This review comparing access flaps (AF) and subgingival debridement in achieving probing depth (PD) reduction in patients with periodontitis included 18 studies reported in 36 publications. While the results demonstrated a statistically significant improvement in PD reduction between AF and subgingival debridement this may not be clinically important.
[read the full story...]PPE: Which comes first, the mask or the gown?
Mark-Steven Howe takes a look at the currently recommended donning procedures for PPE and provides his personal view.
[read the full story...]Hyaluronic acid as an adjunct to periodontal treatment
This review looked at the adjunctive effects of hyaluronic acid (HA) on surgical or non-surgical periodontal treatment. Thirteen RCTs the majority at high risk of bias suggested that the topical application of HA may lead to additional clinical benefits.
[read the full story...]Micro-osteoperforation: Does it speed up tooth movement?
This review of the effects of micro-osteoperforation on the rate of tooth movement in patients undergoing orthodontic treatment included 6 RCTs. Although meta-analysis found a small statistical benefit in favour of micro-osteoperforation in the short term the clinical benefits particularly over the duration of a course of treatment remain unclear.
[read the full story...]Actinic cheilitis: What is the best treatment?
This review of treatments for actinic cheilitis included 29 mainly observational studies providing little evidence to identify the best treatment approaches.
[read the full story...]Anxiety and pain during dental treatment
35 studies investigating 47 clinical groups were included in this review of the association between dental anxiety and pain during dental treatment. The findings suggest a consistent impact on pain through the entire period of dental treatment.
[read the full story...]Intrusive luxation in permanent teeth
This review of treatments for teeth with intrusive luxation included 8 studies. The studies were all considered to be at high risk of bias and suggested that spontaneous re-eruption should be the treatment of choice. However the small number of studies and limited quality means these findings should be interpreted with caution.
[read the full story...]Surgical versus non-surgical treatment of patellar dislocation
This systematic review compared surgical and non-surgical interventions used to managed patellar dislocation in adults.
[read the full story...]Mandibular condylar fractures: is surgical or non-surgical approach best?
Review of 36 studies at high risk of bias suggests that surgical treatment of mandibular condylar fractures provides a better clinical outcome for post-treatment malocclusion, protrusion, laterotrusion, and lateral deviation during maximal incisal opening in comparison to non-surgical treatment. But more patients affected by post-treatment infection.
[read the full story...]Peri-implantitis: lack of high quality evidence for surgical approaches
Today we look at a review of surgical treatments for the management of peri-implantitis. 21 studies were identified but only 5 were randomised trials, only one of which was at low risk of bias. While all approaches provided some benefit the available evidence is limited.
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