Dental implant placement into fresh extraction sockets

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Mark-Steven Howe considers this review of dental implants placed into fresh extraction socket. While 30 studies were included in the review he looks closely at the 3 studies with the longest follow up.

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Dental implants: survival rates in patients with osteoporosis

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15 observational studies were included in this review of implant survival in patients with osteoporosis. while the findings suggest no difference compared to healthy patients the quality of the included studies is low so the findings should be interpreted cautiously.

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Short dental implants for the atrophic posterior mandible?

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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…]

Peri-implantitis: lack of high quality studies for surgical regenerative treatment

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This review of surgical regenerative treatment for peri-implantitis included 18 studies only 3 of which were RCTs. While a benefit is suggested the quality of the available studies is limited.

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Endodontics or extraction and implant for the pulpally involved tooth?

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45 studies are included in this review of endodontic treatment or implants for the pulpally involved tooth. The studies are are observational with few comparative studies and while they summarise success rates for various treatments they should be interpreted cautiously. High quality comparative studies are needed as well as agreement on common reporting outcomes.

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‘All-on-4®’ treatment concept: current evidence limited

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This systematic review of the ‘All-on-4®’ concept for fixed full arch restoration includes 24 studies of limited quality is considered here by Mark-Steven Howe.

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Sinus lift with dental implants: to graft or not to graft

Dilemma

The Scottish Dental Registrars on a recent review of dental implants combined with sinus augmentation (sinus lift): what is the merit of bone grafting?

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Rigid and non-rigid connections between implants and teeth: biological and technical complications.

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Mark-Steven Howe assesses a systematic review looking at the impact of rigid and non-rigid connectors between natural teeth and implants on the biological, functional and/or the prosthetic complication rates. Ten mainly retrospective studies were included providing limited evidence that needs to be interpreted cautiously.

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Complete overdentures retained by mini implants.

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Mark-Steven Howe looks at a review of complete overdentures supported on mini-implants. Although 24 studies are included the majority are small and short term so while good overall overdenture survival was seen the results should be interpreted with caution.

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