Self-ligating orthodontic bracket system did not increase treatment efficiency

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This 3-centre randomised trial, involving 138 patients, found no clinically significant difference in treatment efficiency between treatment with a self-ligating bracket system and a conventional ligation system.

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Periodontal surgery: less favourable outcomes in smokers

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This review of periodontal flap surgery identified 8 small studies, all of which demonstrated better outcomes in terms of probing the depth and the attachment level for non-smokers.

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Periodontal surgery for furcation defects

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This review included 11 small low quality studies that suggest clinical benefits at 6 months. Further high quality longer term studies are needed to assess the clinical relevance.

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Orthodontic treatment: limited research on effectiveness of surgical interventions to accelerate treatment

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This Cochrane review only identified 4 small short-term trials providing limited evidence for the effectiveness of surgical approaches to accelerate orthodontic treatment. Further research with longer follow up is needed to confirm any possible benefit.

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Periodontal surgery for multiple gingival recessions

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This review of periodontal surgery for multiple gingival recessions includes 9 small RCTs with relatively short follow up periods and suggests that the percentage root coverage can be improved although complete root coverage was more variable.

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Manual therapy for temporomandibular disorders

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This review included 8 RCTs with some evidence to show that manual therapy improves pain and maximum mouth opening in patients with TMD. However, the limited number of studies and the heterogeneity of the interventions require further studies with standardised evaluations and better study designs.

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Sleep bruxism: little evidence for management

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The review of sleep bruxism was only able to identify 12 small low quality RCTs covering a range of treatments. Most evidence was available for oral appliances but there is no sufficient evidence to state that the occlusal splint is effective for treating sleep bruxism.

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Sialendoscopy for treating obstructive salivary disorders

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49 observational studies were included in this review of sialendoscopy for obstructive salivary disease. The findings suggest a successful resolution for sialendoscopy alone of 76% (95% CI; 71 to 82%) and 91% (95% CI; 88 to 94%) for sialendoscopy and surgery.

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Dental implants: failure rates higher in males?

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This review of dental implants failure in males and females included 91 studies. The majority were retrospective with only 4 RCTs. While suggesting higher failure rates in males than females, the study quality and confounders mean that the results should be treated with caution.

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