Periodontitis: risk increased by poor oral hygiene

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50 observational studies were included in this review of the effect of oral hygiene on periodontitis. The data suggests that poor oral hygiene increases the risk of periodontitis by around two- to five-fold compared with good OH. However the quality of the data is considered to be of low quality.

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Oral care in nursing homes

This study is the first of its kind from an RCT perspective which clearly shows that treating major depression in older adults using interventions in primary care settings can extend life

Mark-Steven Howe takes a look at a review evaluating the effectiveness of strategies that nursing home care providers can apply to impove the uptake and delivery of oral care in nursing homes

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Toothbrushes: are tapered or end-rounded filaments best?

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This review of the effect of tapered or end-rounded filament toothbrushes on clinical parameters included just 5 RCTs providing inconclusive evidence to recommend one type over another.

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Gingival recession: long term outcomes of no treatment

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Six studies were included in this review of gingival recession. The findings suggest that in patients with good oral hygiene recession is likely to progress.

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Oral care for critically ill ventilated patients

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38 RCTs were included in this Cochrane review update of oral health care in ventilated patients. High quality evidence was found to show that chlorhexidine mouthwash or gel reduces the risk of developing ventilator-associated pneumonia in critically ill patients from 25% to about 19%.

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Orthodontic brackets: type unlikely to affect oral hygiene

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12 small studies were included in this review of orthodontic brackets and their effect on pain and oral hygiene. No differences were seen between self-ligating and conventional brackets

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Lingual orthodontic treatment has more adverse effects?

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Only 6 studies were available for this review of the adverse effect of lingual and buccal orthodontic treatment. The available data suggests that lingual orthodontic techniques may induce higher levels of pain, speech difficulties, and oral hygiene problems but thes findings should be views with caution because of the limited quality of the evidence.

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Caries risk assessment – limited evidence to support current methods

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Only 18 studies were identified for this review of caries risk assessment models. Previous caries experience and salivary mutans streptococci levels were the only two methods with more than 3 studies and the quality of evidence for these two approaches was low.

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Breastfeeding and caries risk

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63 studies were included in the review of the association between breastfeeding and caries. The majority (73%) were cross-sectional. The findings suggest that breastfeeding up to 12 months of age is not associated with an increased risk of dental caries and in fact may offer some protection compared with formula.

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Oral hygiene: professional cleaning and motivation helped during orthodontic treatment

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Eight RCTs were summarised in this review suggesting that regular patient motivation sessions and cleaning by a hygienist helped maintain good oral hygiene. No quantitative summaries was conducted so the magnitude of the benefit is unclear.

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