Tooth loss in diabetic patients

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This review assessing the risk of losing teeth among patients with diabetes mellitus (DM) compared to those without DM included 10 studies the majority of which were cross-sectional (80%). While the findings suggest higher risk of tooth loss in patients with diabetes the findings should be viewed cautiously.

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Diabetes and periodontal status in children and adolescents

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This review comparing the periodontal status of normal children with those living with diabetes regardless of type included 11 studies. While the findings suggest that children and adolescents with diabetes have poorer periodontal status the quality of the evidence is low.

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Diabetes and dental implants

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This review of the possible association between diabetes mellitus and dental implant complications included 10 cohort studies (8 prospective 2 retrospective). The findings suggest that patients with diabetes are more likely to have clinical complications with dental implants.

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Is there a causal link between mental health problems and risk of COVID-19 infection?

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In his debut blog, Andrew Steptoe summarises two recent papers using electronic health record datasets, which suggest that having a psychiatric diagnosis may put people at risk of COVID-19 infection.

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The tyranny of average and guideline development for PPE

The reviewers identified researchers found it difficult to control for variation

In this opinion piece Mark-Steven Howe considered the challenges of basing decisions on of average values for decision making when infection is not evenly distributed either geographically nor demographically

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Periodontal treatment and glycaemic control in diabetes

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This review of the efficacy of scaling and root planning (SRP) and SRP + adjuvant treatments in improving glycaemic control in patients with type 2 diabetes mellitus and chronic periodontitis included 14 RCTs suggesting some benefit in the short term.

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Tooth loss predictors in periodontal patients

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This review of predictors of tooth loss in patients with periodontitis undergoing treatment and receiving supportive care included 20 studies. Findings suggest older, non‐compliant patients, smokers, diabetics, those with IL‐1‐polymorphism, and teeth with bone loss, high probing pocket depths, mobility, as well as molars, especially with furcation involvement, are at higher risk of tooth loss.

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Lifestyle training for schizophrenia: STEPWISE fails to make a difference

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Ben Janaway writes his debut elf blog on the STEPWISE RCT which is out today in the British Journal of Psychiatry: Structured lifestyle education for people with schizophrenia, schizoaffective disorder and first-episode psychosis.

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Periodontitis: How good are current prediction models?

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12 prediction models for periodontitis incidence and progression were identified in 7 studies. There were several methodological and reporting shortcomings of published prediction models and indicated further research is required.

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Oral lichen planus and diabetes: are they associated?

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This review of the relationship between oral lichen planus and diabetes included 22 studies. While both meta-analysis suggest a relationship the confidence intervals cross the line of no effect so are not statistically significant.

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