Fluoride varnish for caries prevention in pre-school children

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This review of the effectiveness of fluoride varnish in reducing the risk of new caries in primary teeth included 20 studies suggesting modest effects in pre-school children.

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Oral hygiene programmes for people with intellectual disabilities

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This Cochrane review of oral hygiene interventions for people with intellectual difficulties included 34 studies (19 RCTs, 15 non-randomised studies) find some interventions provided benefits but their clinical importance was unclear.

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Interdental cleaning devices for prevention and control of caries and periodontal disease

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Thi Cochrane review evaluateingthe effectiveness of interdental cleaning devices used at home, in addition to toothbrushing, compared with toothbrushing alone, for preventing and controlling periodontal diseases, caries, and plaque includes 35 RCTs providing low to very low certainty evidence that floss or interdental brushes in addition to toothbrushing may reduce gingivitis or plaque, or both.

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Avulsed teeth – what is the best management option?

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4 RCTs were included in ths Cochrane review update of interventions for avulsed and replanted permanent front teeth. None of the included studies was at low risk of bias and there is insufficient evidence to support or refute the effectiveness of different interventions.

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Cavity liners for resin-based composite restorations

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No new trials were available for this Cochrane review update. Only 8 RCTs were available providing inconsistent, low-quality evidence for a difference in postoperative hypersensitivity after placing a liner for posterior resin-based composite restorations in adult permanent teeth.

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Fluoride toothpaste: Effects of different fluoride concentrations on caries

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This Cochrane review of effectiveness of different fluoride concentrations of toothpaste in reducing dental caries updates the 2010 review and includes 96 RCTs. It provideds good evidence to support the benefits of using fluoride toothpaste in preventing caries and demonstrates a does response effect.

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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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