Tooth loss: does it affect dietary intake and nutritional status?

A Mediterranean diet high in fruits, vegetables, fish and wholegrains has been associated with decreased depression. Is there a key ingredient?

This review of the impact of tooth loss on dietary intake and nutritional status included 8 low quality cohort studies. Weak and inconsistent evidence of an association was seen. Further high quality studies are needed.

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Dementia and oral health status

Caring for a loved one with dementia can be stressful at times.

28 observational studies were included in this review of the oral health status of people with dementia. The findings suggest that compared with people without dementia those with dementia have poorer oral health.

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Supervised toothbrushing for children and adolescents

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Four studies were included in this review of supervised toothbrushing in children and adolescents. The evidence identified provides no conclusive evidence. However previous Cochrane reviews have suggested benefits on caries from supervised brushing.

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Motivational Interviewing for adolescent oral health

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This large well-conducted 3-arm cluster RCT compared motivational interviewing(MI) with prevailing health education. Both MI arms of the study were more effective in eliciting positive changes in adolescents’ oral health behaviours and preventing dental caries after 12 months.

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School-based oral health education only has short term impact

The review found that adding family-based interventions to school-based interventions may reduce the onset of smoking by 4-25%.

This review of school-based oral health education included 12 trials and found it was effective in reducing plaque accumulation over a short period. there was no long-term evidence on the effectiveness.

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Barriers and enablers to dental care for people affected by mental health disorders

The study participants may not be representative of the real-world population

This narrative review focuses on the barriers and enablers for patients with mental health problems in accessing dental care. Most of the published work focuses on barriers . More work and resources are needed to improve both access to care and oral health outcomes or this group of patients.

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Medication for mental health: Oral health impacts

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This review of the side effects of medications prescribed for the management of mental health highlights their potential impact on oral health. The commonest problems being xerostomia.

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Toothbrushing: Are three heads better than one?

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This review of the effectiveness of 3-headed toothbrushes included 15 studies describing 18 comparisons. The quality of the available evidence was low an no differences were seen with self-performed brushing but a benefit was suggested for plaque removal for care-dependent individuals.

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 Shortened dental arch: impact on oral health-related quality of life

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This review of the impact on oral health related quality of life (OHRQoL) linked with maintaining or restoring a shortened dental arch found limited evidence from 3 studies suggesting a benefit for OHRQoL with maintaining rather than restoring a the SDA with a removable partial dental prosthesis.

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