Review suggests that disinfection methods could be an adjunct or alternative to antifungal medications in the treatment of denture stomatitis

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Denture stomatitis is relatively common with studies suggesting that it can affect 35-50% of complete denture wearers.  It is characterised by mild inflammation and redness of the oral mucosa and about 90% are associated with Candida.   The aim of this review was compare the efficacy of antifungal therapy with any other alternative methods used for [read the full story…]

Mood management can improve smoking cessation in patients with past and current depression

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There is a high rate of co-morbidity between depression and smoking; rates of smoking are approximately double in those with depression compared with the general population. In addition, smokers with depression tend to have higher rates of nicotine dependence, suffer greater negative affect during abstinence/withdrawal, are more likely to fail in quit attempts, and are [read the full story…]

Review shows that triclosan copolymer toothpaste reduced plaque, gingivitis and caries

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Triclosan  is a polychloro phenoxy phenol that has antibacterial and anti-fungal properties.  It has been used since the 1970 in a range of products including soaps, deodorants, mouthwashes and toothpastes.  The aim of this Cochrane review was to assess the effects of triclosan/copolymer  containing fluoride toothpastes (TCT), compared with fluoride toothpastes, for the long-term control [read the full story…]

Exercise may help older people with dementia, but more research is needed

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Many of our older readers will remember tales of the Great Elf Mother running miles every day, o’er hills and vales, to bring the very latest evidence-based research to us younger elves at the breakfast table. It was she who inspired our National Elf Service, and I’m delighted to say that she’s still going strong [read the full story…]

New Cochrane review finds weak evidence that drug combinations are more effective than monotherapy in psychotic depression

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Major depression remains a serious condition that often proves refractory to pharmacological or psychotherapeutic interventions. Because depression can have many “faces”, clinicians should be aware of the great symptom variability among depressed patients and consider subforms when prescribing medication.  In a sizeable amount of patients (up to 25%, Coryell et al., 1984), depression presents with [read the full story…]

Limited study suggests that use of semi-rigid plates and screws reduce mandibular fracture treatment costs

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Fractures of the mandible are a common occurrence.  Two approaches to treatment of mandibular fractures are; rigid fixation using large titanium plates and bicortical screws that function in a load-bearing manner using Arbeitsge-menschaft fur Osteosynthesefragen (AO) principles or semi-rigid fixation using small titanium plates and monocortical screws that function in a load-sharing manner placed according [read the full story…]

Only low-quality evidence to assess effectiveness of bonding for fixed orthodontic appliances

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Fixed banded orthodontic treatment is commonplace not only amongst children by but increasingly in adults.  Being able to successful bond these brackets to the teeth during treatment is a one factor for successful treatment.   The aim of this review was to compare the effects of different dental etchants and different etching techniques for the bonding [read the full story…]

Quitting smoking is the easy part, staying quit is hard

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During 2010/11 there were 1.53 million hospital admissions for illnesses directly attributable to smoking in the UK. These admissions, along with other smoking-related expenses, cost the NHS approximately £5 billion pounds per year. Fortunately, the NHS is spending £88.2 million per year on cessation treatments, many of which have been repeatedly demonstrated to be highly [read the full story…]

Limited evidence to decide whether visual screening reduces the death rate for oral cancer

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Yesterday we looked at a review of the effectiveness of oral examination to detect potentially malignant disorders and mouth cancer today we are looking the latest version of the Cochrane review on screening programmes for the detection and prevention of oral cancer. The overall aim of this review was to assess the effectiveness of current [read the full story…]

Oral examination to detect potentially malignant disorders and mouth cancer

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November is Mouth Cancer Awareness month here in the UK and around 6,500 cases are diagnosed a year. Mouth cancer is the 6th commonest cancer worldwide.  In India, Sir Lanka and Pakistan it is the most common cancer for men and is responsible for 30% of all new cancer cases. Tobacco use, alcohol consumption, betel [read the full story…]