Results: 675

For: randomised controlled trial

‘Beating the Blues’ intervention shows promise for reducing depression and improving quality of life in older African Americans

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This paper reports the findings of a study exploring a new approach to treating the symptoms of depression in older African Americans. This a group of the population with very high levels of general health care needs – the result of a combination of factors including the USA’s political and social history but also modern [read the full story…]

Small study suggests possible benefit from implant overdentures for edentulous patients over 75 years of age

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Studies suggest that implant overdentures (IODs) can improve function and quality of life. However most studies are conducted in adults under the age of 70.  The aim of this study was to investigate denture satisfaction, functional, nutritional and patients centered aspect of IODs in patients over 75 years of age. Edentulous and denture wearing patients [read the full story…]

WEAVE RCT: GP training, but not screening, may benefit women who have experienced intimate partner violence

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Behaviour within an intimate relationship which causes psychological, physical or sexual harm to either party is known as intimate partner violence (IPV). This violence is perpetrated by both men and women, but significant injuries are more commonly sustained by women. Consequently, IPV is a major public health concern as it contributes majorly to mortality in [read the full story…]

Longer term outcomes of biodegradable plates for maxillofacial surgery

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Yesterday I looked at a systematic review of biodegradable plates for orthognathic surgery. One of the trials included in the review  (Buijs et al) had reported outcomes at 8 weeks. Recently the authors of that study have reported 2-year results (van Bakelen et al). The original aim of the study was to compare the clinical [read the full story…]

Trial shows that implant overdentures did not result in better dietary intake than conventional dentures at 12 months

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Studies have shown that edentate patients have poorer nutrition than those with no teeth The main aim of this study was to assess whether mandibular two-implant overdentures (IODs) improved the nutritional status of older people compared with those wearing a conventional denture (CD). Patients over the age of 65 who had been edentate for a [read the full story…]

Same day loading for mandibular dental implants had comparable outcomes to delayed loading

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Osseointegrated dental implants have been available since the late 1970s,  initial placement protocols recommended an initial load free healing period. Improved understanding of osseointegration has lead to the use of immediate or early loading protocols.  The aim of this study was to compare the feasibility of loading four implants with a pre-existing denture converted to [read the full story…]

Trial suggests no beneficial effect for platform switching for implants at 3 years

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Following placement of dental implants changes to bone level around the implant take place. Platform switching involves the use of an abutment with a smaller diameter than the diameter of the implant shoulder and is considered by some to lead to reduced peri-implant bone loss.   The aim of this trial was to assess the effect [read the full story…]

Use of buffered lidocaine did not provide better pain control than unbuffered lidocaine for incision and drainage procedures

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A 2010 Cochrane review (Cepeda et al) found that there was less pain associated with pain on injection and augmented patient comfort and satisfaction with the use of buffered lidocaine compared with unbuffered lidocaine in both parallel and crossover trials. Although none of the 23 trials included in the review were dental.  The aim of [read the full story…]

Trial shows similar survival for direct and indirect resin composite restoration of fractured cusps

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Cusp fractures of restored posterior teeth are a frequent occurrence with the majority being reported as being supra gingival.  While crowing the tooth is a conventional treatment approach it does require removal of substantial tooth substance.  Adhesive restorations are a potential alternative approach and can be undertaken using direct or indirect approaches.  The aim of [read the full story…]

If I pay you, will you have your injection?

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Getting patients to take their medication as prescribed is notoriously difficult. Regardless of condition only about 50% of patients adhere to prescribed regimes. This is particularly the case in chronic or complex conditions worldwide and improving this problem has the potential to save considerable health burden and costs. Adherence in mental health is no different. [read the full story…]