Results: 2606

For: systematic review

Dental care provision by auxilary dental providers

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The aim of this review was to evaluate the existing evidence in relation to the safety, quality, productivity or cost-benefit, and patient satisfaction of the procedures performed by the different groups of dental providers. The authors searched the Cochrane, Medline, Embase, and PubMed databases.  They included  4 papers that addressed safety , 9 for quality  [read the full story…]

Insufficient evidence to recommend tricyclic antidepressants as a treatment for autism spectrum disorders

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Young people with autism spectrum disorders (ASD) are usually given some kind of behavioural or educational intervention to help improve their overall functioning. However, in some cases, those individuals who have high levels of repetitive, obsessive-compulsive type behaviours and mood disorders are treated with drug interventions, although there is little high quality evidence to support [read the full story…]

Insufficient knowledge about the diagnostic accuracy of the different radiographic techniques for imaging the periapical bone

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This review was undertaken to evaluate the diagnostic accuracy of available radiographic methods in use for imaging the periapical bone tissue area.  The review forms part of  wider systematic review covering methods of diagnosis and treatment in endodontics published by the Swedish Council on Health Technology Assessment (SBU). An English version of this is available [read the full story…]

Using a mouthwash may have a beneficial effect on bad breath

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Halitosis is an unpleasant odour that emanates from the oral cavity and can be serious enough to cause personal embarrassment.  The prevalence of halitosis (bad breath or oral malodour) has been reported to be in the order of 50% although this has been questioned. The majority of cases (86%) are considered to be as a [read the full story…]

Pharmacists can significantly improve patient adherence to antidepressants, according to new systematic review

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Observational studies (Vergouwen et al) have reported alarmingly high discontinuation rates for patients taking antidepressant medication (28% at 1 month and 44-52% at 3 months). One group of health professionals who can potentially have a major impact on this issue are pharmacists. This new systematic review conducted by researchers from Riyadh in Saudi Arabia, set [read the full story…]

Botulinum toxin for bruxism

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Bruxism can be classified as primary (idiopatic) or secondary (iatrogenic).  While secondary bruxism is associated with medical conditions (e.g. neurologic, psychiatric, sleep disorders medication), primary bruxism ( which includes clenching and sleep bruxism ) is not. Dental treatments for bruxism include occlusion adjustment, tooth surface restoration, and orthodontic treatment. These interventions are extensive and irreversible [read the full story…]

Are we under-reporting suicide rates? Findings of a new systematic review

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World Health Organization statistics estimate the global annual suicide rate to be 16 per 100,000 people or about one million people per year. The rate of suicide attempts is about 10-15 times higher than the actual suicide rate. There is considerable variation between countries, with some national mortality statistics reporting no suicides per 100,000 people [read the full story…]

New Cochrane Protocols March 2012

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March sees another two protocols registered with the Cochrane Oral Health Group.  The protocols are available on the Cochrane Library Parnell C, Gugnani N, Sherriff A, James P, Beirne PV. Non-fluoride topical remineralising agents containing calcium and/or phosphate for controlling dental caries (Protocol). Cochrane Database of Systematic Reviews 2012, Issue 3. Art. No.: CD009732. DOI: [read the full story…]

Evidence for dietary advice aiming to change sugar consumption is poor

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Sugars, particularly sucrose, are the most important dietary aetiological cause of dental caries. The evidence establishing sugars as an aetiological factor in dental caries is substantial.  This Cochrane review aimed to look more broadly at whether one-to-one dietary interventions were effective in changing dietary behaviour, as the dental care setting is an appropriate place to [read the full story…]

Weak evidence that oral midazolam is an effective sedative for children undergoing dental treatment

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Sadly,  despite the fact that dental caries is preventable and industrial nations have seen substantial falls in recent years there are still significance numbers of children with dental caries that remains untreated.   While many of these can be managed with routine care other need additional behavioural management support, sedation or for a small (but significant) [read the full story…]