Poor insight in psychosis predicts higher mental healthcare service use

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In Joseph Lam’s debut blog he explores a recent research paper which uses an electronic dataset to investigate the relationship between insight and service use in first episode psychosis.

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Smoking cessation and tooth loss

This review provides strong evidence for quitting smoking and reducing your risk of dementia.

This review assessing whether smoking cessation reduced the risk of tooth loss included 14 cross-sectional and 7 longitudinal studies suggestign that the risk of tooth loss in former smokers is comparable to that of never smokers

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Long-term outcomes of childhood sexual abuse #ISTSS2019

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Raphael Underwood summarises a recent umbrella review (a synthesis of meta-analyses), which aimed to evaluate the current literature regarding childhood sexual abuse and long-term outcomes (psychosocial outcomes, psychiatric diagnoses and physical health outcomes).

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Dental Implant ‘drop out’ rates at 10 years – do they matter?

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Colin Levey takes a look at a systematic review assessing the 10-year survival of titanium roughened surface, solid screw dental implants in adults. 4 RCTs and 14 prospective studies) were included traditional analysis and sensitivity analysis taking into account missing data was conducted providing a more conservative estimate of survival and a broader prediction interval.

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PTSD: the current picture #ISTSS2019

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Jon Bisson summarises an expert review written by Richard Bryant on post-traumatic stress disorder, which covers the current definitions of PTSD, its known prevalence and risk factors, the main models to explain the disorder, and evidence-supported treatments.

Readers who want to know more should follow the live coverage of the 35th annual International Society for Traumatic Stress Studies conference, taking place in Boston this week. The Twitter hashtag is #ISTSS2019.

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Mesenchymal stem cells in periodontal regeneration?

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This review evaluating the potential efficacy of mesenchymal stem cells in periodontal regeneration included 15 small studies of very low quality. Additional high quality RCTs are neeeded to assess effectiveness before clinicial use.

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Articaine: Is it the best local anaesthetic for teeth with irreversible pulpitis undergoing root canal treatment?

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5 systematic reviews were included in this umbrella review of whether articaine or lidocaine is the most appropriate local anaesthetic solution for teeth with irreversible pulpitis undergoing root canal treatment.

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NHS England’s new framework for community mental health services

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Andy Bell reviews NHS England’s recently published Community Mental Health Framework for Adults and Older Adults, which sets out the changes it expects to see in community mental health services over the next five years.

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Depression in later life: healthcare professionals’ views about referrals and management

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Alison McKinlay summarises a literature review of qualitative research exploring healthcare professionals’ views of depression in later life, which highlights the quandaries faced by healthcare professionals in primary care, particularly in areas where funding and access to services are limited.

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Post and core restorations: does the ferrule effect influence success?

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This review evaluating the presence or absence of a ferrule influences the failure rate in fibre-reinforced composite (FRC) post-and-core restorations included 4 studies. While the findings indicate no differences in failure rates between restoration with and with out a ferrule the quality of the evidence is low.

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