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Periodontal treatment and glycaemic control in diabetes

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This review of the efficacy of scaling and root planning (SRP) and SRP + adjuvant treatments in improving glycaemic control in patients with type 2 diabetes mellitus and chronic periodontitis included 14 RCTs suggesting some benefit in the short term.

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Toothbrushing in intensive care: Does it reduce the risk of ventilator-associated pneumonia?

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This review of whether toothbrushing-based oral health measures, performed in intensive care units, can reduce the risk of ventilator-associated pneumonia (VAP) included 12 RCTs with the findings suggesting a positive effect.

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School dental screening for improving dental health

The review found that adding family-based interventions to school-based interventions may reduce the onset of smoking by 4-25%.

This Cochrane review update of the effectiveness of school dental screening programmes on overall oral health status and use of dental services included 7 RCTs providing very low-certainty evidence that is insufficient to allow us to draw conclusions about whether there is a role for traditional school dental screening in improving dental attendance.

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Is too much screen time bad for our children? Perhaps, but how much do we really know?

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David Turgoose explores a systematic review of reviews that looks at the effects of screen time on the health and well-being of children and adolescents. The review found that higher levels of screen time were related to some physical and mental health concerns, such as poor diet, obesity and depression.

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Oral Cancer: Elective neck dissection or watch and wait?

Bariatric surgery and marked weight loss is likely to improve knee complaints but there is a need for high quality studies

There is an ongoing debate about the management of patients with oral cavity squamous cell carcinoma and clinically negative cervical lymph nodes. Some clinicians favour preventive elective neck dissection (END) which although is linked with favourable survival has an adverse effect on quality of life while others adopt a wait and watch policy. The aim [read the full story…]

MARQUE training to reduce agitation in dementia in care homes

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A group of UCL Mental Health Masters students summarise an RCT on the clinical and cost-effectiveness of the MARQUE intervention (Managing Agitation and Raising Quality of Life) for agitation in people with dementia in care homes.

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Oral mucositis in cancer patients: the effect of oral supplementation

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This review of of the effects of oral supplementation on the prevention and/or treatment of oral mucositis in patients with cancer undergoing chemotherapy and/or radiotherapy included 12 RCTs and suggest that Zinc supplements may be beneficial.

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Do nurses and social workers AMHPs make similar decisions in Mental Health Assessments?

Business Team Conversion Talking about work after they go to conference. Business Concept.

Martin Stevens reviews a study by Kevin Stone, which compares the decision-making of nurse and social worker Approved Mental Health Practitioners (AMHPs) undertaking Mental Health Assessments.

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COX-2 inhibitors for pain management after third molar removal

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

This review comparing the efficacy of Cox-2 inhibitors with ibuprofen after third molar removal included 12 RCTs suggesting that COX-2 inhibotors and Ibuprofen provide similar pain relief at 6, 8, and 12 h after third molar removal.

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