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…]

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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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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Sinus lift for implants in maxilla – graft or not?

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This review of the efficacy of graftless maxillary sinus membrane elevation using the lateral window approach for implantation in the atrophic maxilla included 9 RCTs. While some difference between grafted and graftless sinus lifts were shown at 6 months only a limited number of small short term trials were available.

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Alveolar ridge preservation techniques

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16 RCTs were included in this Cochrane review update of the effectiveness of techniques for alveolar ridge preservation (ARP) following dental extractions prior to implant placement. The findings suggest that ARP techniques may minimise the overall changes in residual ridge height and width six months after extraction, but the evidence is very uncertain

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Diabetes and dental implants

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This review of the possible association between diabetes mellitus and dental implant complications included 10 cohort studies (8 prospective 2 retrospective). The findings suggest that patients with diabetes are more likely to have clinical complications with dental implants.

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Oral lichen planus as a risk factor for peri-implant disease

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In this blog Rajpal Tattar looks at a review and meta-analysis investigating the correlation between oral lichen planus and peri-implant disease. Only two small observational studies were included so the availabel evidence is very limited.

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Digital or conventional workflow for single implant crown impressions?

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Thibault Colloc takes a look at this review comparing digital and conventional workflows for the placement of single crowns on dental implants. Ten studies were included involving 214 patients and 278 crowns.

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Effects of NSAIDs on dental implant osseointegration

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In his first blog for the Dental Elf Alex Orchard looks at a review of studies assessing the impact of non-steroidal antiflamatory drugs (NDAIDs) on dental implant osseointegration. Only a very small number of studies were identified providing insufficient information to draw any conclusions.

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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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