Study suggests people with depression and anxiety have lower use of oral health services and greater tooth loss

Depression

A previous systematic review has shown that ‘‘People with severe mental illnesses like schizophrenia or bipolar disorder are over three times more likely to lose their teeth’.   Another large cross-sectional study from the USA has now been published that looks at the associations among depression, anxiety, use of oral health services, and tooth loss. This [read the full story…]

Compliant high risk children benefited from twice weekly supervised high fluoride gel brushing programme

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Despite continuing improvements in dental health considerable inequalities remain with highest levels of disease amongst children living in the most materially disadvantaged areas. The main aim this study was to assess the caries-preventive efficacy of  a 2 years  twice weekly supervised brushingprogramme using a self-applied gel containing 12,500 ppm fluoride on schooldays compared with weekly [read the full story…]

Are single dose oral medications for post root treatment pain relief effective?

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The pain associated with root canal treatment is a major source of fear for patients. Pre treatment, treatment, and post treatment pain is anticipated, experienced, remembered, and shared by patients. The aim of this trail was to compare the effects of single doses of three oral medications on postoperative pain following instrumentation of root canals [read the full story…]

Using ice chips reduces oral mucositis in patients undergoing chemotherapy

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Cancer treatment is increasingly effective but is associated with short and long term side effects. Oral side effects remain a major source of illness despite the use of a variety of agents to prevent them. One of these side effects is oral mucositis (mouth ulcers). The aim of this study was to assess the effect [read the full story…]

Very low quality evidence for the efficacy of most neurosurgical procedures for trigeminal neuralgia

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The trigeminal nerve is the fifth cranial nerve and one of the largest in the head. It provides sensation to the face and  is called trigeminal because it splits into three main branches. When neuralgia (nerve pain) occurs in the trigeminal nerve it causes severe and sudden face pain. It has an incidence rate of [read the full story…]

Motivational interview is a promising approach for improving plaque control in patients with periodontal disease

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The aim of this study was to assess whether an original motivational interview addressing the five dimensions of Leventhal’s self-regulation theory performed better than conventional basic instruction to improve compliance with plaque control among patients with periodontitis. Participants were randomly allocated to either an experimental group (motivational interview in addition  to standard treatment programme) or [read the full story…]

Primary tooth wear in children varies between 10-30% and increases with age, but is less than 10% in permanent teeth

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This systematic review was first published in 2010 and The American Dental Association Centre for Evidence-based Dentistry has now published a critical summary of this review. The appraiser noted that that the methodological approach taken was acceptable although it was restricted to a single database and to publications in English.  The review found that the [read the full story…]

Topical use of chlorhexidine may prevent dry socket

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This review was first published in 2009 . The American Dental Association Centre for Evidence-based Dentistry has now published a critical summary of this review. The original review included 12 clinical trials involving 1818 patients and concluded that a twice-daily regimen of Chlorhexidine gel (0.2 percent) applied every 12 hours for seven consecutive days can [read the full story…]

Adaptive devices and orofacial exercise improve gingival health in adults with systemic sclerosis

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Medical treatment of systemic sclerosis (SSc), and its complications involves the use of immunosuppressants and calcium channel blockers which are known to increase the risk of developing gingival hyperplasia . In addition defective vascularity and alterations of the  microcirculation of the gingival tissues may lead to gingival inflammation. Sicca symptoms (including dry mouth) are also [read the full story…]

Tooth loss three times higher in people with serious mental illness

Depression

This review was initially picked up by our colleagues over at the Mental Elf who published this on their blog on 7th September. People with severe mental illnesses like schizophrenia or bipolar disorder are over three times more likely to lose their teeth because of poor oral health than the general population. The research, published [read the full story…]