The aim of this study was to evaluate the clinical outcome of shrinkage-free ZrSiO4-ceramic full- coverage crowns on premolars and molars in comparison with conventional gold crowns over a 5-year period. Invited patents who required posterior crowns were randomised to receive either a shrinkage-free ZrSiO4-ceramic crown (test group) or a gold crown (control group). The [read the full story…]
Fluoridated salt has for many years been proposed as a vehicle for the prevention of caries. A 2010 systematic review by Yengopal et al indicated that salt fluoridation could reduce caries. The aim of this study was to evaluate the effect of school-based and domestic distribution of fluoridated salt on caries increment in schoolchildren residing [read the full story…]
People with serious mental illness have mortality rates 2-3 times as high as the general population. The primary cause of death is cardiovascular disease, which in turn is due to an extremely high prevalence of obesity (twice that of the overall population). Physical inactivity, unhealthy diets, and weight gain from psychotropic medication are all factors [read the full story…]
The NHS has entered the era of GP-led commissioning of services, and providers will be required to submit data on key indicators such as quality of care and survival rates. This echoes some aspects of a 2001 report by the Institute of Medicine in the USA Crossing the Quality Chasm, which emphasised the need to [read the full story…]
Back in February of this year we reported on the rests of a trial that compared he masticatory performance and ability of a simplified technique for complete denture fabrication with a conventional technique.(Dental Elf 25th Feb 2013). This paper presents the oral health-related quality of life (OHRQoL) including patient satisfaction and denture quality. 42 patents [read the full story…]
The latest update of the Cochrane review on fissures sealants (Ahovuo-Saloranta et al 2013) confirmed the use of resin-based sealants as a effective method of preventing or controlling occlusal caries. The Cochrane review included 15 trials comparing glass ionomer with resin sealants and there was insufficient evidence to make any conclusions about the superiority of [read the full story…]
Good mental health care should involve the patient in determining their treatment, and should involve the least restrictive form of care possible. Although the Care Programme Approach (CPA) has resulted in patients in England routinely participating in planning their care, compulsory admissions to psychiatric hospitals have continued to rise over the past decade. Involuntary treatment [read the full story…]
Symptoms associated with schizophrenia are often classified into two categories. The classical indicators such as hallucinations, delusions and thought disorder make up the ‘positive’ category whilst apathy and problems with concentration are ‘negative’ symptoms. These negative symptoms have previously been linked to decreased folate levels (Goff et al. 2004) and there is some evidence that [read the full story…]
Early childhood caries remains a significant problem in many parts of the world and has been defined by the American Dental Association as:- the presence of one or more decayed (non-cavitated or cavitated lesions), missing (due to caries) or filled tooth surfaces in any primary tooth in a preschool-age child between birth and 71 months [read the full story…]
Significant fear of dental injections has been reported in as many as one in four adults. The aim of this study was to compare the efficacy of Computer Assisted Relaxation Learning (CARL) with an informational pamphlet for reducing dental injection fear. CARL is a self-paced, computerized program based on systematic desensitization aimed at reducing fear [read the full story…]
