Partial loss of teeth – so many treatment options – but insufficient evidence to recommend best method

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The management of patents who present with the partial loss of teeth is a common task for dentists and has been so for many years. The aim of this Cochrane review is to assess the effects of different prostheses for the treatment of partially absent dentition in terms of the following outcomes: long-term success, function, [read the full story…]

No good quality research to guide the treatment of late-onset schizophrenia

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Late-onset schizophrenia is relatively common. Onset after the age of 40 years is reported in 23% of patients hospitalised with schizophrenia. The condition is different from early-onset schizophrenia on a number of counts, including the response to antipsychotic drugs. This Cochrane review set out to assess the effects of antipsychotic drugs for elderly people with [read the full story…]

Limited evidence for the use of electronic health records to improve smoking cessation rates

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This Cochrane systematic review examined the effectiveness of electronic health record-facilitated interventions on smoking cessation activity by clinicians and on patient smoking cessation outcomes. The review shows these interventions improve the documentation of tobacco use and referral to cessation counselling, but does not demonstrate an improvement in patients actually giving up smoking. While smoking rates [read the full story…]

Trial suggests no difference at 3 years in failure rates between implants that were loaded immediately or early

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The traditional approach to placing dental implants was to submerge them and keep them load-free for 3–8 months to minimize the risk of implant failures.  During the healing phase temporary prosthesis are often used and patients can find these uncomfortable. Consequently shorter healing periods without jeopardizing implant success would be beneficial.   Nowadays immediate and early [read the full story…]

Stress associated with onset of recurrent mouth ulcers

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Recurrent aphthous stomatitis (RAS) is a common and painful oral disease. It is characterised by recurring mucosal ulceration in an otherwise healthy individual.  Its prevalence is commonly estimated to be between 5% and 25%  with a peak age of onset between 10 and 19 years although they may continue throughout the patient’s life span.  An [read the full story…]

No evidence to recommend or discourage any type of orthodontic treatment to correct Class II division 2 malocclusion in children

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One of important differences about Cochrane reviews is their commitment of their authors to regularly review and update the content of their reviews.  This is an update of a Cochrane review published in 2006.  The aim of the review being to establish whether orthodontic treatment, carried out without the removal of permanent teeth, in children [read the full story…]

No reliable evidence to suggest which is the most effective treatment for peri-implantitis

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With the increasing numbers of dental implants being placed there is growing interest in the  problem of peri-implantitis,  as studieshave  shown that it could occur it around 16% of those placed.  Various approaches to treatment have been used and this latest update of a Cochrane review aimed  to identify the most effective interventions for treating [read the full story…]

Combination therapies performed better than single ones for treating periodontal bony defects, but additional benefits were small

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A range of regenerative treatments have been used for the  treatment of periodontal infrabony defects. Guided tissue regeneration (GTR) and enamel matrix derivatives (EMD) are two popular treatment and they have both been used in combination with other treatment.   This network meta-analysis was conducted to assess the potential effects of the various combinations. Unlike a [read the full story…]

Robust studies needed to evaluate topical agents available to treat HIV related oral ulcers

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HIV/AIDS is currently the leading cause of death in adults in Africa and the sixth leading cause of death worldwide. In HIV infected adults, oral ulcers occur more frequently, last longer, and produce more painful symptoms than in immunocompetent people.  The aim of this review was to evaluate the efficacy and side effects of topical [read the full story…]

Bone substitutes with autogenous bone show similar short term results to autogenous bone alone for maxillary sinus floor elevation

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Maxillary sinus floor elevation is commonly performed to create sufficient bone fraction to enable the placement of dental implants. The aim of this review was to assess the bone fraction and implant survival rate and to determine whether the bone fraction is affected by the grafting material or growth factor applied. The Medline and the [read the full story…]