child and adolescent

Birth – 18 years.

Our child and adolescent Blogs

Obstructive sleep apnoea: insufficient evidence for oral appliances in children

What other effects do nightmares and parasomnias have on sleep that could explain the association with future psychotic symptoms?

This Cochrane review to assess the effects of oral appliances or functional orthopaedic appliances for obstructive sleep apnoea in children only identified a single small trial which provided insufficient evidence to assess effectiveness.

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Distraction osteogenesis or orthognathic surgery for hypoplastic maxilla in cleft lip and palate

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This Cochrane review of maxillary distraction osteogenesis compared to orthognathic surgery for the treatment of hypoplastic maxilla in people with cleft lip and palate only identified a single small trial providing very low quality evidence. Further high quality research is needed.

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CBT for Autism Spectrum Disorders and comorbid mental illness

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Alix Dixon presents a recent systematic review on the effectiveness of CBT for autism spectrum disorders and comorbid anxiety or depression.

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Time to stop prescribing antidepressants to young people with depression?

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Andrew Shepherd considers the implications of a recent network meta-analysis of the efficacy and tolerability of antidepressants for children and adolescents with depression.

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Preformed paediatric crowns: little evidence for aesthetic crowns

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Only 7 small studies at high risk of bias were available for this review of preformed paediatric aesthetic crowns. They provide little evidence on which to r change of practice particular for posterior teeth where the use of stainless steel crowns is recommended.

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Fitness to practice: exercise for depression in adolescents

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Dave Steele warms up for the winter triathlon season by reading a new systematic review on the effect of exercise on depressive symptoms in adolescents.

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Early menarche associated with depressive symptoms in early adolescence

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Emily Stapley summarises a Mendelian randomisation study that investigates associations between the timing of menarche with depressive symptoms and depression in adolescence.

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Silver Diamine Fluoride can arrest caries in children

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This review of silver diamine fluoride (SDF) to arrest caries included 19 studies and suggest that 38% SDF can arrest 81% ( 68-89%) of active caries. . However none of the available studies was at low risk of bias so the findings should be interpreted cautiously.

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Do analgesics before dental treatment reduce post treatment pain in children?

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This Cochrane review found 5 RCTs of pre-op analgesics prior to dental treatment for children under local anaesthetic. The evidence as insufficient to determine a benefit but there may be a benefit prior to orthodontic band placement. Further high quality studies are needed.

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Anterior open bite might be corrected with crib therapy

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This review of the use of habit-interception appliances to improve anterior open bite (AOB) included 11 controlled studies only 2 of which were randomised. The limited available evidence suggests that crib therapy could be considered as an effective treatment for the correction of AOB in growing patients.

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