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60 Second Journal
Short implants or sinus lift? What the evidence says
60 Second Journal, Vol. 2. For colleagues. When the posterior maxilla has lost height, the traditional answer has been a lateral sinus lift and a 10 mm implant. Several systematic reviews of randomised trials now compare that route with short implants (6 mm or less) placed without grafting. What the trials show* Implant survival is similar between short implants and standard implants with sinus augmentation over 1 to 5 years of follow-up. * Marginal bone loss is slightly lowe
Mohamed Basha
Oct 272 min read
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Irreversible pulpitis: is root canal treatment the only answer?
60 Second Journal, Vol. 3. For colleagues. Lingering pain in a mature tooth has long meant root canal treatment. A growing body of evidence suggests that in many of these teeth the inflammation is limited to the coronal pulp, and that removing that tissue while keeping the radicular pulp alive can work. What the evidence shows* A 2024 meta-analysis of randomised and single-arm trials reported a pooled clinical success of about 93% for pulpotomy beyond 24 months, with no signi
Mohamed Basha
Oct 271 min read
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Implants in patients with type 1 diabetes: what the evidence shows
60 Second Journal, Vol. 1. For colleagues. Type 1 and type 2 diabetes are often grouped together when planning implants. The evidence suggests they should not be. Key findings* A meta-analysis of 89 publications found implants in diabetic patients had higher failure odds than in non-diabetic patients (OR 1.78). * Failure was more likely in type 1 than in type 2 diabetes (OR 4.48). * In that analysis, the difference between diabetic and non-diabetic patients was significant in
Mohamed Basha
Oct 272 min read
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Canine guidance or group function? Rethinking occlusion for implants and bruxers
60 Second Journal. For colleagues. Canine guidance has long been taught as the ideal for lateral movements. It remains a sound choice for many natural dentitions. The question is whether it always suits implants and heavy grinders. Why implants behave differently* Natural teeth move slightly in their periodontal ligament and give sensory feedback. Implants are ankylosed and transmit force directly to bone. * A 2025 systematic review found that occlusal contacts on implant cro
Mohamed Basha
Oct 271 min read
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