This review by Menini et al aimed to evaluate the prognosis of immediately loaded full-arch prostheses supported by both upright and tilted implants in the maxillae, after at least 1 yr. of function. The authors searched the PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), and EMBASE databases for human studies that included participants of [read the full story…]
Limited evidence that a flapless approach to implant placement in posterior maxilla is effective
Flapless approaches to implant placement use rotary burs or a tissue punch to gain access to bone without flap elevation. The theory being that the vascular supply and surrounding soft tissue are well preserved. Flapless surgery is however considered to have a number of limitations, e.g. poor control of precise drilling; inability to preserve keratinized [read the full story…]
Chewing ability and oral condition were the determinants of denture satisfaction best associated with oral health-related quality of life
The need to use patient reported outcome measures (PROMs) is increasingly recognised. Patients satisfaction and oral health-related quality of life are two such measure . The main aim of this study was to evaluate the level of association between patients’ denture satisfaction and oral health-related quality of life (OHRQoL) in edentate patients, and to identify [read the full story…]
Evidence of small benefit in peri-implant bone loss seen in first 5 years with platform switching
This critical summary from the American Dental Association – Evidence-based Center (ADA-EBD) looks at a 2010 systematic review from Atieh et al. The aim of the review was to assess whether platform switching (the placement of a smaller diameter prosthetic component on a larger diameter implant fixture) improved survival rate and bone loss. The commentator [read the full story…]
Some limited evidence that patients with previous periodontal disease at higher risk of dental implant failure
Dental implants are now widely used to replace missing teeth and periodontal disease is an important cause of tooth loss. As implants themselves can suffer from peri-implantitis it is therefore of interest to as to whether patients with a history of periodontitis are of higher risk of implant failure. This critical appraisal of a 2010 [read the full story…]
Limited low quality evidence for success rate of implants placed in horizontal and vertical guided bone regenerated areas
A certain amount of bone is required for the placement of dental implants and a range of techniques applied to reconstruct alveolar bone in order to place dental implants. The aim of this review was to assess the success rate of implants placed in horizontal and vertical guided bone regenerated (GBR) areas. What did they [read the full story…]
Limited randomized clinical trial evidence on the survival of dental small-diameter Implants
Endosseous root form dental implants have been available since the 1960s while dental Small-Diameter Implants were first introduced commercially in the dental field in 1990. The aim of this study was to determine, the survival of narrow diameter implants, whether survival is dependent on whether these implants are placed using a flap or flapless approach, [read the full story…]
No difference in marginal bone loss around implants retaining/supporting mandibular overdentures relative to implant type
This 2010 review by Cehreli et al of marginal bone loss around implants has now been critically reviewed by the American Dental Association Center for Evidence-Based Dentistry. The review found that Marginal bone loss around implants supporting or retaining mandibular overdentures is not significantly affected by the implant system or attachment design However the reviewer [read the full story…]
Limited weak evidence suggesting that flapless dental implant placement is feasible
Dental implants are usually placed after raising a flap to visualise the bone where they are to be placed. Several flap designs have been proposed but in some instances, they can also be placed flapless reducing patient discomfort. The aim of this Cochrane review was to evaluate whether:- flapless procedures are beneficial for [read the full story…]
More long-term studies needed to assess success of implant treatment provided immediately after tooth extraction
The main aim of this systematic review was to quantitatively estimate the survival and success rates of immediate implants and the implant-supported prosthesis, the prevalence of biological, technical and aesthetic complications, and the magnitude of soft and hard tissue changes following implant placement in fresh extraction sockets. The MEDLINE (PubMed) and the Cochrane library databases [read the full story…]