Focus on the person, not the problem #CORCforum

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André Tomlin considers a new article about high integrity mental health services for children, which calls for mental health and wellbeing support to draw on self, families, school and community resources.

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Orthodontic retainers: impact on periodontal health

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While 24 studies were included in this review of the impact of orthodontic retainers on periodontal health there was a lack of high quality evidence to support any particular retainer on this or a range of other parameters. More well-designed and long terms studies are required.

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Can a machine learning approach help us predict what specific treatments work best for individuals with depression?

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Marcus Munafo explores a recent study that uses a machine learning approach across two trials (STARD*D and CO-MED) to try and predict treatment outcomes (primarily focusing on the antidepressant citalopram) for depression.

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Dental implants: survey found that patients had high levels of satisfaction with implant-supported restorative treatment

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This large Swedish questionnaire survey conducted on a random sample of patients achieved a high response rate (83%) . Those who had received dental implant supported restorative treatment reported very high levels of satisfaction (94%). However, 31% had experienced implant related complications although only 6% reported that these complications occurred frequently.

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Orthodontic research is currently using a narrow range of outcome domains

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This new review looked a 6 main outcome domains in orthodontic research and found that 3 domains (quality of life, health service resource utilization, and adverse effects of treatment.) that could provide useful insight were infrequently evaluated.

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Patients’ views of routine scale and polish over estimate any clinical benefits

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Patients attending for their regular dental check up (usually 6-monthly) are likely to have a ‘scale and polish (oral prophylaxis) as part of that visit.  However, a Cochrane review last updated in 2007 did not find evidence of sufficient quality to reach conclusions as to the benefits or harms or routine scaling and polishing. A [read the full story…]

Study suggests that systemic antibiotics are not necessary for single dental implant placement

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The use of systemic antibiotics during dental implant placement has been controversial, with some authors claiming higher survival rates with peri-operative antibiotic use.  The aim of this multi-centre trial was to assess the effect of various systemic antibiotic prophylaxis regimes on patient- reported outcomes and postsurgical complications in patients undergoing conventional implant placement. Following establishment [read the full story…]