Third molar removal: effect on periodontal health of second mandibular molars

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Mark-Steven Howe looks in detail at a recent network meta-analysis (NMA) of periodontal outcomes following third molar surgery. However the limited number of studies available for the NMA mean the reviews findings need to be interpreted with caution.

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Alveolar ridge preservation techniques: evidence limited

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This review of alveolar ridge preservation techniques addressed two questions. They main one of benefit over unassisted healing only included 9 small studies of short duration providing limited evidence to support its use.

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Periapical surgery – improved outcomes with regenerative techniques?

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Eight small studies were identified for this review of the use of regenerative techniques as an adjunct to periapical surgery. The findings suggest that they improve outcomes after 1 year, but they should be interpreted with caution.

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Lasers for surgical periodontal treatment – insufficient evidence of effectiveness

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Eight small trials were identified for this review of lasers as an adjunct to surgical periodontal treatment. The limited number of studies and variation in the types of lasers used means there is insufficient evidence to support their effectiveness.

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Periodontal intrabony defect regeneration using platelet-rich plasma

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This review of platelet-rich plasma for intrabony periodontal defects included 21 studies. These were mainly small studies with a marked degree of heterogeneity. They suggest some potential benefits but the findings should be interpreted with caution.

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Review suggests that of guided tissue regeneration with absorbable collagen membranes may improve clinical outcomes for periodontal patients

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Periodontitis results in damage to the bone and connective tissues supporting the teeth. The use of barrier membranes aims to assist regeneration of periodontal tissues in order to overcome some of the limitations of conventional treatment.  The aim of this review was to assess the outcomes of guided tissue regeneration (GTR) using an absorbable collagen [read the full story…]

Limited low quality evidence for success rate of implants placed in horizontal and vertical guided bone regenerated areas

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A certain amount of bone is required for the placement of dental implants  and a range of techniques applied to  reconstruct alveolar bone in order to place dental  implants.  The aim of this review was to assess the success rate of implants placed in horizontal and vertical guided bone regenerated (GBR) areas. What did they [read the full story…]

Combination therapies performed better than single ones for treating periodontal bony defects, but additional benefits were small

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A range of regenerative treatments have been used for the  treatment of periodontal infrabony defects. Guided tissue regeneration (GTR) and enamel matrix derivatives (EMD) are two popular treatment and they have both been used in combination with other treatment.   This network meta-analysis was conducted to assess the potential effects of the various combinations. Unlike a [read the full story…]