Periodontal infrabony defects: does autologous platelet concentrates (APC) improve surgical outcomes

shutterstock_28627237

38 RCTs were included in this Cochrane review of the effects of autologous platelet concentrates (APC) used as an adjunct to periodontal surgery. Very low quality evidence was found for two approaches involving open flap debridement.

[read the full story...]

Gingival recession: which surgical treatment technique?

Gum_graft_fig_1

This Cochrane review of the efficacy of different root coverage procedures for gingival recession included 48 RCTs describing a range of procedures. Most procedures led to a reduction in gingival recession.

[read the full story...]

Periodontal regeneration therapies: Are benefits long-term?

gum disease, scale and polish

This review of periodontal regeneration therapies included 52 trials. While the results suggest some statistically significant improvements they may not be clinically important. There is also limited data for outcomes longer than 12 months.

[read the full story...]

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

shutterstock_133048361

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.

[read the full story...]

Alveolar ridge preservation techniques: evidence limited

shutterstock_2418735

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.

[read the full story...]

Periapical surgery – improved outcomes with regenerative techniques?

shutterstock_4350574

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.

[read the full story...]

Lasers for surgical periodontal treatment – insufficient evidence of effectiveness

shutterstock_129331361

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.

[read the full story...]

Periodontal intrabony defect regeneration using platelet-rich plasma

shutterstock_75626410

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.

[read the full story...]

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

shutterstock_114254617

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

shutterstock_43147957-dental implants

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…]