child and adolescent

Birth – 18 years.

Our child and adolescent Blogs

Review finds limited evidence for the effectiveness of the Fränkel regulator for class III malocclusions

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Treatment of class III malocclusions frequently involves the use of functional appliances. The Fränkel regulator type III (FR-3) is a wire and acrylic appliance developed to treat class III malocclusions but there is controversy over its effectiveness. The aim of this review was to evaluate the effectiveness of the FR-3 in patients with Class III [read the full story…]

Homelessness and mental illness in children and young people

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This study explores the prevalence of psychiatric disorder and comorbidity among a UK sample of young people with experience of homelessness. It finds an extremely high prevalence of mental illness, combined with low levels of mental health service use.

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Internet-based alcohol and cannabis prevention: Climate Schools and salami slicing

Matt Field summarises the findings of a recent cluster RCT that uses internet-based prevention (an Australian programme called Climate Schools) to reduce alcohol and cannabis use, truancy, psychological distress and moral disengagement.

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Antidepressants, safety warnings and suicide risk in young people

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Andrew Shepherd reviews the recent controversial BMJ study that suggests the FDA black box warning about antidepressant use in young people, may have inadvertently caused an increase in suicidal behaviour. He finds it’s not quite that clear cut.

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Few trials on improving adherence amongst orthodontic patients

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Successful orthodontic treatment requires that the patients to agree with and follow the treatment proposed. This requires the patients to keep appointments, maintaining good oral hygiene, wearing elastics, appliances and avoid damage. The aim of this review was to investigate the effectiveness of interventions to enhance adherence among orthodontic patients aged 12 to 18 years. [read the full story…]

Incredible Years Parent Training has a role in improving outcomes for all children

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Fiona Warner-Gale presents the findings of a meta-analytic review of the Incredible Years Parent Training programme, which is found to be effective at modifying disruptive and prosocial child behaviour. This evidence will be of interest to many, including policymakers, planners and practitioners.

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Small trial finds caries prevention potential in new silver fluoride agent

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Dental caries is one of the commonest diseases of childhood and management is particularly challenging in underprivileged populations. In recent years there has been increasing interest in silver diamine fluoride. However, it tendency to stain carious tissue black and potential to cause oral mucosal lesions limit its potential use. Nano Silver Fluoride ® (NSF), a [read the full story…]

Study finds that non-conventional caries management approaches are acceptable to children, parents and dentists

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We are seeing a move towards more conservative methods of managing caries and also an increasing need to consider the patients perspectives of treatment. This study aimed to compare children’s behaviour and pain perception when approximal dentinal caries lesions in primary molars (in children aged 3–8 years old) were managed with three treatment strategies; conventional [read the full story…]

Review suggests that electronic apex locators may be useful in primary dentition

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Electronic apex locators (EALs) have used in permanent teeth since the 1960s and they have been gaining in popularity. The use of EALs in the primary dentitions was proposed in 1996. The aim of this review was to compare the accuracy of EALs in primary teeth when compared to actual root canal lengths (ARCLs). Searches [read the full story…]

Kinship care may be a viable out-of-home placement option for maltreated children, but more research is needed

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Lisa Burscheidt reports on a recent Cochrane review that looks at the effects of kinship care versus traditional foster care for the safety, permanency and well-being of children removed from the home for maltreatment.

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