Oral hygiene for critically ill patients

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This Cochrane review updated assessing the impact of oral health measures on the incidence of ventilator associated pneumonia (VAP) in critically ill patients receiving mechanical ventilation in intensive care includes 40 RCTs and suggests that Chlorhexidine mouthwash or gel, as part of oral health measures, probably reduces the incidence of developing VAP.

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Top Dental Elf Blogs: Oct – Dec 2020

The Dental Elf

Blogs on Hyposalivation in the elderly, powered toothbrushes for patients undergoing orthodontic treatment and the impact of smoking on the outcomes of non-surgical periodontal treatment were our most popular blogs.

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Powered toothbrushes for patients undergoing fixed orthodontic appliance treatment?

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This review of the effect of powered and manual toothbrushes on oral health during fixed applinace orthodontic treatment included 7 RCTs. The findings suggest no diference between the toothbrush types. However the quality of the evidence is low and the studies are of short duration.

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Oral hygiene programmes for people with intellectual disabilities

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This Cochrane review of oral hygiene interventions for people with intellectual difficulties included 34 studies (19 RCTs, 15 non-randomised studies) find some interventions provided benefits but their clinical importance was unclear.

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Interdental cleaning aids

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This network meta-analysis of the comparative efficacy of interproximal oral hygiene aids included 22 RCTs and suggests that interdental brushes and water-jets ranked highest for the reduction of gingival bleeding. Although the quality of the available evidence is limited.

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Powered toothbrushes for orthodontic patients

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This review of powered toothbrushes for periodontal health in orthodontic patients included 9 small RCTs. A small statistically significant benefit was noted in short term use.

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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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Toothbrushing, plaque removal and gingivitis

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The aim of this review was to appraise and summarise systematic reviews of the efficacy and safety of available homecare toothbrush regimens for mechanical plaque removal on plaque and gingivitis in adults. Ten systematic reviews were included confirming that toothbrushing is effective in reducing levels of dental plaque.

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Toothbrushing: little data on association with gingival recession

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This review considered the association between toothbrushing and gingival recession and non-carious cervical lesions (NCCLs). 19 studies were included a majority (13) were cross-sectional and they provide limited data to support or refute the associations.

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Peri-implantitis: lack of clarity on best self-management options

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This review identified 11 small trials looking at self-management options for peri-implant disease. The quality of the available evidence for the best management strategies for peri-implant mucositis is limited at present.

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