Some evidence that early neck surgery reduces recurrence of the cancer

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There were more than 404,000 new cases of oral cancers worldwide in 2002.  Oral cancer is  the are the sixth most common cancer worldwide, accounting for an estimated 4% of all cancers. Incidence and mortality varies geographically.  Surgery plays an important part of the management of oral cavity cancer with regard to both the removal [read the full story…]

Short implant-supported prostheses may be a valid option in the treatment of the atrophic jaw

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Short dental implants have been proposed as an alternative to other methods of  bone augmentation for the prosthetic treatment of atrophic alveolar ridges. The aim of this review was to systematically evaluate clinical studies of implants < 10 mm in length, to determine short implant-supported prosthesis success in the atrophic jaw. Searches were conducted in [read the full story…]

Evidence to suggest alcohol consumption is a risk indicator for periodontitis.

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The aim of this cross sectional study was to investigate the association between the frequency of alcohol consumption and periodontitis. A sample of 542 adults  aged 35-55 underwent a complete periodontal examinations with alcohol consumption being measured using AUDIT (alcohol use disorders identification test)  and CAGE (Cut-down, Annoyed, Guilty, Eye-opener) instruments. Patients were classified into [read the full story…]

Preoperative antibiotics may decrease dental implant failure

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The aim of this review was to assess whether patients undergoing dental implants who receive peri-operative antibiotics have lower failure rather than those not who do not receive antibiotics. The authors searched medline  for studies in English with test and control groups . Antibiotic use was classified as a single preoperative dose, a single preoperative [read the full story…]

Maxillomandibular advancement surgery may be an effective treatment for patients with obstructive sleep apnoea

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This  is a critical summary  prepared by ADA Centre for Evidence-Based Dentistry  of a systematic review originally published  in 2010. The original review looked at which surgical modifications of the upper airway were most effective  in reducing the apnoea-hypopnoea index (AHI) for patietns suffering with obstructive sleep apnoea (OSA). OSA is relatively common occurring in [read the full story…]

Functional orthodontic appliances have limited effect on mandibular growth

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The ADA Centre for Evidence-Based Dentistry has published a critical summary of a systematic review published earlier this year  (see Dental Elf 20-07-11) The commentator noted that although the review was conducted thoroughly  only 4 studies were included two with a low risk of bias one with a high risk and the other an unclear [read the full story…]

Some evidence to support antimicrobial photodynamic therapy in patients with chronic periodontitis

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The aim of this review was to assess the efficacy and safety of antimicrobial photodynamic therapy (aPDT) used alone or adjunctive to scaling root planing  (SRP) in patients with chronic periodontitis. The authors searched seven databases and conducted a manual search for randomised controlled trials conducted on humans  diagnosed with chronic periodontal disease comparing (aPDT) [read the full story…]

In high caries risk children; fluoride varnish, maternal counselling and chlorhexidine mouthwash as effective as varnish and counselling

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Early childhood caries (ECC) is  a common chronic childhood disease and a serious concern for child welfare.  In the USA its incidence has increased from 24% to 28%  in recent decades.  The aim of this study  was to  compare an intensive early intervention caries prevention strategy against a more limited control intervention. At 4 months [read the full story…]

Limited evidence for use of bone substitutes in treating jaw cysts

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Jaw cysts are common in the maxillofacial area. Enucleation of the cyst and primary watertight closure has been a preferred approach but in recent decades a range of agents have been used. The aim of this review was to compare  the outcomes of simple enucleation and closure in comparison to the use of bone substitutes. [read the full story…]

Oral glucosamine sulphate not superior to placebo in treating osteoarthritis in temporomandibular joint

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Osteoarthritis (OA)  of the temporomandibular joint is found in about 5-16% of those referred with temporomandibular disorders (TMD).  The aim of this study was to evaluate the effect of oral glucosamine sulphate, compared with placebo, on pain and function in patients diagnosed with osteoarthritis in the temporomandibular joints. Patients with the research diagnostic criteria for [read the full story…]