Titanium or biodegradable osteosyntheses in orthognathic surgery?

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This review assessing the efficacy and morbidity of biodegradable vs. titanium osteosyntheses in orthognathic surgery included 33 studies 11 of which were RCTs. The findings suggest that biodegradable osteosyntheses is a valid alternative to titanium osteosyntheses for orthognathic surgery, but the quality of evidence is low.

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Dental Implant ‘drop out’ rates at 10 years – do they matter?

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Colin Levey takes a look at a systematic review assessing the 10-year survival of titanium roughened surface, solid screw dental implants in adults. 4 RCTs and 14 prospective studies) were included traditional analysis and sensitivity analysis taking into account missing data was conducted providing a more conservative estimate of survival and a broader prediction interval.

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All-ceramic implant-supported single crowns

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This review of survival and technical complication rates of all-ceramic implant-supported single crowns included 41 mainly observational studies suggesting high survival rates for all-ceramic implant supported single crowns.

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Titanium or resorbable plates for orthognathic surgery

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This Cochrane review compared titanium & bioresorbable fixation systems for orthognathic surgery. Only 2 RCTS were identified providing insufficient evidence to determine if titanium plates or resorbable plates are superior.

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Limited study suggests that use of semi-rigid plates and screws reduce mandibular fracture treatment costs

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Fractures of the mandible are a common occurrence.  Two approaches to treatment of mandibular fractures are; rigid fixation using large titanium plates and bicortical screws that function in a load-bearing manner using Arbeitsge-menschaft fur Osteosynthesefragen (AO) principles or semi-rigid fixation using small titanium plates and monocortical screws that function in a load-sharing manner placed according [read the full story…]

Longer term outcomes of biodegradable plates for maxillofacial surgery

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Yesterday I looked at a systematic review of biodegradable plates for orthognathic surgery. One of the trials included in the review  (Buijs et al) had reported outcomes at 8 weeks. Recently the authors of that study have reported 2-year results (van Bakelen et al). The original aim of the study was to compare the clinical [read the full story…]