‘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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What is the impact of peri-implant maintenance therapy?

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This review included 10 studies in a meta-analysis which suggests that peri-implant maintenance therapy is important for long the long term success rates of implants.

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Peri-implant disease: Limited evidence for the use of air polishing

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5 small studies were included in this review of air polishing for peri-implant disease. Some improvement in bleeding on probing was seen with air polishing but the quality of the evidence was low.

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Poorer implant outcomes in periodontitis patients?

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This review included 24 studies that showed a marked degree of heterogeneity but the findings suggest Implants placed in patients treated for periodontal disease are associated with higher incidence of biological complications, and lower success and survival rates than those placed in periodontally healthy patients.

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Peri-implantitis: lack of clarity on best self-management options

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This review identified 11 small trials looking at self-management options for peri-implant disease. The quality of the available evidence for the best management strategies for peri-implant mucositis is limited at present.

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Peri-implantitis: a common complication of dental implants?

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A mean prevalence of 22% (CI: 14-30%) was found for peri-implantitis and 43% (CI: 32-54%) for peri-implant mucositis in this review which included 15 studies. However, owing to the level of heterogeneity the results should be treated with caution.

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Peri-implantitis: lack of high quality evidence for surgical approaches

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Today we look at a review of surgical treatments for the management of peri-implantitis. 21 studies were identified but only 5 were randomised trials, only one of which was at low risk of bias. While all approaches provided some benefit the available evidence is limited.

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Peri-implantitis: little evidence that particular non-surgical treatments are better than debridement alone

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This Bayesian network meta-analysis only included 11 small studies of overall low quality. While the greatest reduction in PPD was seen with debridement in conjunction with antibiotics the difference are small so it is difficult to conclude that any particular non-surgical treatment for peri-implantitis performs better than debridement alone

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Review finds limited evidence for laser treatment in comparison to conventional treatment of peri-implantitis

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Peri-implantitis is a common reason for the failure of dental implants and a number of different treatments for managing this condition have been suggested (Dental Elf 26th Jan 2012). The aim of this review was to assess whether laser therapy was effective either as a monotherapy or as an adjunctive therapy in the treatment of [read the full story…]

Limited evidence for surgical treatments for peri-implantitis

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It has been reported that implantitis affects between 2-47% of implants and with the number of implants being placed rising years on year more patients are likely to be affected.  The aim of this review was to assess the effectiveness of different interventions for the treatment of peri-implantitis. Searches were conducted in Medline, PubMed, Embase [read the full story…]