This review comparing autogenous dentine graft (ADG) to other bone graft materials for implant placement included 9 studies five of whihc were RCTs. The findings suggest that ADG has similar outcomes to other bone graft material howevr the limited number and quality of the availabel studies means tha findings should be interpreted cautiously.[read the full story...]
Maxillary sinus augmentation – relative performance of available biomaterials and the challenge of small studies
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.[read the full story...]
Periodontitis: Locally delivered anti-microbials as an adjunct to surgical periodontal treatment
This review of the effectiveness of locally delivered adjunctive antibiotic treatment during periodontal surgery on clinical outcomes included 9 RCTs. While the findings suggested that adjunctive locally delivered antibiotics could improve some clinical sutcomes they evidence was limited and of very low certainty.[read the full story...]
Cleft lip and palate: Autologous or alloplastic secondary alveolar bone grafting?
This review of the effectiveness of autologous versus alloplastic bone for secondary alveolar bone grafting in patients with cleft lip and palate included 4 small RCTs suggesting no difference between the approaches.[read the full story...]
Periodontal infrabony defects: does autologous platelet concentrates (APC) improve surgical outcomes
38 RCTs were included in this Cochrane review of the effects of autologous platelet concentrates (APC) used as an adjunct to periodontal surgery. Very low quality evidence was found for two approaches involving open flap debridement.[read the full story...]
Bone augmentation in atrophic mandibles; autogenous bone or biomaterial?
This review of bone augmentation with biomaterials or autogenous bone in the posterior mandible outcomes included 4 small split-mouth studies demonstrating similar were outcomes with both materials.[read the full story...]
Periodontal regeneration therapies: Are benefits long-term?
This review of periodontal regeneration therapies included 52 trials. While the results suggest some statistically significant improvements they may not be clinically important. There is also limited data for outcomes longer than 12 months.[read the full story...]
Short dental implants for the atrophic posterior mandible?
The main aim of this systematic review is to look at implant based restorative options for restoring the atrophic posterior mandible using osseointegrated dental implants. The atrophic posterior mandible is defined here as having a residual ridge height of 8mm from the inferior dental nerve to the crest of the ridge. The two options considered [read the full story…]
Sinus lift with dental implants: to graft or not to graft
The Scottish Dental Registrars on a recent review of dental implants combined with sinus augmentation (sinus lift): what is the merit of bone grafting?[read the full story...]
Review suggests that via socket filling with a bone graft can help preserve alveolar ridge
Vertical and horizontal alveolar bone loss follows tooth removal. Maintaining good alveolar ridges has an impact on future treatment options. As a consequence a range of approaches have been investigated with a view to ridge preservation. The aim of this review was to determine the effect of socket grafting to prevent post-extraction ridge volume loss [read the full story…]