Periodontal treatment may improve metabolic control in diabetic patients.

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There have been a number of studies including a recent Cochrane review which have looked at the impact of periodontal treatment on glycaemic control in diabetics. The aim of this study was to investigate the effects of nonsurgical periodontal therapy on metabolic control in Type 2 diabetes mellitus (DM2) Forty patients with DM2 and chronic [read the full story…]

Functional analysis may be a promising alternative treatment for challenging behaviour in dementia

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Mood, memory and behaviour are all affected by dementia and it is not unusual for behaviour to become ‘challenging’. People with dementia may become agitated or aggressive and this can be extremely difficult and stressful for family members and carers. Challenging behaviour has traditionally been managed with antipsychotic drugs, despite the fact that they do [read the full story…]

Cochrane review finds insufficient evidence to inform clinical practice on interventions for drooling in children with cerebral palsy

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Oral motor difficulties in children and young people with learning disabilities can lead to saliva overflow, commonly called drooling. With young people with profound intellectual and multiple disabilities, this can increase the risk of inhaling saliva, food, or fluids into the lungs. Our friends at the Dental Elf came across this systematic review of interventions [read the full story…]

Limited weak evidence suggesting that flapless dental implant placement is feasible

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Dental implants are usually placed after raising a flap to visualise the bone where they are to be placed. Several flap designs have been proposed but in some instances, they can also be placed flapless reducing patient discomfort.     The aim of this Cochrane review was to evaluate whether:- flapless procedures are beneficial for [read the full story…]

Amoxycillin not helpful for acute sinusitis

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Acute sinusitis (rhinosinusitis) is a common disease with 1 in 5 antibiotic prescriptions for adults in the United States being for sinusitis.  US Centers for Disease Control  and Prevention (CDC) guidelines recommend using clinical criteria for diagnosis and  reserving antibiotic treatment for patients with moderately severe or severe symptoms.  The aim of this study was [read the full story…]

Interventions for drooling in children with cerebral palsy

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Drooling is a common problem for children with cerebral palsy (CP). Drooling varies in severity and can be distressing for the children, families and caregivers. It can cause chapped or sore skin around the mouth and chin, skin and mouth infections, dehydration, difficulties chewing and a range of other social issues.  The main aim of [read the full story…]

New Cochrane Protocols February 2012

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The February issue of the Cochrane Library sees the publication of two new oral health protocols. It will be a little while before the reviews are published. However people for are working in these areas may be interested to know that these reviews are underway. The full text of each protocol is available from the [read the full story…]

No evidence for the use of aspirin, steroids or NSAIDs for the treatment of Alzheimer’s disease

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Alzheimer’s disease affects 1-2% of people aged 65-70 and approximately 20% of those over 80 years. As our population ages, the condition is on the increase and it’s estimated that 2030, an estimated 7.7 million Americans aged 65 and older will have Alzheimer’s disease. We do not yet know exactly how and why Alzheimer’s disease [read the full story…]

Only weak evidence of the effectiveness of any treatments for erosive lichen planus

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Lichen planus (LP) is an inflammatory condition that affects the skin and the squamous epithelium of mucosal surfaces lining the mouth, ears, eyes, and nose as well as the gastrointestinal and anogenital tracts. Two main patterns of inflammation are described:  the plaque (raised) type and the erosive (raw) type, although bullous, blistering, or hypertrophic (thickened)types [read the full story…]

Group parenting programmes help improve child conduct problems, parental mental health and parenting skills

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Conduct problems in young children are common and costly, so there’s lots of interest in training programmes that can help parents and children cope better. This new review from the Cochrane Developmental, Psychosocial and Learning Problems Group assesses the effectiveness and cost-effectiveness of behavioural and cognitive-behavioural group-based parenting programmes for improving child conduct problems, parental [read the full story…]