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Sugar free gum and streptococcus mutans levels

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This review of the impact of sugar-free gum (SFG) on the level of oral micro-organisms, specifically Streptococcus mutans included 13 studies 11 of whihc were RCTs. The findings indicated that SFG reduces the load of Streptococcus mutans in the oral cavity compared to controls but noe of teh included studies were at low risk of bias.

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Acute care provision in general hospitals for people diagnosed with personality disorder

Hospital corridor and doctor as a blurred defocused background

Kate Chartres summarises a recent mixed-methods study of the healthcare received by patients diagnosed with a personality disorder on acute general hospital wards.

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Traumatic dental injuries in primary teeth

Can the physically active, playful environments of pre-school settings provide a blueprint for obesity prevention in primary schools?

This review of the prevalence of traumatic dental injuries (TDI) in primary teeth and factos associated with TDI includes 21 cross-sectional studies.

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Loneliness in Canada during the COVID-19 pandemic: All the lonely people, where [in Canada] do they all come from?

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Heather McClelland reviews a recent study which explores who is most likely to experience loneliness in Canada during the COVID-19 pandemic.

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Chronic periodontitis: Efficacy of adjunctive antimicrobials

Many drugs are licensed for use in Generalised Anxiety Disorder (GAD), but it is unclear what works best.

This review of the efficacy of antimicrobials adjunctive to scaling and root planing (SRP) in the treatment of chronic periodontitis. 21 RCTs were included with the findings showing that amoxicillin and metronidazole had the largest statistical benefit. Whether this benefit is a clinically important benefit is a wider question.

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Orofacial trauma in wheeled non-motorsports

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This review of the prevalence of orofacial trauma in wheeled non-motor sports athletes included 5 cross-sectional studies involving 132,132 participants. Analyses showed the overall prevalence of orofacial trauma = 21.7% (95%CI; 8.7 to 34.7%) however the evidence was of very low certainty.

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Caries detection methods: How accurate are they?

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This review of the accuracy of different methods for detecting carious lesions in primary and permanent teeth compares visual inspection, radiographs and fluorescence-based detection. 240 studies were included and the findings suggest that visual inspection was adequate for most patients.

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Antidepressant discontinuation and continuation: new Cochrane review finds miasma of confound

Depression.,Antidepressants.,Young,Character,Trapped,In,A,Pill,Bottle.,Capsules.

Adele Framer, Founder of SurvivingAntidepressants.org, explores a recent Cochrane review on antidepressant discontinuation versus continuation for adults with depression or anxiety, which highlights huge uncertainty in the science about antidepressant withdrawal.

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Alveolar ridge preservation techniques

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16 RCTs were included in this Cochrane review update of the effectiveness of techniques for alveolar ridge preservation (ARP) following dental extractions prior to implant placement. The findings suggest that ARP techniques may minimise the overall changes in residual ridge height and width six months after extraction, but the evidence is very uncertain

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Meditation and mindfulness can help us and harm us, but how common are adverse events?

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Edel McGlanaghy critiques a systematic review which finds that meditation may lead to adverse events, particularly psychiatric adverse events.

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