Sedation for children undergoing dental treatment

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This Cochrane review update of the efficacy and relative efficacy of conscious sedation agents and dosages for behaviour management in paediatric dentistry includes 50RCTs providing some moderate-certainty evidence that oral midazolam is an effective sedative agent for children undergoing dental treatment.

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Top Dental Elf Blogs: May – Aug 2018

The elves have been mining the archive for research blogs to support CQC's recommendations on high-quality adult social care services and support.

Popular Dental Elf blogs in May-Jun 2018 include; tooth whitening; oral surgery and anticoagulants, anxiety management in children using CBT and oral lichen planus

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Audiovisual distraction for dental anxiety in children?

Patients in the intervention group were shown a brief informational video before receiving their Internet based intervention, in the hope that this would encourage acceptance of the treatment. 

This review of the effectiveness of audiovisual distraction for reducing dental anxiety in children included 9 trials 6 of which were randomised. The findings suggested that audiovisual distraction was helpful in reducing dental anxiety although all the trials were considered to be at high risk of bias.

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Dental anxiety in paediatric patients: Is cognitive behavioural therapy effective?

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This review of cognitive behavioural therapy(CBT) for dental anxiety and dental phobia in children identified 6 RCTs suggesting it therapy produces better anxiety reduction than diverse behavioural management techniques. However the available evidence is of low quality.

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Dental anxiety: Non-pharmacological treatment may be beneficial

Should we be paying more attention to anxiety in people with psychosis?

This review of non-pharmacological intervention to reduce mental distress, pain, and analgesic use in adults undergoing dental treatment included 29 RCTs. The findings suggest positive benefits for the interventions examined with no significant differences between the various interventions.

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Anxiety and pain during dental treatment

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35 studies investigating 47 clinical groups were included in this review of the association between dental anxiety and pain during dental treatment. The findings suggest a consistent impact on pain through the entire period of dental treatment.

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Tooth extraction: factors affecting anxiety and fear

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This review of factors affecting fear and anxiety in adult patients undergoing tooth extraction included 16 studies and identified a number of factors associated with anxiety although there are concerns over the quality of the available studies.

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Cochrane Protocol August 2013

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Just over a third (36%) of the UK population are reported to be moderately anxious of dental treatment with about 12% reporting extreme dental anxiety.  Dental anxiety is not just a UK problem but also a global one with figures varying around the world. New to the Cochrane Library is a protocol of a review, [read the full story…]

UK norms for dental anxiety

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The 2009 adult dental survey conducted in England, Wales, and Northern Ireland was the 5th decennial survey undertaken in the UK.    It was based on a two-stage cluster sample and of 12,054 eligible households  7,233 participated.  Of the 13,509 adults in these households 11,382 participated (84%). The survey consisted of a clinical examination and a [read the full story…]