Palatally displaced canines: open or closed surgical exposure?

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This updated Cochrane review comparing open v closed surgical approaches for palatally displaced canines includes 3 studies involving 146 patients with the available evidence suggesting that neither surgical technique for exposing canine teeth is superior.

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Dental implants: smokers have poorer outcomes suggests review

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This review of the impact of smoking on dental implants had broad inclusion criteria and included 107 studies. The findings suggest smoking affects implant failure rates, incidence of postoperative infections, as well as the marginal bone loss.

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Orthognathic surgery: antibiotic prophylaxis reduced surgical site infection

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This new Cochrane review identified 11 RCTs and suggests that for those undergoing orthognathic surgery, long term antibiotic prophylaxis decreased the risk of surgical site infection compared with short-term regimens.

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Mandibular fractures: review finds no difference in postoperative complications between locking and non-locking plates

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Today we look at a review that was comparing the clinical outcomes between locking and non-locking plates for the fixation of fractures mandibles. The review identified 10 studies, 8 of which were at high risk of bias. They found that there was no difference in the level of post operative complications between teh different approaches.

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Dental implant failures reduced with prophylactic antibiotic suggests review

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This new review covers similar ground to the 2013 Cochrane review. It includes non-randomised controlled trials, but as with the Cochrane review the findings suggest that antibiotics reduce early implant failure.

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Review suggests lower complication rates with 3D miniplate fixation of mandibular angle fractures compared with standard miniplates

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Mandibular fractures are relatively common and about 12-40% involve the mandibular angle. The use of three-dimensional (3D) strut plates is increasingly being suggested as an alternative to conventional miniplates. The aim of this review was to assess whether there was a difference in clinical outcomes between standard and 3D miniplates in the management of mandibular [read the full story…]

Limited evidence for best antibiotic regimens to prevent postoperative infections after orthognathic surgery

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Orthognathic surgery for the correction of dentofacial and craniofacial deformities has become a common a common procedure. Postoperative infection rates have been reported between 2-33%. The aim of this review was to provide evidence-based recommendations on the efficacy of different antibiotic regimens in preventing postoperative infections after orthognathic surgery Searches were conducted in Embase, Ovid [read the full story…]

Little good quality evidence on whether to leave or remove impacted third molars involved in fractures of the angle of the mandible

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Fracture of the mandible often occurs through the angle where it may be closely related to, or involve an impacted third molar. There is a debate about whether they should always be extracted or retained.  The aim of this review was to measure the occurrence of postoperative infection following mandibular fixation performed in the presence [read the full story…]