The use of zygomatic implants have been suggested for severely atrophic fully and partially edentulous maxillae to avoid use of sinus lifts, or other bone augmentation procedures and also for maxillary reconstruction after partial or total maxillectomy. The aim of this review was to evaluate clinical studies on the follow-up survival of implants inserted in [read the full story…]
I have been procrastinating about writing this blog for a while. This is, in part, caused by hesitancy about involving myself in the CBT for psychosis (CBTp) debate. Regular readers of the Mental Elf will be aware that in recent months Jauhar and colleagues presented results of a meta-analysis that called into question the effectiveness [read the full story…]
Despite the improvements in oral health the management of dental caries still presents challenges particularly in children. While some guidelines still recommend complete removal of caries there is growing interest in more conservative approaches. The aim of this study was to compare children’s behaviour and pain perception when approximal dentinal caries lesions in primary molars [read the full story…]
De-institutionalisation, the advent of community care and development of psychotropic medicines are implicated in the reduction in hospital bed numbers and mean length of stay. There remains a huge variance in length of stay and outcomes across the UK and beyond (NHS Confederation, 2011). Figures on length of stay and service configuration are difficult to [read the full story…]
Background The process of preparing for adulthood, whilst opening up a range of opportunities, can also be a worrying and difficult time. In the case of young people with learning disabilities who have been supported by children’s services, there is the additional issue of dealing with the transition of support from those services to services [read the full story…]
Pain and discomfort is often reported by patients undergoing orthodontic treatment and has been cited as a reason for failure to complete treatment. Removal of fixed appliances could be painful and it has been suggested that an intrusive bite force may stabilize teeth allowing greater resistance of torsional forces. The aim of this study was [read the full story…]
Background The use of social media is becoming increasingly important in establishing social identity, with individuals receiving often instant feedback online. In terms of social identity theory, it has been argued that the label of learning disability can become a person’s primary identity and impact on the interactions the person has with others, often shaping [read the full story…]
On 14th May 2010, when Kenneth Clarke returned to the Ministry of Justice, the prison population in England and Wales was 85,009. When he had previously been Home Secretary in 1992-93, the average prison population had been 44,628 (Prison Briefing 2010). This represents a 90% increase in a period when crime rates were generally falling. The [read the full story…]
This practical guidance has been written to help commissioners, service providers, nurses, medical, and allied health professionals, understand the difference care and compassion can make to the service experience of frail older people, and also to the financial situation of health and social care organisations. The guide covers the following themes: Reducing healthcare-related harm Care [read the full story…]
Tobacco use is the single most important preventable cause of mortality and morbidity in developed countries. However, what is less widely appreciated is that as the overall prevalence of smoking has declined, tobacco use has become an increasingly important driver of health inequalities. For example, the prevalence of smoking in the United Kingdom has declined [read the full story…]
