This review of inlay-retained fixed dental prosthesis included 11 small mainly observational studies. The studies suggest a 3-yr survival rate of 92.6% (95% CI: 85.8-97.6%) and 5-yr survival rate of 87.9% (95% CI: 77.4-96.1%). However because of the low quality of the available studies and the wide range of inlay designs, framework materials, surface treatments and cement systems used means that the results should be interpreted cautiously.
[read the full story...]Endodontics or extraction and implant for the pulpally involved tooth?
45 studies are included in this review of endodontic treatment or implants for the pulpally involved tooth. The studies are are observational with few comparative studies and while they summarise success rates for various treatments they should be interpreted cautiously. High quality comparative studies are needed as well as agreement on common reporting outcomes.
[read the full story...]Denture stomatitis: some evidence for nystatin and disinfecting agents
This review of interventions for the management of denture stomatitis identified 35 RCTs. A majority of the RCTs were at high risk of bias. The findings suggest that nystatin and disinfecting agents have a positive effect but the results should be viewed cautiously because of the quality of the available evidence
[read the full story...]Fibre-reinforced composites fixed partial dentures – survival rates
9 studies were included in this review of fibre-reinforced composites fixed partial dentures. Only 3 of the included studies were prospective and were considered to be moderate quality. Good survival rates were seen at 4-5years.
[read the full story...]Dental implant guidelines: methodological quality needs improvement
Mark-Steven Howe looks at a new review of the methodological quality of dental implant guidelines. Improvements are needed in a number of area to improve on existing guidelines.
[read the full story...]‘All-on-4®’ treatment concept: current evidence limited
This systematic review of the ‘All-on-4®’ concept for fixed full arch restoration includes 24 studies of limited quality is considered here by Mark-Steven Howe.
[read the full story...]Bruxism: Are botulinum toxin injections helpful?
Only 5 small low quality studies were included in this review of botulinum toxin (BoNT-A ) injections for sleep bruxism. 3 of the included studies were RCTs and while a potential benefit from use of BoNT-A treatment was suggested the findings should be treated very cautiously.
[read the full story...]Dental pulp testing: insufficient evidence to evaluate clinical performance
This review of pulp sensibility and vitality tests identified 8 studies (4 Cohorts, 4 Case-controlled) . The number of studies matching the inclusion criteria did not provide a sufficient foundation to evaluate the clinical performance of pulp vitality tests.
[read the full story...]Rigid and non-rigid connections between implants and teeth: biological and technical complications.
Mark-Steven Howe assesses a systematic review looking at the impact of rigid and non-rigid connectors between natural teeth and implants on the biological, functional and/or the prosthetic complication rates. Ten mainly retrospective studies were included providing limited evidence that needs to be interpreted cautiously.
[read the full story...]Complete overdentures retained by mini implants.
Mark-Steven Howe looks at a review of complete overdentures supported on mini-implants. Although 24 studies are included the majority are small and short term so while good overall overdenture survival was seen the results should be interpreted with caution.
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