‘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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Extra-oral implants: barclips versus magnets

The study highlighted a lack of evidence about what CMHT services work for older people.

Mark Steven Howe considers this review of extra-oral implant retention. 12 mainly retrospective studies were included providing limited data from which to drawn conclusions regarding the best retention system.

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Mandibular overdentures and impact on oral health

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This review assessed patient satisfaction with mandibular implant overdentures using the Oral Health Impact Profile. Only 5 RCTs were included and findings suggest that implant supported overdentures perform better than conventional dentures.

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Mandibular implant overdentures: Impact on patient based outcomes.

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Mark-Steven Howe writes his debut blog on an updated review by Kodoma et al on the efficacy of the mandibular 2-implant overdenture.

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CAD-CAM-fabricated implant-supported restorations

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Only 12 small studies of limited quality were available for this review on CAD-CAM-fabricated implant-supported restorations. While they showed promising short-term outcomes, they should be interpreted with caution.

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Dental implants: patient experiences

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This review of qualitative studies of patients’ experiences of dental implants used a textual narrative synthesis and included 10 studies. Patients chose implants to improve confidence and resolve existing functional problems

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Intentionally replanted teeth: a possible treatment option?

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This review found a significantly higher mean survival for implant supported crowns (97%) compared with Intentionally replanted (IR) teeth (88%). Evidence for IR teeth was limited, being heterogeneous, old and potential suffering from publication bias.

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Implants improve clinical outcomes for Kennedy class I patients

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This review of the use of dental implants to support removable partial dentures in Kennedy class I cases identified only 15 small observational studies. The review suggests that implant use improved patient satisfaction and masticatory ability. However, these findings should be interpreted with caution.

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Zirconium based dental restorations –available evidence limited

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While this review of zirconium restoration included 27 studies, only 5 were RCTs. Furthermore only 4 studies had more than 5 years follow up. Ten studies included fewer than 20 restorations, so while good survival data was presented, the results should be viewed with caution.

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Overdentures: trial suggests no difference between 1 or 2 dental implant support

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This trial compared patient satisfaction with 1 or 2 implants supporting a mandibular overdenture. No significant differences between the groups were seen after 5 years.

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