This is a summary of a Nuffield Trust report, which describes a novel approach for the evaluation of clinical and cost effectiveness of new NHS care models.
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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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We know that people with learning disabilities have poorer health than those without learning disabilities and may also receive poorer quality healthcare. Emergency or unplanned readmissions may be one indicator of the quality of care.
Here, Pauline Heslop considers a study which looked at such readmissions for people with learning disabilities and those without to see how they compared and how far such readmissions may have been preventable.
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Mike Clark explores a study on patterns of local authority care coordination for older people and thinks about implications of findings for practice.
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This small randomised trial found improvements in quality of life for patients with oral lichen planus at both 4 weeks and 20 weeks following implementation of a structured oral hygiene instruction.
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Learning disability in-patient services have come under some scrutiny in recent times.
Here, Tom Crossland looks at an evaluation of the introduction of a care pathway approach in an inpatient service
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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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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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Lesley Dawson considers a systematic review, which investigates how stretch intensity and body position may impact and influence the soft and connective tissue.
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Lucy Simons summarises a recent study of treatment research priorities, which concludes that research on drugs is preferred by researchers, but evaluation of non-drug treatments is preferred by patients and clinicians.
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