Oral mucositis in cancer patients: no benefit from chlorhexidine mouthwash

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This review of chlorhexidine (CHX) for prevention & treatment of oral mucositis included 12 RCTs with 9 contribution to the meta-analysis. CHX was not significantly effective in preventing mucositis or reducing its severity.

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Parotid gland tumours and mobile phone use?

The study used data from a previous telephone survey, which focused on depression, concussion and brain injury, amongst other things

This review of parotid gland tumours and mobile phone use included 3 case-controlled studies and hints at a possible association. However the limited evidence means that the findings should be viewed very cautiously.

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External root resorption diagnosis: cone-beam computed tomography or periapical radiographs?

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15 in-vitro studies were included in this review of CBCT & periapical radiographs for the diagnosis of external root resorption. It suggests that CBCT performs better however further research is needed the clinical an cost -effectiveness of its use.

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Burning mouth syndrome: insufficient evidence for effectiveness of current treatments

Depression

This update of a 2005 Cochrane review identified 23 RCTs but a limited number at low risk of bias so there is insufficient evidence to support or refute the use of any interventions in managing burning mouth syndrome.

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Oral Mucositis: can honey reduce its severity?

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This review of the use of honey to educe the severity of radio/chemotherapy-induced oral mucositis identified 7 low quality RCTs that suggest that use of honey may reduce the severity of oral mucositis.

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Keratocystic odontogenic tumors: which treatment approach?

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This review of the management of keratocystic odontogenic tumors included 14 mainly retrospective studies ans suggests that initial cystectomy, with or without adjuvant therapy, is associated with the least chance of recurrence.

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Oral leukoplakia: very limited evidence for treatments

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The aim of this Cochrane review was to assess the effectiveness, safety and acceptability of treatments for oral leukoplakia in preventing oral cancer.

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Trigeminal neuralgia: is botulinum toxin effective?

Behavioural signs such as grimacing, guarding, resistance to care, pacing/rocking etc will give clues to the fact that a person with dementia is in pain

Six small RCTs were included in this review. Findings suggest that botulinum toxin type A (BoTN-A) has a positive effect on post treatment pain. Hover the results should be interpreted cautiously as the quality of the evidence is limited and more high quality studies are needed.

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Molar incisor hypomineralisation- review suggests link with childhood illnesses

Child with doctor

For this review of molar incisor hypomineralisation (MIH) 28 low quality studies were identified. The available evidence suggest that prenatal and perinatal factors are infrequently associated with MIH but that early childhood illness (in particular fever) may be associated.

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Smokeless tobacco – do behavioural and pharmacological interventions help users quit?

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Dominic Hurst looks at the recent Cochrane review of interventions to help smokeless tobacco (ST) users quit. ST use is linked to oral cancer, precancer and periodontal disease, so dentists have an important role in encouraging users to quit.

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