Interdental cleaning devices for prevention and control of caries and periodontal disease

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Thi Cochrane review evaluateingthe effectiveness of interdental cleaning devices used at home, in addition to toothbrushing, compared with toothbrushing alone, for preventing and controlling periodontal diseases, caries, and plaque includes 35 RCTs providing low to very low certainty evidence that floss or interdental brushes in addition to toothbrushing may reduce gingivitis or plaque, or both.

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Fluoride toothpaste: Effects of different fluoride concentrations on caries

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This Cochrane review of effectiveness of different fluoride concentrations of toothpaste in reducing dental caries updates the 2010 review and includes 96 RCTs. It provideds good evidence to support the benefits of using fluoride toothpaste in preventing caries and demonstrates a does response effect.

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Oral care for nursing home residents

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This Cochrane review of the effects of oral care on prevention of nursing home acquired pneumonia included 4 RCTs providing low quality evidence that oral care may reduce mortality.

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Toothbrushing: fluoride toothpaste needed to reduce caries

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Three RCTs were included in this review of the association between personal oral hygiene and coronal dental caries. The findings suggest that in the absence of fluorides personal oral hygiene did not reduce the incidence of caries.

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Oral health literacy, oral health behaviours and outcomes

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This review of the association of oral health literacy with oral health behaviours and dental treatment related outcomes included 25 studies the majority being cross-sectional in nature. The available evidence is limited and further high quality studies are needed.

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Supervised toothbrushing for children and adolescents

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Four studies were included in this review of supervised toothbrushing in children and adolescents. The evidence identified provides no conclusive evidence. However previous Cochrane reviews have suggested benefits on caries from supervised brushing.

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Motivational Interviewing for adolescent oral health

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This large well-conducted 3-arm cluster RCT compared motivational interviewing(MI) with prevailing health education. Both MI arms of the study were more effective in eliciting positive changes in adolescents’ oral health behaviours and preventing dental caries after 12 months.

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School-based oral health education only has short term impact

The review found that adding family-based interventions to school-based interventions may reduce the onset of smoking by 4-25%.

This review of school-based oral health education included 12 trials and found it was effective in reducing plaque accumulation over a short period. there was no long-term evidence on the effectiveness.

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Toothbrushing: Are three heads better than one?

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This review of the effectiveness of 3-headed toothbrushes included 15 studies describing 18 comparisons. The quality of the available evidence was low an no differences were seen with self-performed brushing but a benefit was suggested for plaque removal for care-dependent individuals.

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Periodontitis: risk increased by poor oral hygiene

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50 observational studies were included in this review of the effect of oral hygiene on periodontitis. The data suggests that poor oral hygiene increases the risk of periodontitis by around two- to five-fold compared with good OH. However the quality of the data is considered to be of low quality.

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