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Supportive care to prevent recurrence or progression of peri-implantitis

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This review of whether supportive care is effective in preventing recurrence or progression of peri-implantitis included 15 studies. However none of the included studies was specifically designed to test supportive care regimens so there is a need for new well conducted and reported randomised trials of appropraite size and duration to provide better quality evidence.

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Mental health support teams in schools: an evaluation of the UK Trailblazer programme

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Lucinda Powell reflects on an early evaluation of the Children and Young People’s Mental Health Trailblazer programme, which looked at the first 25 ‘Trailblazer’ sites implementing mental health support teams in schools.

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How clean is your toothbrush?

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This review of the level of toothbrush contamination and the factors affecting contamination in the general population included 15 studies. The findings show that toothbrush contamination occurs after first use and rises with continuing use. However, there is little evidence of significant adverse events from current practices.

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Oil pulling for oral health

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This review of oil pulling compared to chlorhexidine and other mouthwashes in improving the plaque, gingival and bacteria count parameters included 25 RCTs. However, the studies are modest in size of short duration and all except one study were considered to be at high risk of bias. Consequently the available evidence is of very low certainty and should be interpreted cautiously.

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Exercise for depression: an evidence-based treatment option

Physical activity engagement, even at low volumes, is associated with a reduced risk of depressive symptoms.

Ross Nedoma summarises the biggest review yet on exercise for depression, which strengthens the case for making exercise a key component in our fight against depression.

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Oral submucous fibrosis and malignant transformation

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This umbrella review of the proportion of oral cancer development in oral submucous fibrosis patients included 4 systematic reviews published between 2019 and 2022. Mean values for malignant transformation across the reviews range from 4.2% to 6%.

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Sexual minorities, suicide and self-harm: new research in England deepens our understanding

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In his debut blog, Liam Mackay summarises a recent study that shows an increased risk of suicidal thoughts and non-suicidal self-harm in bisexual and lesbian/gay individuals. The study also highlights common mental health problems, discrimination and bullying as potential contributors to this excess risk.

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Mental health service pathways for children and adolescents with depression: do we have the data?

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In her debut blog, Emiliana Tonini summarises a recent study exploring the healthcare pathways of children and adolescents seeking support for depression, from referral through to discharge.

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Dental water jet and oral health maintenance in orthodontic patients

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This review assessing the effect of incorporating the dental water jet (DWJ) into the oral hygiene routines of orthodontic patients included 6 RCTs. While the findings suggest a benefit from the use of the DWJ the limited number of small studies none of which were at low risk of bias means the findings should be interpreted cautiously.

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Oral piercings and periodontal health

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This review of the influence of oral piercings on the periodontal health status in adult patients included 8 small observational studies. In line with other reviews the findings indicate adverse effects on periodontal health from oral piercings. However the quality of the evidence is low.

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