Reminiscence therapy for people living with dementia: Cochrane review is inconclusive

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Liz Collier and Solomon Towuru summarise the recently updated Cochrane systematic review on reminiscence therapy for dementia, which includes evidence showing that reminiscence therapy may improve quality of life, cognition, communication and possibly mood in people with dementia in some circumstances, although all the benefits were small.

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Mouth and throat cancer: evidence for best surgical approaches uncertain

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

12 RCTs were included in this Cochrane review update of surgical approches for the management of oral and pharyngeal cancer. The certaintly of the evidence was very low as there were limited numbers of studies for each comparison.

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Routine scale and polish for periodontal health

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Two UK primary care-based trials were included in this Cochrane review update of routine scale and polish. They provide high certainty evidence of litte or no difference between 6- & 12-monthly scale and polish for adult regular attenders without severe periodontitis.

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Tooth whitening with home-based bleaching products

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This Cochrane review update of the effects of home-based tooth whitening products dispensed by a dentist or over-the-counter included 71 RCTs. However, most of thetrials were small single studies of interventions of highly variable nature providing very low-certainty evidence over short time periods to support the effectiveness of home-based chemically-induced whitening.

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Sedation for children undergoing dental treatment

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This Cochrane review update of the efficacy and relative efficacy of conscious sedation agents and dosages for behaviour management in paediatric dentistry includes 50RCTs providing some moderate-certainty evidence that oral midazolam is an effective sedative agent for children undergoing dental treatment.

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Periodontal infrabony defects: does autologous platelet concentrates (APC) improve surgical outcomes

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38 RCTs were included in this Cochrane review of the effects of autologous platelet concentrates (APC) used as an adjunct to periodontal surgery. Very low quality evidence was found for two approaches involving open flap debridement.

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Oral hygiene advice: insufficient evidence for best way of providing one to one advice

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This Cochrane review of the effects of one-to-one oral hygiene advice, provided by a member of the dental team in a dental setting included 19 RCTs providing insufficient evidence to recommend any specific 1:1 method.

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Implant overdentures: effectiveness of attachment systems

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6 RCTs were included in this Cochrane review of attachment systems for implant overdentures. The included studies provide insufficient evidence of relative effectiveness of prosthodontic success, prosthodontic maintenance, patient satisfaction, patient preference or costs.

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Gingival recession: which surgical treatment technique?

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This Cochrane review of the efficacy of different root coverage procedures for gingival recession included 48 RCTs describing a range of procedures. Most procedures led to a reduction in gingival recession.

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Antibiotics and toothache

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Only 2 RCTs are included in this Cochrane review update of the effects of systemic antibiotics on adults with symptomatic apical periodontitis or acute apical abscess providing insufficient evidence of effectiveness.

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