Palatal injections for maxillary extractions: are they needed?

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This review of the use of palatal injections for maxillary extractions included 15 studies. While the findings suggest that they may not be needed further high quality studies are needed to confirm the findings.

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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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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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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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Will it hurt? Chronic pain and psychological functioning

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Kirsten Lawson examines a recent meta-analysis of psychological functioning in people living with chronic pain. She discovers that anxiety is more common than depression in people with chronic pain and that practitioners should prioritise psychological functioning when caring for patients suffering from chronic pain.

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Dexamethasone reduced pain and swelling following third molar surgery

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This review included 8 RCTs involving a total of 476 patients and found that submucosal dexamethasone reduced postoperative pain and swelling. Although only one of the studies was at low risk of bias and there was a possibility of publication bias, the findings should be considered with caution.

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Few adverse events with single dose oral analgesics for acute postoperative pain

This overview of adverse event rates associated with single dose oral analgesics includes data from 39 Cochrane reviews, and provides evidence that adverse events rates are generally similar with active drug and placebo.

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Satisfaction with orthodontic treatment

iStock_000002551343XSmall colourful braces on teeth

This review of satisfaction with orthodontic treatment included 18 questionnaire-based studies, involving 2891 patients and 464 parents. Based on the available limited evidence, satisfaction was associated with perceived aesthetic outcomes, psychological benefits, and the quality of care.

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Do corticosteroid injections improve osteoarthritis of the thumb?

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Lesley Dawson looks at a study, which asked whether intra-articular injection of corticosteroid leads to pain relief and increased function in people with osteoarthritis of the thumb, and how long any effects last.

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