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Temporomandibular disorders: Prevalence of psychosocial impairment

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This review assessing the level of psychosocial impairment in patients with temporomandibular disorders (TMD) included 14 observational studies . The studies suggest that psychological disorders and psychosocial impairment are common in patients with TMD but the evidence is of low quality.

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Transdiagnostic and disorder-specific anxiety disorder treatments have equivalent treatment effects #TransDX2018

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Jill Newby and Peter Norton blog an RCT on the unified protocol for transdiagnostic treatment of emotional disorders compared with diagnosis-specific protocols for anxiety disorders.

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Third molar surgery: Steroids had a beneficial effect on pain, swelling and trismus

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This review of effectiveness of corticosteroids in the post-operative control of pain, swelling and trismus after third molar surgery included 17 RCTs suggesting that corticosteroid use had beneficial effects on pain swelling and trismus.

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The transdiagnostic approach to anxiety: the case is made (again!) #TransDX2018

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Warren Mansell considers a review by Peter Norton and Daniel Paulus on the theoretical and empirical underpinnings of transdiagnostic models of anxiety disorder.

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Cleft lip and palate: maxillary distraction osteogenesis or orthognathic surgery for hypoplastic maxilla?

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This Cochrane review update of the effects and long-term results of maxillary distraction osteogenesis compared to orthognathic surgery for the treatment of hypoplastic maxilla in people with cleft lip and palate only includes 1 small RCT. The trial suggests that distraction osteogenesis may produce more satisfactory results however the trial is considered to be at very high risk of bias so the findings should be viewed cautiously.

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Whose Safety is it Anyway? Service user and carer involvement in mental health care safety #MHNR2018

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Alison Faulkner takes a recent study as the starting point for an exploration of mental health care safety, service user and carer involvement, raising concerns, risk, harm, power, relationships and much more.

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Mental health crisis teams in England: lost in translation? #MHNR2018

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Rachel Rowan Olive writes her debut elf blog about a recent national survey of mental health crisis resolution teams and crisis care systems in England.

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Partial edentulism: The effect of prosthetic treatments on oral health-related quality of life

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23 studies were included in this review assessing the oral health-related quality of life (OHR- QoL ) of patients with partial edentulism after different dental prosthetic treatments. Both fixed tooth-supported and implant-supported dental prostheses improved OHR- QoL in the short and medium term.

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Systematic review of recovery may leave more questions than answers

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Simon Bradstreet is left feeling frustrated by this systematic review of person-oriented recovery in people living with severe mental illness, which neglected to include a significant amount of relevant research.

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Sexual safety in mental health inpatient units #SexualSafetyMH

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Liz Hughes considers the findings and implications of the new CQC report on sexual safety on mental health wards, which calls for co-produced guidance to enable everyone who delivers mental health services to do the right thing about sexual safety.

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