Halitosis: effect of periodontal treatment

We'd like to see the 'C' word (Committing Suicide) eradicated from all discussions about suicide.

Eight low quality studies were included in this review of the effect of scaling and root planing, professional tooth cleaning together with oral hygiene instructions on halitosis. All the studies demonstrated a positive effect but the findings need to be interpret cautiously.

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Shortened dental arch: does prosthetic treatment have a positive impact?

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This small trial compared the restoration of the posterior reduced dental arch with either a denture or no denture. They found greater satisfaction and quality of life in the no denture group.

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Do overdentures improve nutrient status?

Older people with learning disabilities need opportunities to speak for themselves

This review comparing the impact of overdentures with conventional dentures on nutritional status included 8 studies finding no difference in relation to BMI, albumin or vitamin B12 6 months 
after treatment among the older population

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Treating periodontitis to prevent heart disease – evidence unclear

heart attack

Only 1 trial at high risk of bias was included in this recent update of a 2014 Cochrane review of periodontal therapy for preventing cardiovascular disease (CVD) providing insufficient evidence to support or refute whether periodontal therapy can prevent the recurrence of CVD in the long term in patients with chronic periodontitis.

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Tooth loss: does it affect dietary intake and nutritional status?

A Mediterranean diet high in fruits, vegetables, fish and wholegrains has been associated with decreased depression. Is there a key ingredient?

This review of the impact of tooth loss on dietary intake and nutritional status included 8 low quality cohort studies. Weak and inconsistent evidence of an association was seen. Further high quality studies are needed.

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Dementia and oral health status

Caring for a loved one with dementia can be stressful at times.

28 observational studies were included in this review of the oral health status of people with dementia. The findings suggest that compared with people without dementia those with dementia have poorer oral health.

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Children and adolescents with intellectual disabilities: oral health status

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This review of oral health status in people with intellectual disabilities included 39 studies. Higher level of dental plaque, worse gingival status, and fewer decayed and filled permanent teeth were seen than in patients without intellectual disabilities.

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Scaling and root planing: Do adjunctive statins improve effectiveness?

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10 randomised trials were included in this review of he adjunctive use of statins with scaling and root planing for treatment of chronic periodontitis . The findings suggest additional benefits with their use regardless of health or smoking status.

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Fluoride supplements for pregnant women to prevent caries in their children

Pregnancy is a major life changing event for all women, but this study shows that women who are depressed during pregnancy are also at risk of reduced breastfeeding initiation and premature delivery

This Cochrane review of fluoride supplements during pregnancy for the prevention of caries in their children identified only a single trial which provided no evidence of caries prevention in their offspring.

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Periodontal disease and pregnancy outcomes

Routine specialist pregnancy care involved an initial meeting to discuss quitting smoking and set a quit date, followed by 4 weekly telephone calls, and free nicotine replacement therapy for 10 weeks.

Twenty three systematic reviews were included in this overview of reviews reviews assessing the link between periodontal disease and adverse periodontal outcomes. While a majority of the available reviews suggest an association there are concerns regarding the quality of the primary studies.

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