The 2010 Cochrane review of powered toothbrushes (Deacon et al) provided some evidence that rotational oscillation powered toothbrushes are more effective than other designs. However, the available evidence was based on short-term studies and the differences were small, so the clinical importance was unclear. The aim of this study was to investigate the effect of [read the full story…]
The King’s Fund has just published this report, which describes how the health and social care workforce are coming up with new models for delivering primary care, to support the “current system of commissioning”. The report is aimed at commissioners, GP staff, and related stakeholders, including social care and local authorities, and promotes improved liaison [read the full story…]
Background A number of reports in recent years have highlighted concerns about the treatment of patients with learning disabilities in NHS hospitals, highlighting poor communication, incorrect assumptions about quality of life and poor understanding by healthcare professionals putting people at continued risk of poor care – and even death. In 2008, the publication of the [read the full story…]
Clinicians and mental health researchers have long recognised that there is a link between traumatic experiences in childhood and symptoms of psychosis or non-clinical psychotic experiences presenting in adolescence or adulthood. One type of traumatic experience is the experience of abuse, whether physical, emotional or social in nature. When it comes to bullying, any or [read the full story…]
Enamel defects and other oral abnormalities have been reported in premature children. The aim of this review was to assess whether there is any association between premature birth and enamel opacities or hypoplasia. A search was conducted in PubMed and Embase for follow-up, case control or cross sectional studies published in English German, Danish, Swedish [read the full story…]
Posterior cross-bite is a common malocclusion and a number of approaches to address this with maxillary expansion have been developed. These can be broadly divided into rapid maxillary expansion (RME) and slow maxillary expansion (SME). The aim of this review was to compare the effectiveness of RME and SME for transverse maxillary discrepancy. Searches were [read the full story…]
Failure to maintain good oral hygiene during fixed appliance orthodontic treatment can lead to the development of demineralised white lesions (DWLs) around the orthodontic brackets. The incidence of this adverse effect of treatment has bee reported as being between 15-85. A recent Cochrane review by Benson et al (see Dental Elf 27th Jan 2014) found [read the full story…]
Background Last week we posted about the recent multi agency inspection of responses to people with learning disabilities in the criminal justice system which suggested that information was poorly shared and that significant improvements were possible. The researchers in this study worked in a large London metropolitan police station and were interested in looking at [read the full story…]
Background Personalisation at its simplest is about starting with one person at the centre of any process concerned with responding to social care (and increasingly, health care) needs. SCIE have suggested that this will require ‘significant transformation’ of adult social care services, structures and processes, with implications for the role of social workers. The researchers [read the full story…]
The aim of this study was to compare the outcome of partial pulpotomies in cariously exposed pulps of young permanent molars using mineral trioxide aggregate (MTA) and calcium hydroxide in a randomized controlled trial. Eighty-four teeth in 80 patients (aged 7-10yrs) having one or two first permanent molars with deep occlusal carious lesions that resulted [read the full story…]
