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The future of mental health care: time for a social perspective?

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#UCLJournalClub students worked collaboratively on this blog, which summarises a recent personal view in The Lancet Psychiatry about possible scenarios for the future of mental health care.

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Chlorhexidine gel and alveolar osteitis

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This review of the effectiveness of chlorhexidine gel for the prevention of alveolar osteitis (AO) included 10 trials published since 2010. The findings suggest a 57% reduction in incidence of AO similar to other reviews of this topic.

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Inlay-retained fixed dental prosthesis have acceptable 3-yr survival rate suggests review

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This review of inlay-retained fixed dental prosthesis included 11 small mainly observational studies. The studies suggest a 3-yr survival rate of 92.6% (95% CI: 85.8-97.6%) and 5-yr survival rate of 87.9% (95% CI: 77.4-96.1%). However because of the low quality of the available studies and the wide range of inlay designs, framework materials, surface treatments and cement systems used means that the results should be interpreted cautiously.

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Mindfulness for young people: to meta-analyse or not to meta-analyse?

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Sarah McDonald and André Tomlin consider another meta-analysis of mindfulness in young people, which finds “small effect sizes on a range of outcomes”. They conclude that we badly need more RCTs that reliably evaluate the effectiveness, safety and cost effectiveness of mindfulness in young people.

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Endodontics or extraction and implant for the pulpally involved tooth?

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45 studies are included in this review of endodontic treatment or implants for the pulpally involved tooth. The studies are are observational with few comparative studies and while they summarise success rates for various treatments they should be interpreted cautiously. High quality comparative studies are needed as well as agreement on common reporting outcomes.

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Breast feeding duration and caries risk

"Breast is best" is the clear message to all new Mums, but should this advice be tailored for women with depression?

This debut blog by Fiona Hogg considers a recent cohort study that looked at the effect of longer breastfeeding on caries and is based on a discussion of the paper at a Glasgow Dental Hospital’s Paediatric Dentistry Journal Club meeting.   

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Digital interventions for stress: do they live up to their alleged potential?

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Josefien Breedvelt is encouraged by the findings of a recent systematic review of Internet-based and computer-based interventions for stress, which provides a positive case for offering stress management on a large scale.

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Denture stomatitis: some evidence for nystatin and disinfecting agents

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This review of interventions for the management of denture stomatitis identified 35 RCTs. A majority of the RCTs were at high risk of bias. The findings suggest that nystatin and disinfecting agents have a positive effect but the results should be viewed cautiously because of the quality of the available evidence

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Mental health stigma and pathways to care in psychosis

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Raphael Underwood on a recent systematic review of mental health-related stigma and pathways to care for people at risk of psychotic disorders or experiencing first-episode psychosis.

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Prevention of eating disorders: where do we start?

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Sarah McDonald is impressed by this new systematic review of universal, selective and indicated prevention for eating disorders.

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