child and adolescent

Birth – 18 years.

Our child and adolescent Blogs

Childhood adversity and psychotic symptoms: how much can a growing evidence-base tell us?

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Stephen Wood ponders the reliability of a recent systematic review and meta-analysis, which suggests that childhood adversity is significantly linked to an elevated risk of psychotic symptom persistence.

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School interventions for ADHD: new HTA report of four systematic reviews

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A warm woodland welcome to Joff Jones who pens his debut Mental Elf blog today about this new HTA report of non-pharmacological interventions for ADHD delivered in school settings.

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Fluoridated milk: low quality evidence of benefit

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The updated Cochrane review only included 1 low quality RCT. A substantive reduction in decay for primary teeth was seen equivalent to a prevented fraction of 31% but further research is likely to have an important impact on this estimate.

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Amelogenesis imperfecta: study suggests good outcomes from crown therapy

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This small trial found no difference between either Procera or IPS e.max Press crown in amelogenesis imperfecta patients in the short term. The survival rate at 2 years was 97% with only 3% of teeth suffering with endodontic complications.

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Weak evidence for an effect of chlorhexidine varnish on mutans streptococci in patients with fixed orthodontic appliances

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11 studies were included in this review of chlorhexidine varnish to reduce mutans streptococcus in patients having a fixed orthodontic treatment. A majority of the studies demonstrated a positive effect but the quality of the evidence was weak.

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Sealants reduced caries in high-risk primary molars

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This split-mouth trial conducted in 4-5 year old children found that sealants were superior to fluoride varnish applications in preventing the development and progression of caries in occlusal surfaces of primary molars over 1 year.

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Caries risk factors identified in life course approach studies

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11 studies (7 cohort, 4 cross-sectional) were identified for this review of caries risk factors identified by life course approach studies. Different life course factors were associated with the development of dental caries among children and adolescents, including sociodemographic, biological, psychological, and oral health behaviors, as well as the dental status of mothers, children, and adolescents.

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Pulpectomy in primary molars: little difference with 3 filing materials

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This small trial compared the success rates of 3 different filling materials (RC Fill, Vitapex and Pulpdent ) following pulpectomy in primary molars. At 30 months there were no significant differences between the groups.

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Anterior open bite: limited evidence for current treatment approaches

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While 22 studies were included in this review of the treatment of anterior open bite, only 3 were RCTs. The RCTs and the other included studies were of low quality and a wide range of treatment approaches and appliances were used. Further high quality trials are needed to guide clinical practice.

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Fixed functional appliances for class II malocclusions

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This review of fixed functional appliances for treatment of class II malocclusion included 9 studies, only one of which was a RCT. The findings suggest that fixed functional appliances are effective at producing short term improvements in class II malocclusions but should be interpreted with caution because of the quality of the available evidence.

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