The use of clear orthodontic aligners is increasing, despite searching a wide range of databases this review only identified a limited number of small studies. The quality of the studies was not sufficient to draw any evidence-based decisions on the effectiveness of orthodontic aligners so better quality studies are needed.
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A 2010 Cochrane review that was not able to include any dental studies did find that buffering lidocaine decreased pain on injection and augmented patient comfort and satisfaction. This new dental trial included 80 patients with symptomatic irreversible pulpitis but found no significant difference with success rates with buffered lidocaine.
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Nikki Newhouse reports on a recent systematic review that brings together 22 studies which investigate a range of online CBT and social networking interventions designed to help young people with depression.
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This equivalence trial compared two alcohol free mouthrinses with an alcohol containing rinse and toothbrushing alone. At 8 weeks all 4 interventions reduced interproximal bleeding with plaque reductions being significantly greater in the mouthrinse groups. There was more staining in the 3 mouthrinse groups.
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This small study found good short term success rates for a new MTA derived pulp capping material in permanent teeth. Larger well-conducted longer-term studies are necessary to establish its clinical utility.
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Alison Turner highlights a recent report from the Paul Hamlyn Foundation and the Mental Health Foundation, which looks at how to commission better mental health and wellbeing services for young people.
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Jennifer Laidlaw writes her debut blog on a recent RCT in JAMA about collaborative care for adolescent depression in primary care. The trial concludes that collaborative care is both feasible and effective in improving outcomes, but Jennifer highlights a number of limitations and questions for future research.
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Maxine Howard summarises the findings of a recent review of online mental health services for young people, which finds little evidence to suggest that websites increase help-seeking in adolescents.
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Stephen Wood summarises a recent cluster RCT of vocational rehabilitation in early psychosis, which finds that early intervention services need to do more to help young people with psychosis return to work.
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André Tomlin and Douglas Badenoch voice a note of caution about the Lancet Psychiatry meta-analysis of cannabis use in young people. The study links cannabis use in children with low educational attainment, cannabis dependence, illicit drug use and suicide attempts in later life.
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