Gingival displacement: Conventional cord versus cordless techniques

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Thibault Colloc in his first blog for the Dental Elf looks at this review comparing gingival displacement with conventional cords and cordless techniques. The findings suggest that the sulcus width displacement is increased with cord technique compared to cordless technique but the available studies are all at high risk of bias.

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Dental implants: Short or standard for single-crown restoration in posterior jaw?

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This review comparing whether implant supported crowns on short or standard implants have similar clinical outcomes in the posterior alveolar bone included 5 RCTs. the findings suggested no differences at one year but that shorter implants performed less well at 5 years.

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Post and core restorations: does the ferrule effect influence success?

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This review evaluating the presence or absence of a ferrule influences the failure rate in fibre-reinforced composite (FRC) post-and-core restorations included 4 studies. While the findings indicate no differences in failure rates between restoration with and with out a ferrule the quality of the evidence is low.

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All-ceramic implant-supported single crowns

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This review of survival and technical complication rates of all-ceramic implant-supported single crowns included 41 mainly observational studies suggesting high survival rates for all-ceramic implant supported single crowns.

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Crown lengthening – Are outcomes stable?

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This review to assess if surgical crown lengthening produces stable clinical outcomes only identified 5 small trials all at high risk of bias

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Metal-free fixed dental prosthesis – insufficient evidence to support or refute effectiveness

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Only 9 small RCTs were included in this Cochrane review of metal-free materials for prosthodontic restorations providing insufficient evidence to support or refute the effectiveness of metal-free materials for fixed prosthodontic treatment over metal-ceramic or other type of standard restorations.

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Post-retained single crowns performance linked to amount of coronal structure

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This review of post-retained crowns on endodontically treated teeth included 9 RCTs. Findings suggest that that the number of remaining coronal walls and the use of posts are key factors for the success/ survival of these restorations. However the quality of the available evidence is low.

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Single restorations on root filled posterior teeth

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5 studies at high risk of bias were included in this review of the success of restoration in posterior root filled teeth findings suggest that the more tooth remaining teh better the treatment outcome.

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Ceramic crowns: effect of endodontic access on fracture resistance

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This review of the effect of endodontic access on fracture resistance of all-ceramic crowns included 8 in-vitro studies providing some indication of potential factors that may impact on fracture resistance.

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Amalgam outperforms composite in range of posterior cavity types

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This review of failure rate of single-unit prostheses versus direct restorations in vital posterior teeth included 14 studies (5 RCTs) finding that composite had a significantly higher failure rate than amalgams, regardless of the remaining tooth structure. For teeth with fewer than 2 remaining walls, direct restorations presented significantly higher failure rates than crowns .

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