Trial suggests no difference at 3 years in failure rates between implants that were loaded immediately or early

Cross section of a dental implant

The traditional approach to placing dental implants was to submerge them and keep them load-free for 3–8 months to minimize the risk of implant failures.  During the healing phase temporary prosthesis are often used and patients can find these uncomfortable. Consequently shorter healing periods without jeopardizing implant success would be beneficial.   Nowadays immediate and early [read the full story…]

Implant overdentures do not have a more positive effect on the nutritional state of elderly at 12 months

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As teeth are lost masticatory efficiency declines and this may have a negative impact on diet which may be of particular relevance in older people.  The aim of this trial  was to assess the effects of mandibular  implant overdentures (IODs) on the nutritional status of an edentate elderly population. Participants were randomized to  receive  either  [read the full story…]

Cost-effectiveness of molar endodontic retreatment compared with fixed partial dentures and single-tooth implant alternatives

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This study by Kim et al from March 2011  has had a summary prepared by the  Centre for Reviews and Dissemination (CRD)  at the University of York. The CRD summary of the paper states:- This study examined the cost-effectiveness of strategies for the management of a tooth after failed root canal treatment, including non-surgical or [read the full story…]

No reliable evidence to suggest which is the most effective treatment for peri-implantitis

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With the increasing numbers of dental implants being placed there is growing interest in the  problem of peri-implantitis,  as studieshave  shown that it could occur it around 16% of those placed.  Various approaches to treatment have been used and this latest update of a Cochrane review aimed  to identify the most effective interventions for treating [read the full story…]

Bone substitutes with autogenous bone show similar short term results to autogenous bone alone for maxillary sinus floor elevation

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Maxillary sinus floor elevation is commonly performed to create sufficient bone fraction to enable the placement of dental implants. The aim of this review was to assess the bone fraction and implant survival rate and to determine whether the bone fraction is affected by the grafting material or growth factor applied. The Medline and the [read the full story…]

Positive association between implant primary stability and bone mineral density

Cross section of a dental implant

Primary stability plays an important role in successful osseointegration of dental implants. The aim of this review was to investigate the influence of  bone mineral density on the primary stability of dental implants. The authors performed searches of the Cochrane Library, MEDLINE-PubMed, ISI Web of Knowledge, EMBASE, and LILACS  and SIGLE databases without language restriction. [read the full story…]

Success criteria for dental implants

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Success criteria for dental implants were proposed by Albrektsson et al in the 1980s and while osseointegration remains a predominant marker a range of other parameters have been introduced over the years.  The aim of this review was to was to examine the most frequently used criteria to define treatment success in implant dentistry. The [read the full story…]

Limited available evidence on dental implant treatment in diabetics

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Diabetes mellitus has long been considered a relative contraindication to dental implant therapy.  The aim of this review  was to assess the impact of diabetics glycaemic control on dental implant survival. The authors conducted a search of the Medline database and the references of identified articles that assessed implant survival or failure for patients with [read the full story…]

Evidence suggests immediate loaded single implant crowns have higher failure risk

Cross section of a dental implant

This review originally published in 2009 has now had a critical summary of it prepared under the auspices of the American Dental Association Center for Evidence-Based Dentistry The  appraiser considered that this was a good systematic review that had used accepted methods and applied rigourous selection criteria.  There was homogeneity among  the 5 studies included  [read the full story…]

Implant supported lower dentures increased satisfaction and quality of life over conventional dentures

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Edentulism can have functional, aesthetic and psychological impacts on patients.   The aim of this study was to compare any improvement  in quality of life and overall patient satisfaction following the provision of implant supported mandibular overdentures compared with conventional mandibular dentures. 122 edentulous patients had a baseline assessment of denture satisfaction and quality of life [read the full story…]