Anterior mandibular fractures: review suggests lag screws and 1 plate plus an arch bar were superior to 2 miniplates for fixation

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This is one of a series of reviews that has looked at postoperative complications following different treatments for mandibular fractures. This review focuses on anterior mandibular fractures with the findings suggesting that lag screws and single miniplate plus an arch bar were superior to 2 miniplates

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Endodontic microsurgery or single tooth implants after failed root canal treatment

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This systematic review was looking to compare endodontic microsurgery with single implant placement. No studies directly comparing the two treatments were available. 44 studies of single implants and 6 studies of endodontic microsurgery found 2 -4 years survival rates for endodontic microsurgery were 94% and single implants 96%. The quality of the available evidence was moderate.

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Oral health problems in elite athletes

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A systematic review identified 39 observational studies looking at oral health problems in elite athletes. The quality of the studies was low and there may be some concerns about unrepresentative sampling. It suggests that oral health problems are common in this group. This consensus statement highlights these problems and makes recommendation for the future oral health of athletes and to research in this area.

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Intravenous midazolam sedation for dental treatment: review found no significant side effects

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This review of IV midazolam for treating children and adolescents only identified 11 studies (5 RCTs, 6 non randomised). No serious adverse events were reported but there was a generalised inconsistency in side effect reporting. Consequently the call for better side effect reporting.

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Fixed functional appliances for treatment of skeletal class II malocclusion

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This review of fixed functional appliances for the treatment of class II malocclusions could only find 11 small studies with methodological problems to assess the effectiveness of this approach. Some benefit was noted but larger higher quality studies are needed.

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Behçet’s disease: review found insufficient evidence to support or refute interventions for oral ulceration

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This review focuses on the treatment of oral ulceration in Behçet’s disease, 15 trials examining 13 different interventions were found. There was insufficient evidence to support or refute the use of any included intervention with regard to pain, episode duration, or episode frequency associated with oral ulcers, or safety of the interventions.

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Composite resin restorations: no good evidence to assess impact on dental pulp

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Only 10 low quality studies were available for this review to assess if a vital pulp restored with composite resin is at greater risk of pulpal complications than one restored with other materials. Questions over the studies qualities make it difficult to draw any conclusions.

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Low-level laser therapy: review suggests some benefit for patients with temporomandibular disorders

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Low level laser therapy have been used of musculoskeletal problems and this review looked it is use in temporomandibular disorders. 6 small studies were included and this suggested a small statistical benefit for pain reduction.

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Mandibular fractures: review finds that use of a single miniplates reduced postoperative complications

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This review looked at which internal fixation method for mandibular fractures resulted in lowest complication rate. 20 studies were included and they found use of 1 miniplate is superior to using 2 ; and the transbuccally placed lateral miniplate was better than one placed on the external oblique ridge

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Chin cup treatment for class III maloclussions: little evidence to assess impact on temporomandibular joint

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This review focuses on the effect of chin cup therapy used for treating class III malocclusion on the TMJ.On 8 low quality studies could be included and they suggest suggests that chin cup therapy affects the condylar growth pattern but constitutes no risk factor for TMD.

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