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.

[read the full story...]

Chlorhexidine gels and rinses reduce dry socket after third molar extraction

shutterstock_20930953

This review of the effectiveness of chlorhexidine for prevention of dry socket after third molar removal includes 18 RCTs. The finding suggest a 47% (95%CI,38-55) reduction in cases following its use.

[read the full story...]

Panoramic radiography for predicting inferior alveolar nerve injury after third molar surgery

shutterstock_75860806

This review of panoramic radiography for IAN injury prediction after third molar surgery included 8 studies calculating key diagnostic data fro the 7 classical used signs. Values were to low to rule out post-operative damage before surgery but some siigns could rule in risk of injury.

[read the full story...]

Parotid gland tumours and mobile phone use?

The study used data from a previous telephone survey, which focused on depression, concussion and brain injury, amongst other things

This review of parotid gland tumours and mobile phone use included 3 case-controlled studies and hints at a possible association. However the limited evidence means that the findings should be viewed very cautiously.

[read the full story...]

Tranexamic acid for minor oral surgery in anticoagulated patients

shutterstock_84141019

5 good but small RCTs were identified for this review of topical tranexamic acid (TXA) for minor oral surgery in patients on anticoagulants. The findings suggest that TXA irrigation and mouthwash may reduce the risk of bleeding.

[read the full story...]

Keratocystic odontogenic tumours- which surgical approach?

shutterstock_71153206

This review of surgical approaches for keratocystic odontogenic tumour identified 35 mainly retrospective studies. Radical resection had the lowest recurrence rate but has significant morbidity. Higher quality evidence is to clarify the evidence for the varying surgical approaches.

[read the full story...]

Third molar removal: conventional or piezoelectric device for osteotomy?

shutterstock_68917183

Fifteen studies (5 RCTs) were included in this review of piezoelectric surgery for third molar removal. The findings suggest better outcomes with piezoelectric surgery however the limited quality of the available evidence means that the findings should be viewed with caution.

[read the full story...]

Autotransplantation of permanent teeth with an open apex

dentist_shutterstock_5410882-dentist-x-ray-150x150

21 methodologically weak studies were included in this review of autotransplantation of permanent teeth with open apex. The findings suggest good survival and success rates however the limited quality of the studies mean the findings should be interpreted with caution.

[read the full story...]

Hypotensive anaesthesia: effective in reducing blood loss in orthognathic surgery

shutterstock_71153206

The potential use of hypotensive anaesthesia for maxillofacial surgery was first noted in the 1950s. Since then a number of studies have been reported on the effects of hypotensive anaesthesia in relation to blood loss operating time and surgical field quality producing conflicting results. The aim of this review was to evaluate the efficacy of [read the full story…]

Cryotherapy to reduce pain and swelling after facial surgery

Bariatric surgery and marked weight loss is likely to improve knee complaints but there is a need for high quality studies

This review of postoperative hilothrarpy (cryotherapy) in facial surgery included 6 RCTs none of which were at low risk of bias. The findings suggest that it reduces swelling and pain in the early postoperative period. However more high quality studies from a broader range of researches are needed to confirm the findings.

[read the full story...]