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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Anti-plaque agents: do they help reduce plaque levels?

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63 RCTs contributed to this network meta-analysis of the effectiveness of anti-plaque agents. Results suggested that toothpastes containing triclosan-copolymer or chlorhexidine and mouthrinses containing essential oils or chlorhexidine had the most effect on plaque indicies at 6 months.

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Toothpaste and plaque removal

Plaque off, Fluoride on. Brushing your teeth really is that simple.
Image: Adam Drewes (CC BY-NC-SA 2.0)

This review of the efficacy of brushing with and without a toothpaste for plaque removal identified 10 trials involving a total of 444 patients. While the results suggest no differences other reviews have demonstrated clear oral health benefits from brushing with toothpaste.

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Essential oils mouthwash reduced plaque and gingival inflammation

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This review of essential oils mouthwashes included 16 RCTs and found them to be more effective for the reduction of plaque and gingival inflammation than mechanical plaque control either alone (placebo) or in combination with mouthwashes with CPC.

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Oral health advice for people with serious mental illness: lack of evidence about effectiveness

The research found that mindfulness helped more with the negative symptoms of schizophrenia

This Cochrane review update of oral health advice for patients with serious mental illness only included 3 RCTs. The identified studies were of low to moderate quality providing limited evidence to support decision making about the effectiveness of oral health advice for people with serious mental illness.

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Gingival retraction methods and their impact on gingival health?

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This review looked at the impact of gingival retraction on periodontal health. Only 10 small studies were available so which no method seems significantly superior the quality of the available evidence is limited.

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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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Gingivitis: anti-plaque agents may help

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This new review covers the board topic of the efficacy of anti-plaque chemical formulations for managing gingivitis. 87 heterogeneous studies found a statistically significant benefit with most test products.

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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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