Mark-Steven Howe

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Mark qualified from Birmingham University in 1988. After 4 years in general practice he joined the Royal Air Force Dental Branch on a Short Service Commission serving in the UK and overseas gaining his Diploma and Membership exams in general dental surgery. On leaving the RAF Mark completed his Fellowship to the Faculty of General Dental Practice (FFGDP). Mark purchased Broadway Dental Care in 1998 and provides a referral service for other dentists. He is an assessor for the Royal College of Surgeons and holds an honorary lecturer post at The University of Liverpool and is studying for an MSc in Evidence-Based Healthcare at the University of Oxford, Kellogg College.

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Root canal obturation: Does apical extent of obturation affect outcome?

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Mark-Steven Howe looks at this review of the association between obturation extent and final treatment outcome of root canal treatment. Twenty two studies were included with 11 contributing to the meta-analysis suggestign that obturation extent may have an effect.

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COX-2 inhibitors for pain management after third molar removal

Many drugs are licensed for use in Generalised Anxiety Disorder (GAD), but it is unclear what works best.

This review comparing the efficacy of Cox-2 inhibitors with ibuprofen after third molar removal included 12 RCTs suggesting that COX-2 inhibotors and Ibuprofen provide similar pain relief at 6, 8, and 12 h after third molar removal.

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Dental Implants: Survival at sites of previous implant failure

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Mark Steven-Howe takes a look at a systematic review of survival rates of dental implants placed at sites of previous implant failure. Eight retrospective cohorts were included and while good survival rates were reported over 1-5 years the findings need to be interpreted very cautiously as the studies are at high risk of bias.

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Antibiotics as an adjunct to the non-surgical periodontal treatment of smokers

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Mark-Steven Howe looks at a systematic review of the effectiveness of adjunctive antibiotics in smokers undergoing non-surgical periodontal treatment. While a statistical benefit was noted it was not considered to be clinically relevant.

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Dental implant placement into fresh extraction sockets

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Mark-Steven Howe considers this review of dental implants placed into fresh extraction socket. While 30 studies were included in the review he looks closely at the 3 studies with the longest follow up.

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Mandibular fractures: the influence of third molars

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This review of the effect of presences of third molars on mandibular fractures includes 35 observational studies. The findings suggest that the presence of third molars increases the change of mandibular angle fractures.

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Short dental implants for the atrophic posterior mandible?

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The main aim of this systematic review is to look at implant based restorative options for restoring the atrophic posterior mandible using osseointegrated dental implants. The atrophic posterior mandible is defined here as having a residual ridge height of 8mm from the inferior dental nerve to the crest of the ridge. The two options considered [read the full story…]

Peri-implantitis: lack of high quality studies for surgical regenerative treatment

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This review of surgical regenerative treatment for peri-implantitis included 18 studies only 3 of which were RCTs. While a benefit is suggested the quality of the available studies is limited.

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Oral care in nursing homes

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

Mark-Steven Howe takes a look at a review evaluating the effectiveness of strategies that nursing home care providers can apply to impove the uptake and delivery of oral care in nursing homes

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