Bone augmentation in atrophic mandibles; autogenous bone or biomaterial?

Autogenous_block_graft

This review of bone augmentation with biomaterials or autogenous bone in the posterior mandible outcomes included 4 small split-mouth studies demonstrating similar were outcomes with both materials.

[read the full story...]

Third molars: Regenerative techniques for preventing periodontal defects

shutterstock_133048361

This review of the effectiveness of regenerative periodontal treatment for preventing periodontal defects following third molar surgery included 21 RCTs and suggested that these approaches were effective. However a majority of the included studies were at high risk of bias so the findings should be interpreted cautiously.

[read the full story...]

Autotransplantation of teeth with incomplete root formation have good success rates

shutterstock_5410882 dentist x-ray

This review of success and survival rates and complications of autotransplantation of teeth with incomplete root formation included 32 observational studies only 5 of which were considered to be of high quality. Good success rates were noted but findings should be interpreted cautiously

[read the full story...]

Cleft lip and palate: maxillary distraction osteogenesis or orthognathic surgery for hypoplastic maxilla?

shutterstock_246532594

This Cochrane review update of the effects and long-term results of maxillary distraction osteogenesis compared to orthognathic surgery for the treatment of hypoplastic maxilla in people with cleft lip and palate only includes 1 small RCT. The trial suggests that distraction osteogenesis may produce more satisfactory results however the trial is considered to be at very high risk of bias so the findings should be viewed cautiously.

[read the full story...]

Orthognathic surgery: Are perioperative steroids beneficial?

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

This review of perioperative systemic corticosteroids on clinically important outcomes in patients undergoing orthognathic surgery identified 8 small RCTs. A reduction in facial oedema was seen in those receiving systemic corticosteroids. However the quality of the studies is limited and there is lack of evidence on other outcomes or adverse effects.

[read the full story...]

Bicycle helmets and facial injuries

Get on your bikes kids!

This review of the effect of bicycle helmet use on facial injuries included 9 observational studies involving 23,461 patients. Those wearing helmets were less likely to sustain a facial injury (OR = 0.69, 95%CI; 0.63– 0.75)

[read the full story...]

Keratocysts: conservative treatment approaches?

Classic_keratocystic_odontogenic_tumour

29 mainly retrospective studies were included in this review of conservative management approaches for odontogenic keratocysts. While the findings suggest use of decompression followed by enucleation data for recurrence were lower than those found in previous reviews of the topic. High quality prospective studies are needed.

[read the full story...]

Orthognathic surgery: limited evidence on antibiotic prophylaxis?

The authors sought to review available literature relating to SSRI withdrawal syndromes

2 reviews and 2 RCTs were discussed in this review of the effect of antibiotics on postoperative infections in orthognathic surgery. There is a lack ofclarity on the preferred antibiotic and the optimal duration of administration.

[read the full story...]

Mandibular angle fractures – Do third molars have an influence?

shutterstock_128576303

16 observational studies were included in this review of the association between the presence of a lower third molar and the occurrence of a mandibular angle fracture in adults. The findings suggest that the odds of fracture are 3.16 (95%CI; 2.2- 4.54) higher in the presence of third molars

[read the full story...]

Third molar extraction – does platelet-rich fibrin improve outcomes?

shutterstock_133048361

6 studies were identified for this review of platelet-rich fibrin to improve outcomes after third molar extraction. The studies were small with contradictory findings so further high quality studies are needed.

[read the full story...]