Flap or flapless surgery for immediate implant placement?

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This review comparing immediate implant placement using flap or flapless surgery included 5 small RCTs involving a total of 140 patients. The findings suggested a benefit for flapless srugery but in addition to being small the studies were short term and 3 of the 5 studies were considered to be at high risk of bias.

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Oral cavity and oropharyngeal cancers – surgical treatments

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This update of a Cochrane review of the relative benefits and harms of different surgical treatment modalities for oral cavity and oropharyngeal cancers includes 15 RCTs. Moderate-certainty evidence from 5 RCTs showed trials that elective neck dissection of clinically negative neck nodes at the time of removal of the primary oral cavity tumour is superior to therapeutic neck dissection, with increased survival and disease-free survival, and reduced locoregional recurrence.

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Preformed metal crown on primary molars – Conventional or Hall techniques?

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This review of the outcomes of preformed metal crowns placed on primary molars using conventional and Hall techniques included 5 studies. The findings suggest similar overal sucess and survival rates for both techniques.

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Radiotherapy and dental implant survival

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This review assessing the effect of radiotherapy on the survival of dental implants in patients with head and neck cancer included 7 studies involving a total of 441 patients. implant survival rate was lower in irradiated patients with odds ratio = 4.77 (95%CI; 2.57 to 8.89) based on 4 studies.

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Pulp survival after tooth fracture

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This review assessing factors related to pulp survival after tooth fracture included 24 studies (4 RCTs, 6 prospective cohort studies, 12 retrospective cohorts, and 2 case-control studies). However the available evidence is overall of very low certainty.

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Aerosol and Surface Stability of SARS-CoV-2

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Manas Dave summarises a recent study on the stability of SARS-CoV-2 and SARS-CoV-1 in aerosols. The findings show that the virus remains viable and survives on a number of different surfaces.

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Elective neck dissection versus observation for T1-2 oral squamous cell carcinoma

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Manas Dave looks at a review of elective neck dissection (END) versus observation for the management of T1-2 oral squamous cell carcinoma. The review included 41 studies only 5 were RCTs the remainder being retrospective studies.

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Mouth and throat cancer: evidence for best surgical approaches uncertain

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

12 RCTs were included in this Cochrane review update of surgical approches for the management of oral and pharyngeal cancer. The certaintly of the evidence was very low as there were limited numbers of studies for each comparison.

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Post-retained single crowns performance linked to amount of coronal structure

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This review of post-retained crowns on endodontically treated teeth included 9 RCTs. Findings suggest that that the number of remaining coronal walls and the use of posts are key factors for the success/ survival of these restorations. However the quality of the available evidence is low.

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Dental Implant survival in patients with aggressive periodontitis

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7 prospective cohort studies were included in this review of dental implant survival in patients with periodontitis. Patients with aggressive periodontitis has statistically significant lower survival rates at 3 years but the quality of the evidence is limited.

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