This review included 10 studies in a meta-analysis which suggests that peri-implant maintenance therapy is important for long the long term success rates of implants.
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Derek Richards presents the top Dental Elf Blogs of 2015. Highlights include eating disorders and oral health, the long awaited Cochrane Review of water fluoridation and the update of the NICE guidance on infective endocarditis.
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Six studies involving a total of 837 implants in 335 patients were included in this review comparing implants in augmented bone with short implants in patients with strophic jaws. The findings suggest better outcomes, fewere failed implants and complications with short implants.
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5 small studies were included in this review of air polishing for peri-implant disease. Some improvement in bleeding on probing was seen with air polishing but the quality of the evidence was low.
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This review included 24 studies that showed a marked degree of heterogeneity but the findings suggest Implants placed in patients treated for periodontal disease are associated with higher incidence of biological complications, and lower success and survival rates than those placed in periodontally healthy patients.
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This review compared dental implant outcomes in smokers and non-smokers. 15 studies (5 prospective and 10 retrospective) were included which suggest that the odds of implant failure are higher in smokers . OR = 1.96 (95% CI; 1.68–2.30), as is the amount of marginal bone loss.
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This review of alveolar ridge augmentation procedures included 40 studies only 17 of which were RCTs . While a statistically significant improvement was seen, there was a very high degree of heterogeneity because of the wide range of clinical procedures, measurement approaches and healing times in the included studies.
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This review of dental implants failure in males and females included 91 studies. The majority were retrospective with only 4 RCTs. While suggesting higher failure rates in males than females, the study quality and confounders mean that the results should be treated with caution.
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Only 12 small studies of limited quality were available for this review on CAD-CAM-fabricated implant-supported restorations. While they showed promising short-term outcomes, they should be interpreted with caution.
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This review of antibiotic prophylaxis during dental implant placement considered both systematic reviews and RCTs. Evidence from the 10 included RCTs suggests a small reduction (2%) in the risk of implant loss. These results are similar to a recent Cochrane review.
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