Top Dental Elf Blogs Apr– Jun 2019

The Dental Elf brings you daily updates of evidence-based dentistry research

The Cochrane review of interdental cleaning devices, whether antibiotics are needed for dental implant placement and oral health programmes for people with intellectual difficulties were our most popular blogs of the spring.

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Dental implants: Long or short with bone augmentation in the posterior jaw?

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This review comparing outcomes between short (5-8 mm) and long implants (≥10 mm) with bone augmentation in the posterior jaw included 10 RCTs . The findings suggest no differences in outcomes at 1 year.

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Dental Implant ‘drop out’ rates at 10 years – do they matter?

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Colin Levey takes a look at a systematic review assessing the 10-year survival of titanium roughened surface, solid screw dental implants in adults. 4 RCTs and 14 prospective studies) were included traditional analysis and sensitivity analysis taking into account missing data was conducted providing a more conservative estimate of survival and a broader prediction interval.

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Dental implants: Immediate, early or conventional loading?

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This review looked at the efficacy of immediate loading versus early or conventional loading implants in patients rehabilitated with fixed prostheses. It included 39 RCTs suggesting little difference between the loading strategies.

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Tooth-implant supported fixed dental prostheses survival rates

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This review of the survival and complication rates of tooth-implant supported fixed dental prostheses (T-I FDPs) includes 8 prospective cohort studies and 185 T-I FDPs suggesting acceptable 5 and 10 year survival rates.

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Peri-implant disease: Does supportive periodontal treatment improve implant survival?

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This review of the impact of supportive periodontal treatment (SPT) following implant placement on peri-implant disease and survival rates included 9 studies. While the findings suggests that SPT can improve peri‐implant health the quality of the available evidence is limited so high quality well conducted prospective studies are needed.

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Dental Implants: Survival at sites of previous implant failure

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Mark Steven-Howe takes a look at a systematic review of survival rates of dental implants placed at sites of previous implant failure. Eight retrospective cohorts were included and while good survival rates were reported over 1-5 years the findings need to be interpreted very cautiously as the studies are at high risk of bias.

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Photobiomodulation therapy and dental implant stability and success

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8 small short term RCTs were included in this review of the effect of photobiomodulation (low-level laser therapy) on dental implant stability and success suggesting no differences

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Dental implant placement: which antibiotic protocol?

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This review of the the effectiveness of different antibiotic protocols to prevent early dental implant failure includes 9 RCTs showing that antibiotics were protective against early implant failures.

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Maxillary sinus lifts: with or without grafts?

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This reivew of the efficacy of sinus lift without grafts in atrophic maxilla included 5 small RCTs with the findings suggesting no significant difference in the two approaches

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