Another review of failure rates of dental implants shows increased failure rates in patients with generalised aggressive periodontitis. Six studies (5 from the same research group ) involving 290 patients and 834 implants were included.
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This new review identified 22 studies but no randomised trials and found a higher dental implant failure rate in periodontally compromised patients than health ones. However concerns over study quality means the findings should be interpreted with caution.
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Review of 36 studies at high risk of bias suggests that surgical treatment of mandibular condylar fractures provides a better clinical outcome for post-treatment malocclusion, protrusion, laterotrusion, and lateral deviation during maximal incisal opening in comparison to non-surgical treatment. But more patients affected by post-treatment infection.
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There is a growing interest in patients’ expectations of dental implants. This review found 10 mainly cross sectional studies with variable quality of reporting. Expectations with respect to aesthetics and function predominated.
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This small study in orthodontic patients suggests that text messaging might improve plaque control in short term. Larger better quality studies are needed to provide more definitive answers.
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The Dental Elf is taking a short break and will be back on the 4th November
Early detection of oral cancer improves prognosis so methods to improve diagnosis are welcome. The review we look at today looks at two light-based systems: chemiluminescence or autofluorescence. 25 studies were included and they are well summarised but few were tested in primary care. Neither system provided much improvement on the level of sensitivity and specificity achieved by conventional oral examination. Therefore it is suggested that these tools are better suited to specialist clinics in which there is a higher prevalence of disease and where experienced clinicians may better discriminate between benign and malignant lesions.
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Today we look at a review of surgical treatments for the management of peri-implantitis. 21 studies were identified but only 5 were randomised trials, only one of which was at low risk of bias. While all approaches provided some benefit the available evidence is limited.
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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.
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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.
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