Trial suggests no beneficial effect for platform switching for implants at 3 years

Cross section of a dental implant

Following placement of dental implants changes to bone level around the implant take place. Platform switching involves the use of an abutment with a smaller diameter than the diameter of the implant shoulder and is considered by some to lead to reduced peri-implant bone loss.   The aim of this trial was to assess the effect [read the full story…]

Review suggests that radiotherapy was associated with higher rates of implant loss

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Implant–supported restorations show good success rates in healthy tissues while studies in irradiated jaws contrasting outcomes have been reported. The aim of this review was 
to assess the survival rate of titanium implants placed in irradiated jaws. The Medline, Embase, and CENTRAL, and  OpenGRAY databases were searched together with a number of journals (Clinical Implant [read the full story…]

Review suggests that antibiotics are beneficial for reducing failure of dental implants

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With the increasing popularity of dental implants and the difficulties of managing infections around them it is important to know whether the use of prophylactic antibiotics is beneficial or not. This review is an update of a Cochrane review originally published in 2008 and last updated in 2010. The aim of the review was to [read the full story…]

Only poor quality evidence available on immediate versus delayed implant placement in augmented alveolar ridges

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The aim of this review was to compare, the success rate of dental implants placed simultaneously or as a second surgery following ridge augmentation by means of guided bone regeneration (GBR) or onlay graft regeneration technique. Searches were conducted in Medline and Embase and screening conducted independently by two reviewers.  Both prospective and retrospective study [read the full story…]

Some evidence that prophylactic antibiotics reduce implant failures

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Dental implants are being used increasingly and some implant failures may be due to bacterial contamination at insertion.  Prophylactic antibiotic regimens have been proposed to minimise infection. The aim of this review was to address the question, does the use of antibiotics, when compared with a control group, reduce the frequency of implant failure and [read the full story…]

Limited evidence for the impact of the dental implant-abutment connection on crestal bone

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Insertion of dental implants is commonly associated with bone remodeling. A number of biological, technical and biomedical factors are considered to affect the degree of remodeling. The aim of this review was to assess the impact of implant– abutment configuration and the positioning of the machined collar/microgap on crestal bone level changes? PubMed and the [read the full story…]

ADA-EBD summary on short dental implants

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This critical summary form the American –Dental Association-Centre for Evidence-based Dentistry looks at a 2011 review by Sun et al . The commentator feels that there was a lack of focus to the question under consideration and that the search strategy was limited. There were also some concerns about  whether the potential for publication had [read the full story…]

Only weak evidence available of the impact of smoking on survival of implants placed in augmented areas of maxillary sinus

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Grafting to augment the floor of the maxillary sinus prior to placement of dental implants in the resorbed maxillary is an increasingly used technique. The aim of this review was to evaluate the effects of smoking on the survival rate of dental implants placed in areas of maxillary sinus floor augmentation. Searches were conducted in [read the full story…]

No convincing evidence of a clinically important difference with different loading times of implants

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Dental implants are increasingly being used to replace missing teeth in contrast to the more traditional use of bridges or dentures.  Implants have been used since the 1970s with the recommendation that they were kept load –free during the healing period (3-4months for the mandible, 6-8 months for the maxilla) . Since the 1990s studies [read the full story…]

Study suggests that pre-operative antibiotics have positive impact on operative morbidity in dental implant surgery

Cross section of a dental implant

Earlier this month  (Dental Elf 13th Feb 2013) we reported on a study looking at whether systemic antibiotics were necessary for the placement of dental implants.  That study suggested that antibiotics were not necessary for the placement of single implants.  Today we look at another study that looked at the influence of pre-operative antibiotics on [read the full story…]