Review suggests little difference in failure rates of immediate or early loaded implants placed using a flapless technique

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Yesterday we considered a review which compared flapless and flapped placement of implants. (Dental Elf 8th July 2014). Today we are looking at one of the other reviews mentioned. The am of this review to evaluate the effectiveness and safety of immediate loading (within 3 days) versus early loading (after 6 weeks to 2 months) [read the full story…]

Kinship care may be a viable out-of-home placement option for maltreated children, but more research is needed

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Lisa Burscheidt reports on a recent Cochrane review that looks at the effects of kinship care versus traditional foster care for the safety, permanency and well-being of children removed from the home for maltreatment.

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Dental implants placement flapless or not?

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Flapless implant placement where dental implants are inserted through the mucosal tissues without raising a mucoperiosteal flap have been introduced as they are considered to minimize the possibility of postoperative peri-implant tissue loss and to overcome the challenge of soft tissue management during or after surgery. The aim of this review was to investigate whether [read the full story…]

Another review finds limited evidence for making treatment recommendations for keratocystic odontogenic tumors

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The keratocystic odontogenic tumor (KCOT) is a benign but locally aggressive tumour and accounts for 2-11% of jaw cysts and can occur at any age. Historically they have been referred to as odontogenic keratocyst (OKC) and primordial cyst. A range of treatment approaches have been suggested for KCOTs but preferred option is still debatable. The [read the full story…]

Insufficient evidence to determine the effect of systemic antibiotics on adults with symptomatic apical periodontitis or acute apical abscess

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The recommended treatment for apical periodontitis or acute apical abscess is removal of the source of inflammation or infection by local, operative measures ie tooth extraction or pulp extirpation possibly in combination with the incision and drainage of any swelling present. Antibiotics are only recommended where there is evidence of spreading infection or systemic symptoms.   [read the full story…]

Periodontal treatment may be effective in improving metabolic control in diabetics but clinical significance is unclear

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The destructive form of periodontal disease, periodontitis, affects approximately 50% of adults and over 60% of over 65 year olds, with severe periodontitis affecting 10–15% of populations. It is biologically plausible that chronic inflammation from periodontal disease has an impact on diabetes control and a number of epidemiological studies have highlighted associations between the two [read the full story…]

How does buprenorphine fair as an alternative to methadone for treating opioid dependence?

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Meg Fluharty summarises a recent Cochrane review, which tells us that high-dose buprenorphine is an effective maintenance treatment for heroin compared to placebo, but fixed flexible-dosing methadone is superior to buprenorphine at participant retention.

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Limited evidence to make recommendations about initial archwires or specific archwire sequences for orthodontic treatment

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The aim of this review was to assess the effectiveness, efficiency, and potential side effects of the various archwires used during fixed appliance orthodontic treatment. Searches were conducted in Medline, Cochrane Library, Biomed Central, BBO including LILACS, Ind Med, Sceilo, Clinical trials.gov, Conference paper Index, Digital Dissertations, German National Library of Medicine (ZB MED), Google [read the full story…]

Powered toothbrushes reduced plaque and gingivitis more than manual toothbrushes

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Tooth decay and gum disease are two of the commonest, but preventable diseases known to man. Regular and effective toothbrushing play an important role in the prevention of these diseases. Powered toothbrushes (PTBs) have been available since the 1960s and the question of whether they are better than manual toothbrushes (MTBs) has been with us [read the full story…]

We don’t know if general health advice improves physical health for patients with serious mental illness

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For me, one of the most infuriating aspects of health care is the relegation of mental health problems, and mental health services, as secondary to physical health. There are a myriad of examples of this, from the classic stigma that people with mental health problems receive compared to those with physical health problems (fantastically illustrated [read the full story…]