Hyaluronic acid as an adjunct to periodontal treatment

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This review looked at the adjunctive effects of hyaluronic acid (HA) on surgical or non-surgical periodontal treatment. Thirteen RCTs the majority at high risk of bias suggested that the topical application of HA may lead to additional clinical benefits.

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Micro-osteoperforation: Does it speed up tooth movement?

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This review of the effects of micro-osteoperforation on the rate of tooth movement in patients undergoing orthodontic treatment included 6 RCTs. Although meta-analysis found a small statistical benefit in favour of micro-osteoperforation in the short term the clinical benefits particularly over the duration of a course of treatment remain unclear.

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Actinic cheilitis: What is the best treatment?

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This review of treatments for actinic cheilitis included 29 mainly observational studies providing little evidence to identify the best treatment approaches.

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Anxiety and pain during dental treatment

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35 studies investigating 47 clinical groups were included in this review of the association between dental anxiety and pain during dental treatment. The findings suggest a consistent impact on pain through the entire period of dental treatment.

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Intrusive luxation in permanent teeth

PDS scores at follow up showed gains were maintained

This review of treatments for teeth with intrusive luxation included 8 studies. The studies were all considered to be at high risk of bias and suggested that spontaneous re-eruption should be the treatment of choice. However the small number of studies and limited quality means these findings should be interpreted with caution.

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Mandibular condylar fractures: is surgical or non-surgical approach best?

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Review of 36 studies at high risk of bias suggests that surgical treatment of mandibular condylar fractures provides a better clinical outcome for post-treatment malocclusion, protrusion, laterotrusion, and lateral deviation during maximal incisal opening in comparison to non-surgical treatment. But more patients affected by post-treatment infection.

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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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Available evidence for various aspects of surgical removal of third molars is very low to moderate

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The surgical removal of third molars (wisdom teeth) is one of the commonest operations performed. It is usually carried out because of infection associated with a partially erupted and impacted tooth. The aim of this update to a Cochrane review was to compare the relative benefits and risks of different techniques for undertaking various aspects [read the full story…]