Cooling is an Art, at least for most of US it is.
While there do exist highly over-educated thermal engineers who are employed to scientifically design cooling systems, I have met none here.
However, there is a lot of experience in the Art of Cooling here, and much has already been posted; here comes my piece.
Air Control is really the key: cooler air to the hot components and then out of the case. Sometimes this is best done with a lot of intake and exhaust fans, sometimes it can be done just as well with a few. Usually keeping the intake and exhaust cfm close to equal results in the best temps, but not always, and many seem to find that having more intake helps keep the case cleaner (I have never seen this myself.) The best way I know to determine general case cooling effectiveness is to monitor temps with the side panel in place and then remove the panel and check again. If the temps are lower with the panel off then your case cooling can be improved.
CPU specific-
More airflow will almost certainly improve your cpu temp; just how much it will improve it is pure guesswork and depends on some other factors:
case temp
ambient temp
type of heatsink
quality of TIM (Arctic Silver and such)
Heatsink mating surface flatness- "lapping" can make a big difference.
If the answers to the variables above are horrible then more airflow will probably have little impact.
If all those conditions are already quite good, and the heatsink has a high fin count, then more airflow can make a big difference- possibly even near the 10c you are looking for, MAYBE.
But it is impossible to be sure on the results; you will need to mess around and Experiment.
Voltage issues- without knowing just how severe and exactly what the relevant points are, I have little to say- not nothing, just little.
How snug is the ATX connector to the mobo? If its loose it can result in a LARGE drop of voltage and/or voltage fluctuations.
A really GOOD psu should handle fluctuating loads pretty well, but they can be very expensive.
Volt mods are possible ofr a lot of mid-quality power supplies and this may also help, if you choose to try them. No guarantees, however!
My suggestion: if the noise doesn't bother you then the faster fan on the heatsink should help a bit, at the least. I have found that OEM sinks can always use a lap-job, though it may not help tremendously. Every little bit helps though, when you are pushing a system hard.