Systemic Lupus Erythematosus: What are the orofacial manifestations and dental considerations?

Lupus (SLE)

Marianne Dobson takes a look at this systematic review of the orofacial manifestations of systemic lupus erythematosus (SLE). The review included 30 studies and provides a narrative summary of a issues related to orofacial symptoms and management. However good quality prospective studies are needed to improve the the quality of evidence surrounding this topic.

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Are we sleepwalking into PPE paralysis?

PPE

In this opinion piece Mark-Steven Howe looks at the estimated prevalence of covid-19 in the UK and the impact that it may have on the design of studies to test PPE.

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Gag reflex management during dental treatment

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This update of a Cochrane review of pharmacological and non-pharmacological interventions for the management of gagging in people undergoing dental treatment found very low-certainty evidence from four trials that was insufficient to conclude if there is any benefit of acupuncture, acupressure or laser at P6 point in reducing gagging and allowing successful completion of dental procedures.

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Distraction techniques for managing dental anxiety in children and adolescents

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This review assessing whether distraction techniques reduce children’s/adolescent’s anxiety and fear during dental treatment included 20 RCTs providing very low certainty evidence that these techniques have a positive effect.

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Do analgesics before dental treatment reduce post treatment pain in children?

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This Cochrane review found 5 RCTs of pre-op analgesics prior to dental treatment for children under local anaesthetic. The evidence as insufficient to determine a benefit but there may be a benefit prior to orthodontic band placement. Further high quality studies are needed.

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Sedation or general anaesthesia for dental treatment in children

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This update of a Cochrane review, first published in 2009, did not identify any RCTs comparing the efficiency of sedation versus general anaesthesia (GA) for the provision of a dental treatment.

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