Edentulism in diabetics compared to non-diabetics

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This review of the prevalence of edentulism among diabetic patients compared to non-diabetic people included 7 cross-sectional studies. The findings suggest a higher level of edentulism in diabetic patients but the findings should be interpreted cautiously.

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Mandibular overdentures – stud or ball retained?

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This review of the clinical performance and self-reported patient outcomes of ball and stud attachments as mandibular overdenture retainers included 17 studies. While greater patient satisfaction was seen with the stud type almost all of the included studies were considered to be at high risk of bias so the findingas should be interpreted cautiously.

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CAD-CAM removable complete dentures

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This review comparing the outcomes of , CAD-CAM removable complete dentures (CDs) with conventional CDs included 73 studies. A majority of the studies were in-vitro small, and involved multiple comparison. 39 studies contributed to meta-analyses of a broad range of parameters whiich suggest little technical difference between CAD-CAM and conventional CDs. However few studies reported on aesthetics or patient reported outcomes.

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Implant-supported overdentures and fixed prostheses in edentulous mandibles

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This review comparing patient-reported outcome measures (PROMs) and clinical outcomes associated with implant-supported overdentures and fixed prostheses in edentulous mandibles included 10 small studies. While the findings suggest better PROMS with fixed prosthesis the available evidence is limited in quality and quantity.

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Smoking cessation and tooth loss

This review provides strong evidence for quitting smoking and reducing your risk of dementia.

This review assessing whether smoking cessation reduced the risk of tooth loss included 14 cross-sectional and 7 longitudinal studies suggestign that the risk of tooth loss in former smokers is comparable to that of never smokers

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Dental Implants: Number of implants and full-arch prosthesis survival

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19 studies (6 RCTs, 13 prospective studies) were included in this review assessing whether the number of dental implants per jaw has an influence on implant and/or prosthesis survival rate and complications with the findings suggesting no influence.

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Dentures: techniques and materials for final impressions

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9 RCTs were included in this Cochrane review of different final-impression techniques and materials for complete and removable partial dentures. The available evidence for the relative benefits of different denture fabrication techniques and final-impression materials is limited and is of low or very low quality.

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‘All-on-4®’ treatment concept: current evidence limited

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This systematic review of the ‘All-on-4®’ concept for fixed full arch restoration includes 24 studies of limited quality is considered here by Mark-Steven Howe.

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Oral Health in people with dementia

This study is the first of its kind from an RCT perspective which clearly shows that treating major depression in older adults using interventions in primary care settings can extend life

This review of oral health in older people with dementia included 37 mainly observational studies of limited quality. The findings suggest that oral health was generally poorer in those with dementia.

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Oral Health in nursing homes: education for staff and residents

All the evidence relates to care homes and there is hardly any evidence for any other setting.

9 trials were included in this Cochrane review of oral health education & training for care home residents & staff . These trials provided insufficient evidence from which to draw evidence about the effects of the interventions so more high quality studies are needed.

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