Implant diameter and survival rates

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This review comparing implant and prosthetic survival with narrrow and regular dental implant diameters included 7 studies.The findings suggest no differences between the two types of implant but 5 of the 7 studies are retrospective and only 4 have a follow-up period of 5 years of more.

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Composite resin restorations – incremental or bulk fill?

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This review of the clinical effectiveness of bulk-fill versus incrementally layered conventional resin composites included 18 RCTs. Owing to the variety of composite materials and bonding systems used a narrative summary was presented with the findins suggesting no important differences between incremental and bulk-fill techniques.

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Restorative treatments for caries lesions – ADA guideline

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In this blog we take a look at the latest clinical practice guideline from the American Dental Association on restorative treatments for primary and permanent teeth with moderate and advanced caries.

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Pulpotomy in permanent teeth with bioactive materials

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This review evaluating the evaluate the success rate of pulpotomies on permanent teeth using ProRoot MTA, compared to calcium hydroxide or other bioceramic cements included 16 RCTs. The findings suggest better outcomes with MTA than calcium hydroxide. However 10 of the studies were at high risk of bias and the overall certainty of evidence was assessed as low.

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Smoking and the incidence of peri-implantitis

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This review of the influence of smoking on the incidence of peri-implantitis included 6 prospective cohort studies involving a total of 762 patients. The findings suggest an increased patient-level risk of peri-implantitis in smokers risk ratio = 2.08 (95%CI; 1.17 to 3.71.

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Pulpal and periapical pathosis after placing indirect coronal restorations

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This review investigating the incidence of and influential factors on pulp necrosis and periapical pathosis of vital teeth following indirect restorations included 37 studies. The findings suggest an overal incidence of pulpal necrosis of 5.02% (3.70 to 6.52%).

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Effervescent tablets for cleaning removable dentures

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This eview of the effectiveness of effervescent tablets in the cleaning and sanitising of removable prostheses included 23 RCTs. Six RCTs contributed to meta-analyses which indicate that use of brushing and effervescent tables reduce biofilm and bacterial conts more than brushing alone.

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Direct restorative materials for treating cavitated carious lesions

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This review of different direct restorative materials for treating cavitated caries lesions on anterior and posterior primary and permanent teeth included 38 RCTs. None of the included studies was at low risk of bias and the findings suggest that the effectiveness of each included direct restorative material varied across outcomes. There was also limited evidence to support clinically important differences between the direct restorative materials assessed.

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Locking taper dental implant – abutment connections

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This review of the clinical performance and complications of single crowns retained by the locking taper system included 12 studies. The findings indicate that the locking taper system had similar performance to the conventional Morse taper system although none of teh studies included direct comparisons.

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Local and systemically delivered antimicrobials and surgical treatment of peri-implantitis

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This review of adjunctive systemic or local antimicrobials as an adjunct to surgical treatment of peri-implantitis included 4 RCTs. The included studies only included a total of 200 pateints and were all considered to be at high risk of bias. The studies antimicrobial and treatment protocols also showed marked variation. Consequently, there is little evidence available on the effectiveness of local or systemic antimicrobials as adjuncts to surgical treatment of peri-implantitis

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