Compete dentures: no difference between simplified and traditional approaches to fabrication

shutterstock_13679275

Today we look at a review that compares simplified approaches with traditional methods for constructing complete dentures. 3 small trials reported in 6 papers suggest some advantages of the simplified approach over the traditional. However studies are small and of short duration.

[read the full story...]

Caries Prevention: review suggests that education training and fairer payments would increase prevention delivered by dentists

shutterstock_147084917

Seven qualitative studies and 41 surveys were included in this qualitative metasummary of factors that increase or decrease dentists delivery of caries prevention. While the surveys in particular, are of questionable quality some commonality emerges that further education and training coupled with a fairer pay scheme would be a reasonable approach to change the balance in favor of the provision of dental caries preventive measures by dentists

[read the full story...]

Nerve repositioning for implant placement: neurosensory complications common

shutterstock_71305408

This review of complications following inferior alveolar nerve repositioning techniques included 24 studies the majority at high risk of bias. Initial sensory disturbance was highest with lateralisation technique but lower at end of follow up periods than transposition approach.

[read the full story...]

Peri-implantitis: little evidence that particular non-surgical treatments are better than debridement alone

shutterstock_34428667

This Bayesian network meta-analysis only included 11 small studies of overall low quality. While the greatest reduction in PPD was seen with debridement in conjunction with antibiotics the difference are small so it is difficult to conclude that any particular non-surgical treatment for peri-implantitis performs better than debridement alone

[read the full story...]

Chronic periodontitis: review suggests that Er:YAG laser may provide short term improvement

shutterstock_129331370

This review compares the clinical outcomes of scaling and root planing with Er:YAG laser either as an alternative or as an adjuvant in patients with chronic periodontitis. 12 small trials were included and similar outcomes were seen with both treatments at 3 months . However hetrogeneity in teh studies and the small sample size mean that these finding should be interpreted with caution.

[read the full story...]

Anterior mandibular fractures: review suggests lag screws and 1 plate plus an arch bar were superior to 2 miniplates for fixation

shutterstock_172779848

This is one of a series of reviews that has looked at postoperative complications following different treatments for mandibular fractures. This review focuses on anterior mandibular fractures with the findings suggesting that lag screws and single miniplate plus an arch bar were superior to 2 miniplates

[read the full story...]

Endodontic microsurgery or single tooth implants after failed root canal treatment

shutterstock_79298812-implant placement

This systematic review was looking to compare endodontic microsurgery with single implant placement. No studies directly comparing the two treatments were available. 44 studies of single implants and 6 studies of endodontic microsurgery found 2 -4 years survival rates for endodontic microsurgery were 94% and single implants 96%. The quality of the available evidence was moderate.

[read the full story...]

Oral health problems in elite athletes

shutterstock_103375556

A systematic review identified 39 observational studies looking at oral health problems in elite athletes. The quality of the studies was low and there may be some concerns about unrepresentative sampling. It suggests that oral health problems are common in this group. This consensus statement highlights these problems and makes recommendation for the future oral health of athletes and to research in this area.

[read the full story...]

Intravenous midazolam sedation for dental treatment: review found no significant side effects

shutterstock_110115209

This review of IV midazolam for treating children and adolescents only identified 11 studies (5 RCTs, 6 non randomised). No serious adverse events were reported but there was a generalised inconsistency in side effect reporting. Consequently the call for better side effect reporting.

[read the full story...]

Fixed functional appliances for treatment of skeletal class II malocclusion

shutterstock_147584807

This review of fixed functional appliances for the treatment of class II malocclusions could only find 11 small studies with methodological problems to assess the effectiveness of this approach. Some benefit was noted but larger higher quality studies are needed.

[read the full story...]