Review finds no trials to inform the treatment of displaced luxated permanent teeth

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Trauma to the upper front teeth of children and young adults is relatively common. The aim of this Cochrane review was to assess the effects of interventions for treating displaced luxated permanent teeth. Searches of the Medline, Cochrane Oral Health Group’s Trials Register the Cochrane Central Register of Controlled Trials (CENTRAL), Embase and Lilacs databases [read the full story…]

Psychosocial and psychological interventions can prevent postpartum depression, says new Cochrane review

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The period after giving birth to a child can be difficult for women and in the first twelve weeks after childbirth 13-19% of women will experience post-partum depression (O’Hara 1996, Gaynes 2005). Post-partum depression is bad news – not only does it increase the chance of the mother going onto develop a severe clinical depression [read the full story…]

Cochrane review cannot support training to recognise early signs of recurrence in schizophrenia due to low quality evidence

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NICE Guidelines state that around three quarters of people with a diagnosis of schizophrenia experience a chronic illness: with recurrent episodes of remission and relapse.  One way that chronic physical health conditions, such as diabetes and heart disease, are managed is by using early warning signs (EWS) training and this prevention strategy is now often [read the full story…]

Stepwise and partial excavation reduces the incidence of pulp exposure in carious primary and permanent teeth

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The traditional management of caries by the removal of all softened demineralised dentine before a filling is placed is being increasingly challenged. This updated Cochrane review aims to assess the effects of stepwise, partial or no dentinal caries removal compared with complete caries removal for the management of dentinal caries in previously unrestored primary and [read the full story…]

No convincing evidence of a clinically important difference with different loading times of implants

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Dental implants are increasingly being used to replace missing teeth in contrast to the more traditional use of bridges or dentures.  Implants have been used since the 1970s with the recommendation that they were kept load –free during the healing period (3-4months for the mandible, 6-8 months for the maxilla) . Since the 1990s studies [read the full story…]

New Cochrane Protocols March 2013

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The March issues of the Cochrane Library includes two new protocols relevant to Oral Health. The first  protocol :-  Arora A, Foster JP, Gillies D, Moxey AJ, Moody G, Curtis B. Breastfeeding for oral health in preschool children (Protocol). Cochrane Database of Systematic Reviews 2013, Issue 3. Art. No.: CD010416. DOI: 10.1002/14651858.CD010416. Has the main [read the full story…]

Review recommends fissure sealants for caries prevention in permanent teeth

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Fissure sealants have been in use since the 1960s and previous reviews have shown them to be effective in reducing caries.  This review is the 4th update of the Cochrane review by Ahovuo-Saloranta et al and includes studies up November 2012.  The main aim of the review was to compare the effects of different types [read the full story…]

New Cochrane review on employing consumer-providers in mental health services

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It is commonplace in the UK and elsewhere for mental health service users to start working alongside mental health professionals in what is known as a ‘consumer-provider’ role.  This can include a number of different skills and responsibilities such as peer support, advocacy, outreach and crisis support. A new systematic review from the Cochrane Consumers [read the full story…]

Small trial suggests no difference between chlorhexidine rinse and amoxicillin in reducing bacteraemia during third molar extractions

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As bacteraemia occurs during toothbrushing  (Dental Elf 5th Oct 2011) it is to be anticipated during more invasive activities such as flossing, scaling (Dental Elf 9th Jan 2013) and dental extractions.  The main aim of this study was to directly compare and determine the effect of a pre- procedure rinse of 0.12% chlorhexidine on the [read the full story…]

Another critical summary from American Dental Association Centre for Evidence-based Dentistry – March 2013

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This latest critical summary prepared under the auspices of the ADA Center for Evidence Based Dentistry looks at a 2012 meta-analysis by Kühnisch et al that looks at the retention rates of pit and fissure sealants. The results of the meta-analysis suggest that resin-based sealants have the highest retention rates at 5-years. The appraiser notes [read the full story…]