Flap or flapless surgery for immediate implant placement?

shutterstock_70163050 dental implants

This review comparing immediate implant placement using flap or flapless surgery included 5 small RCTs involving a total of 140 patients. The findings suggested a benefit for flapless srugery but in addition to being small the studies were short term and 3 of the 5 studies were considered to be at high risk of bias.

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Intrabony periodontal defects measurement


This review of the accuracy of clinical and radiographic measurements of infrabony periodontal defects inclded 10 studies reporting on 17 comparisons. the findings suggest that clinical and radiographic measurements of the bone level underestimate the true bone loss by an average of 1mm but the evidence is only of low to moderate certainty.

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


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…]

Overdentures: The effect of attachment systems on clinical performance

Overdenture - ball attachments

This review of the behaviour of overdentures supported by bar and clip or ball and O-ring attachments included 17 studies. The findings suggest no differences between the two sustems.

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Statins as an adjunct to periodontal treatment?

This well conducted Cochrane review found no evidence that statins

This review of the adjunctive effect of statins on mechanical periodontal therapy included 15 studies 12 of which were RCTs. The findings suggest a positive effect on probing pocket depth, clinical attachment level, and intrabony defects but the overall quality of evidence is considered to be low.

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Periodontal treatment: outcomes from long-term conservative management


In patients with moderate to advanced periodontitis this longitudinal study demonstrated that long-term tooth retention is possible for compliant patients using a non-regenerative treatment concept.

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Platform-switching dental implants improved bone preservation in short term


This review of platform-switching of dental implants included 17 RCTs and found that bone loss was lower than in regular platform implants, mean difference = -0.41mm (95%CI; -0.58 to -0.24) with no difference in failure rates RR = 1.10 (95%CI; 0.6–2.02).

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Dental implants: platform switching may decrease bone loss


This review of platform switching for dental implants included 18 RCTs in a meta-analysis and suggests an improvement in marginal bone loss. However, the longest study were only of 3 years duration and the authors recommend the results be interpreted with caution due to the presence of uncontrolled confounding factors in the included studies.

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Some evidence of reduction of peri-implant bone loss with platform switching


The concept and use of platform switching has gathered pace with the increasing numbers of dental implants being placed. platform switching (PS), where a small diameter implant abutment is placed in order to place the implant- abutment interface medial to the edge of the implant platform is considered to have a positive impact on maintaining [read the full story…]

Currently little evidence to support smoking as a risk factor for peri-implantitis


Dental Implants are now seen as a predictable treatment strategy for restoration in the partially or totally edentulous patient. Peri-implantitis is one potential complication and the prevalence has been reported as ranging from 6 – 28%. Smoking has been identified as a potential risk factor. The aim of this review was to assess the evidence [read the full story…]