Some limited evidence that patients with previous periodontal disease at higher risk of dental implant failure

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Dental implants are now widely used to replace missing teeth and periodontal disease is an important cause of tooth loss.  As implants themselves can suffer from peri-implantitis  it is therefore of interest to as to whether patients with a history of periodontitis are of higher risk of implant failure.  This critical appraisal of a 2010 [read the full story…]

Taking ibuprofen before wisdom tooth removal does not appear to be more effective for controlling post operative pain

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The removal of lower third molars is one of the commonest surgical procedures. The effective management of post operative pain is an important consideration and it has been suggested that preoperative administration of non-steroidal anti-inflammatory drugs (NSAIDs) may be more effective than post operative administration. The aim of this study was therefore to compare the [read the full story…]

The evidence remains weak for using CBT to help children who have suffered sexual abuse

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Child sexual abuse is a widespread social problem, which can cause a range of mental health conditions including fear, anxiety, post-traumatic stress disorder, behavioural problems, inappropriate sexual behaviour and an increased risk of psychological problems in adulthood. Cognitive behavioural therapy is often used to help children (and their non-offending parent) to manage the conditions that [read the full story…]

Limited low quality evidence for success rate of implants placed in horizontal and vertical guided bone regenerated areas

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A certain amount of bone is required for the placement of dental implants  and a range of techniques applied to  reconstruct alveolar bone in order to place dental  implants.  The aim of this review was to assess the success rate of implants placed in horizontal and vertical guided bone regenerated (GBR) areas. What did they [read the full story…]

Limited randomized clinical trial evidence on the survival of dental small-diameter Implants

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Endosseous root form dental implants have been available since the 1960s while dental Small-Diameter Implants were first introduced commercially in the dental field in 1990. The aim of this study was to determine, the survival of narrow diameter implants, whether survival is dependent on whether these implants are placed using a flap or flapless approach, [read the full story…]

New Cochrane protocols for May 2012

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The May issue of the Cochrane library sees another 3 dental protocols published:- Brocklehurst P, Tickle M, Birch S, Glenny AM, Mertz E, Grytten J. The effect of different methods of remuneration on the behaviour of primary care dentists (Protocol). Cochrane Database of Systematic Reviews 2012, Issue 5. Art. No.: CD009853. DOI: 10.1002/14651858.CD009853. This review  [read the full story…]

Insufficient trial evidence that any surgical treatment for prominent lower front teeth is better or worse than another

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Prominent  lower front teeth can  be associated with a large or prominent lower jaw and/or a small or retrusive upper jaw . The reasons why this occurs are not well understood.  Treatments to correct this range from orthodontic to surgical.  The aim of this Cochrane  review was to evaluate different treatments of Angle Class III [read the full story…]

Insufficient evidence to support or refute the effectiveness of conventional fillings over crowns for the restoration of root filled teeth

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Root canal filling is a regular dental procedure. However root filled teeth can be weaker than healthy ones so restoration of these teeth can prove challenging. The aim of this Cochrane review was to assess whether restoring endodontically treated teeth (with or without post and core) using crowns or conventional filling materials was more effective. [read the full story…]

Mobile crisis teams reduce hospital admissions for serious mental illness, according to updated Cochrane review

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‘Crisis intervention’ and ‘home-care packages’ are provided in the community to help people who are going through an acute phase of severe mental illness. The Cochrane Schizophrenia Group have updated their review on this topic by conducting their usual robust and systematic search for randomised controlled trials of crisis intervention models versus standard care for [read the full story…]

CBT is no better than other psychosocial therapies for people with schizophrenia, according to new Cochrane review

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NICE guidance recommends offering CBT (cognitive behavioural therapy), family therapy and arts therapies for people with schizophrenia: Offer CBT to all people with schizophrenia. This can be started either during the acute phase or later, including in inpatient settings. – Taken from 1.3.4.1 in Schizophrenia (CG82). NICE, March 2009. However, CBT is still not widely [read the full story…]