Critical summaries from the American Dental Association-Center for Evidence-based Dentistry-Jan 2013


A number of new critical summaries have been made available on the ADE-EBD website of the past few weeks.

The first is an appraisal of a 2010 review by Martínez-Maestre et al. that looked at the association between dental bone loss and systemic osteoporosis.  The reviewer highlighted that this was a weak review of observational studies that does little to clarify the relationship between osteoporosis and periodontitis.

The second is  another 2010 review by Finnema et al. This review looked at whether in-vitro characteristics of enamel bond strength testing provided data that reliably translated into clinical orthodontic practice?  The review found variation in the testing parameters which meant that  clinicians had to be cautions in the interpretation an use of laboratory data when making clinical decisions.

The third appraisal is of a 2011 review of short implants (< 10-mm) in partially edentulous patients by Tellerman et al.  The review was considered to be good and found that the two years survival rate was similar to standard implants. Survival rates increased with longer designs and for those in the mandible. Other review of short implants have been published see, Dental Elf 18th July 2011 and 31st Oct 2011.


ADA-EBD – Relationship between osteoporosis and periodontitis still unclear

 Martínez-Maestre MÁ, González-Cejudo C, Machuca G, Torrejón R, Castelo-Branco C. Periodontitis and osteoporosis: a systematic review. Climacteric. 2010 Dec;13(6):523-9. doi: 10.3109/13697137.2010.500749. Epub 2010 Aug 7. Review.PubMed PMID: 20690866.

 ADA-EBD Inconclusive evidence and lack of agreement in outcomes for in-vitro orthodontic bond strength.

Finnema KJ, Ozcan M, Post WJ, Ren Y, Dijkstra PU. In-vitro orthodontic bondstrength testing: a systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2010 May;137(5):615-622.e3. doi:10.1016/j.ajodo.2009.12.021. Review. PubMed PMID: 20451780.

 ADA-EBD  Success of short implants in patients who are partially edentulous

Telleman G, Raghoebar GM, Vissink A, den Hartog L, Huddleston Slater JJ,Meijer HJ. A systematic review of the prognosis of short (<10 mm) dental implants placed in the partially edentulous patient. J Clin Periodontol. 2011Jul;38(7):667-76. doi: 10.1111/j.1600-051X.2011.01736.x. Epub 2011 May 12. Review. PubMed PMID: 21564158.

Dental Elf 18th July 2011 – Shorter dental implants have higher failure rates 

Dental Elf 31st Oct 2011 – Shorter implant supported prosthesis may be a valid option in the atrophic jaw.


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