Review suggests that radiotherapy was associated with higher rates of implant loss

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Implant–supported restorations show good success rates in healthy tissues while studies in irradiated jaws contrasting outcomes have been reported. The aim of this review was 
to assess the survival rate of titanium implants placed in irradiated jaws. The Medline, Embase, and CENTRAL, and  OpenGRAY databases were searched together with a number of journals (Clinical Implant [read the full story…]

Review suggests that intraoral appliances are more effective than headgear in distalising upper first molars

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Moving the upper molars backwards during orthodontic treatment is sometimes necessary.  Appliances used for this are categorized in to intraoral or extraoral appliances. External headgear is one of the commonest distalising approaches.  The aim of this Cochrane review was to assess the effects of orthodontic treatment for distalising upper first molars in children and adolescents. [read the full story…]

Some evidence to support use of facemask appliance for class III malocclusions

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Prominent lower front teeth (reverse bite; under bite; Class III malocclusion) are more common in oriental (15%) and black races (10%) and relatively uncommon in Caucasian (4%) populations. Several orthodontic approaches have been suggested to correct this and the aim of this Cochrane review was to assess the effects of orthodontic treatment for prominent lower [read the full story…]

Fluorescence-based caries detection methods need more work to establish diagnostic accuracy

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Earlier this week (Dental Elf 15th Oct 2013) we looked at a systematic review that looked at a range of the newer aids for detecting caries.  The aim of this review was to synthesize the findings about the accuracy of fluorescence-based methods in detecting caries lesions on occlusal, approximal and smooth surfaces of both permanent [read the full story…]

No evidence on whether antibiotic prophylaxis is effective or ineffective against bacterial endocarditis in people at risk who need invasive dental procedures

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Bacteraemia is common following dental procedures and it was believed that this could lead to bacteria endocarditis a severe infection of the lining of the chambers of the heart with a high mortality rate.  Until 2008 when National Institute for Health and Care Excellence (NICE) recommended that antibiotics were not required guidelines in many countries [read the full story…]

Patients’ views of routine scale and polish over estimate any clinical benefits

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Patients attending for their regular dental check up (usually 6-monthly) are likely to have a ‘scale and polish (oral prophylaxis) as part of that visit.  However, a Cochrane review last updated in 2007 did not find evidence of sufficient quality to reach conclusions as to the benefits or harms or routine scaling and polishing. A [read the full story…]

Systematic review of fluphenazine for schizophrenia: 50 years of learning not that much

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Antipsychotic medications are often the first line of treatment for schizophrenia and have been effective at treating florid symptoms such as delusions and hallucinations. Fluphenazine was one of the first antipsychotics to become available on the market and has now been appearing on prescriptions for over 5 decades. Despite the arrival of newer generations of [read the full story…]

Teaching toothbrushing with fluoride toothpaste – are we doing it well?

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Toothbrushing at least twice a day with fluoride toothpaste is an effective way of reducing caries. This is confirmed by good systematic review evidence, so teaching patient effective toothbrushing with fluoride toothpaste is a key preventive strategy.  The aim of this qualitative study was to explore oral health professionals (OHPs) perspectives regarding their strategies, considerations [read the full story…]

Latest Cochrane Protocol

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September has seen the publication of one new protocol from the Cochrane Oral Health Group. Sharif MO, Ahmed F, Worthington HV. Xylitol-containing products for preventing dental caries in children and adolescents (Protocol). Cochrane Database of Systematic Reviews 2013, Issue 9. Art. No.: CD010743. DOI: 10.1002/14651858.CD010743.   The aim of the review is to assess the [read the full story…]

Cochrane review says there’s insufficient evidence to tell whether fluoxetine is better or worse than other treatments for depression

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Depression is common in primary care and associated with a substantial personal, social and societal burden. There is considerable ongoing controversy regarding whether antidepressant pharmacotherapy works and, in particular, for whom. One widely-prescribed antidepressant is fluoxetine (Prozac), an antidepressant of the selective serotonin reuptake inhibitors (SSRI) class. Although a number of more recent antidepressants are [read the full story…]