Results: 423

For: restorative dentistry

Maxillary sinus augmentation – relative performance of available biomaterials and the challenge of small studies

Sinus Lift

Mark Steven Howe takes a detailed look at this Bayesian network meta-analysis (NMA) assessing the relative performance of diffferent biomaterials used for maxillary sinus augmentation. 34 RCTs with 28 different treatment options providing a large number of potential pairwise comparisons although only a small number used direct data. The findings suggest little difference beween the various biomaterials but the available studies are small with only 5 being at low risk of bias.

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Hypomineralised second primary molars

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This review of the the worldwide prevalence of hypomineralised second primary molars (HPSM) includes 37 studies conducted between 1979 and 2020. The findings indicate a HSPM prevalence worldwide of 6.8% (4.98% to 8.86%).

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Removable partial dentures: is dental implant support a predictable approach?

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Following tooth loss, it may not be possible to restore the dentition with a fixed prosthesis due to issues with the size and distribution of the saddle area/s, abutment distribution and bone quantity/quality. This problem can be partly resolved using a removable partial denture (RPD), but good retention and stability may be challenging to achieve [read the full story…]

Microwave disinfection of acrylic dentures

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This review of effect of microwave disinfection on the dimensional stability of denture base acrylic resins included 7 in-vitro studies. A wide range of microwave disinfection protocols were used with the reviewers specifying two protocols that may be safe. However because of the heterogeneity and the small number of studies included these finding should be considered cautiously.

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Atraumatic restorative treatment (ART)

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This review of the survival of atraumatic restorative treatment (ART) in both permanent and primary teeth, when performed in conventional dental clinics and field settings included 34 studies. The findings suggest similar survival rates in both clinica and field settings but the quality of the evidence is low.

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Dental implants – post-operative pain management

The authors sought to review available literature relating to SSRI withdrawal syndromes

This review evaluating clinical efficacy of analgesics in mitigating orofacial pain following dental implant surgery included 9 RCTs. While the findings suggest analgesics may be beneficial the number of studies is small an additional infromation is required on which medication,, dosage, dosing schedule, administration route and adverse effects.

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Class II restorations in primary molars

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This review comparing compare the success rate of five tooth-coloured materials for class II restorations in primary molars included 10 RCTs. No differences in failure rates were seen for composite resin,resin-modified glass ionomer cement or compomers although all included studies were at high risk of bias.

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Vital pulp therapy in permanent teeth

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This review aimed to evaluate the association of preoperative factors or intraoperative factors with treatment outcomes of vital pulp therapy. 14 RCTs were included with the findings indicating a 93.2% (95%CI; 91-6% to 94.9%) success rate using contemporary bioceramic material based on low certainty evidence.

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Face-bow transfer and prosthetic outcomes

Facebow

This review of face‐bow transfer on the outcome of a dental prosthesis fabrication included 15 RCTs involving 406 patients. All but one study reported either no difference or better outcomes without the use of the face-bow.

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Peri-implantitis: Are locally administered antibiotics effective?

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This review of the effectiveness of locally administered antibiotics in the treatment of peri-implantitis included 12 small studies 7 of which were RCTs. While the findings suggest a small additional benefit with antibiotic use however the clinical importance of this is debatable.

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