Value?
Oral cancer screening helps high-risk groups (tobacco/alcohol users), but lacks proof for general screening or added tech benefits.
ddj
Diagnostics & Imaging Dental X-rays in Pregnancy: Fetal Dose, Indications, and Anxiety Gaps
Fetal radiation doses from single dental exposures are far below the teratogenic threshold. Evidence is moderately supportive; decisions rely on dosimetry, indication logic, and treatment needs.
ddj
Diagnostics & Imaging Oral Mucosa Changes: Early Detection of Potentially Malignant Lesions (OPMD)
Evidence review: Early detection, adjunct diagnostics, salivary biomarkers, AI for OPMD, & therapies. Based on 11 systematic reviews/meta-analyses.
ddj
Diagnostics & Imaging Oral and Facial Pain: When is it the tooth, when isn't—and why diagnosis often fails
Local studies support structured orofacial pain diagnosis. They rate its certainty as moderate, guiding decisions across 5 areas: diagnosis, sensitization, differentials, pain control, and escalation.
ddj
Periodontology Periodontitis Staging & Grading: Reliability and Impact on Clinical Decision-Making
This article maps the 2018 classification of periodontitis along clinical decision axes: staging reliability, grading validity, treatment pathway, systemic association, and interdisciplinary options.
ddj
Cariology & Prevention Non-cavitated caries: When is remineralization enough versus when is infiltration needed?
Resin infiltration is most effective for preventing lesion spread without fillings. Fluoride treatment is standard care; active monitoring works for low-risk, early enamel spots.
ddj
General Dentistry Antibiotics in Dentistry: Between Unproven Routine and Targeted Indications
Systematic review on evidence-based antibiotics in dentistry, covering 5 areas: mechanical therapy, overuse in pulpitis, endocarditis prevention, stewardship, and AMR.
ddj
General Dentistry Odontogenic Infections: When is Outpatient Treatment Enough and When Does It Need Escalation?
Evidence-based classification of therapy for odontogenic infections along clinical decision axes: drainage, antibiotic indication, escalation criteria, imaging, and odontogenic sinusitis.
ddj
General Dentistry Wisdom Tooth Removal: Elective Surgery or Observation?
A specialist article on evidence-based indications for impacted third molars. Current Cochrane evidence does not support routine prophylactic extraction of asymptomatic wisdom teeth.
ddj
Aesthetic Dentistry Teeth Whitening in Dentistry: Effectiveness, Side Effects, and Evidence Limitations
Evidence-based assessment of tooth whitening: efficacy signals, concentration-dependent side effects, and limitations in study generalizability to daily clinical practice.
ddj
Aesthetic Dentistry Teeth Whitening with Light and Lasers: Real Benefit or Premium Marketing?
Five systematic reviews show light/laser activation doesn't boost long-term whitening, but it can heat the pulp. DDJ organizes the evidence around 3 clinical decision questions.
ddj
Aesthetic Dentistry Veneers in Young Patients: Conservative Aesthetics or Irreversible Over-treatment?
Systematic reviews show high survival rates for ceramic laminate veneers. The key clinical question is whether the indication justifies irreversibility in young patients.
ddj
Orthodontics Clear Aligners: When Does Evidence Support Them and Where Does Overestimation Begin?
Systematic evidence analysis on the efficacy, treatment duration, precision, patient benefits, and safety of clear aligner therapy versus fixed orthodontic appliances.
ddj
Orthodontics Refinements with clear aligners: exception or built-in part of the business model?
Reviews show aligner movement accuracy varies by type. Minor adjustments for rotation, intrusion, and expansion may be needed; clinicians must judge if this is normal care or over-optimistic planning.
ddj
Orthodontics Remote Monitoring in Orthodontics: Process Gains, Platform Lock-in, and Open Escalation Gaps
Evidence shows remote monitoring helps with aligners by cutting office visits (no change in time). Data is limited to one system and adults; escalation plans are absent.
ddj
Periodontology Periodontitis and Alzheimer's: Association or Causation?
Literature shows consistent links between periodontitis and cognitive decline, but no clear causal chain exists. Clinical relevance is suggested, though direct evidence is lacking.
ddj
Periodontology Periodontitis and Cardiovascular Risk: Association, Confounding, and the Missing Intervention Link
Reviews link periodontitis to heart disease, but evidence is only observational; RCTs on this topic are missing.
ddj
Diagnostics & Imaging HPV and Oral Carcinomas: Where the Evidence Supports and Where Signals Are Overestimated
Systematic evidence shows a strong HPV association with oropharyngeal cancers but a much weaker role in oral cancers specifically. This article organizes the evidence along clinical decision axes.
ddj
Orthodontics Open bite and clear aligners: evidence review, overestimation, and long-term data gaps
Evidence review: Clear aligners for adult anterior open bites. Covers mechanics, predictability, clinical points, and long-term stability questions.
ddj
Periodontology Non-Surgical Periodontitis Therapy: Basic Treatment, Adjuncts, and Systemic Relevance
9 systematic reviews/meta-analyses confirm SRP benefits for periodontitis stages II-IV. Evidence covers core therapy, adjunctive treatments, and systemic links.
ddj
Implantology Re-Implantation After Implant Loss: Survival Rates, Risk Factors, and Alternatives
Evidence for replantation at previously failed sites comes from four retrospective cohort studies. DDJ rates the conclusive strength as moderate, organizing results along three clinical decision axes.
ddj
Implantology Implant Prognosis with a History of Periodontitis: Risk Stratification Instead of Blanket Verdict
Periodontitis history raises implant/peri-implantitis risk, but doesn't preclude success with controlled periodontal status. Evidence is assessed across 5 clinical decision axes, not by a single ruling.
ddj
Implantology Implants vs. Bridges: Indications, Complication Spectrum, and Material Choice in Systematic Reviews
Local studies show high evidence for this. DDJ rates conclusiveness as moderate, focusing on 5 clinical areas: survival vs. complications, indications, materials, risk, and follow-up.
ddj
Cariology & Prevention Sealants for Kids & Teens: Evidence vs. Standard Care Guidelines
Evidence for fissure sealants comes from multiple systematic reviews/meta-analyses. DDJ rates this evidence moderately, suggesting use based on specific clinical decisions, not a blanket statement.
ddj
Cariology & Prevention Childhood Caries Prevention: Sealants, Fluoride, and Social Determinants — Where Does the Evidence Stand?
The DDJ reviews evidence for preventing childhood caries across 4 areas: sealants, fluoride, social risks, and sweeteners. Overall conclusion strength is moderate despite high source quality.
ddj
Cariology & Prevention Interdental Cleaning: Interdental Brush, Floss, Water Flosser - What Does the Evidence Really Show?
DDJ reviews interproximal hygiene across 4 areas. Interdental brushes are better than floss in accessible gaps. Evidence is still unclear for implants.
ddj
Cariology & Prevention Fluoride in Dentistry: Benefits, Harms, and the Line Between Evidence and Misattribution
Few preventive pillars of dentistry are as thoroughly studied and as emotionally charged as fluoride. The real issue lies in the rigorous separation of different exposure models.
ddj
Cariology & Prevention Fluoride in Dentistry: Caries Prevention, Fluorosis Risk, and the Neurotoxicity Debate
Topical fluorides reduce caries by 24–43 percent. The neurotoxicity debate concerns systemic exposure above 1.5 mg/L in drinking water and is not transferable to topical application.
ddj
Periodontology Deep Cleaning / SRP: When Is It Real Therapy, When Is It Overexpanded indication?
Evidence review: SRP vs. "deep cleaning." Assessing adjunctive treatments (aPDT, YAG laser) for periodontitis/diabetes.
ddj
Cariology & Prevention Professional Dental Cleaning: Who Really Benefits?
Cochrane reviews show routine deep cleaning offers no benefit for stable adults regarding gingivitis or probing depth; benefits are limited to those with gingivitis needing OHI.
ddj
Cariology & Prevention 6-Month Recall: Evidence-Based Standard or Mostly Tradition?
Evidence supports risk-based recall intervals rather than a uniform 6-month default for every patient.

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