This review looked at surgical approaches for the management of internal derangement of the temporomandibular joint. Seven studies were identified of which 3 were randomised trials. Benefits for some outcomes were found with both open and arthroscopic surgery. However the available evidence is limited.
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While this new review has included 28 studies, only 6 were RCTs. They found that submerged dental implants had fewer failures than immediate loaded non-submerged implants. The relative risk of failure for immediately loaded compared to submerged implants = 1.78 (95% CI; 1.12 to 2.83).
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This Cochrane review looked at the effectiveness of haemostatic regimens for patients with bleeding disorders. Two small trials involving 59 patients demonstrated the efficacy of antifibrinolytic agents acid in people with bleeding disorders having dental extractions.
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This review of asymptomatic retained third molars included 7 prospective studies and found that the cumulative incidence for M3 extraction varied from 5 to 64% and was associated with the follow-up duration.
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This review only found 1 study reported in 5 articles at high risk of bias that compared distraction osteogenesis to conventional orthognathic surgery for the treatment of maxillary hypoplasia in cleft lip and palate patients. More high quality trials are needed.
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This new review of root canal retreatment indirectly compares the outcomes of two approaches, non-surgical retreatment and microsurgery. Only 4 of the studies were RCTs but these did not involve direct comparison of the two approaches. Pooled success rates suggest better outcomes for the microsurgical approach.
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This new Cochrane review identified 11 RCTs and suggests that for those undergoing orthognathic surgery, long term antibiotic prophylaxis decreased the risk of surgical site infection compared with short-term regimens.
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This 2 year long prospective study of new cases of BRONJ presenting at oral surgery, oral medicine, oral and maxillofacial surgery units, and dental hospitals provides a rough estimate of 508–793 new cases/year across the UK.
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This Cochrane review included 14 trials of variable quality that could not be combined due to variation in local anaesthetic delivery and outcome measures. So the results from individual studies for pain, bleeding and other adverse effects are uncertain.
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This prospective year long multi-centre study involving 11European counties provides an interesting overview of the current demographics, causes and characteristics of maxillofacial fractures in these centers.
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