Caries in Children with Attention Deficit Hyperactivity Disorder

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This review of whether children and adolescents with attention deficit with hyperactivity disorder (ADHD) had more dental caries than children and adolescents without ADHD included 13 observational studies. The findings suggest a higher risk of caries in children with ADHD Odds ratio = 3.31(95%CI; 1.25 to 8.73) and a significantly higher DMFT index Mean difference = 0.75 (0.38 to 1.13). However because of heterogeneity in the included study designs and a lack of adjustments for confounding factors the findings should be interpreted cautiously.

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School based humanistic counselling: a little better than pastoral care, but more expensive

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In her debut blog, Annie Stevenson reports on an RCT finding that school-based humanistic counselling reduces psychological distress, but is not cost-effective.

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Oral piercing and oral complications

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This review examining the association between oral manifestations and the use of oral piercings included 54 studies. Damage to periodontal health and tooth structure were the most commonly reported complications however the quality of the evidence is of very low certainty.

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Restorative reciprocity in mental health research: Researcher in Residence – Shuranjeet Singh

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Mental Elf Researcher in Residence, Shuranjeet Singh, shares his experiences of power and exploitation in mental health research, and presents restorative reciprocity as a framework for confronting and responding to these historic and ongoing issues.

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The Lancet Psychiatry Commission on Intimate Partner Violence and Mental Health #IPVmentalhealth

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Rachel Milligan summarises the recently published Lancet Psychiatry Commission on Intimate Partner Violence and Mental Health, which establishes a roadmap for strengthening responses across mental health services, research, and policy.

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Power toothbrushes – Sonic or oscillating-rotating?

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This review of the efficacy of oscillating-rotating power toothbrush compared to high-frequency sonic power toothbrush includes 32 RCTs. The findings show moderate certainty evidence in favour of the oscillating-rotating however the clinical relevance may not be important.

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Low intensity treatments for self-harm or suicidal behaviour: what’s the harm in trying?

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Millie Witcher and Sarah Rowe appraise a randomised controlled trial on the effect of low-intensity treatments for self-harm among people with suicidal ideation, which has some important findings.

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Preventing suicide is everybody’s business: a global perspective #LancetSuicideSeminar

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Ravivarma Rao Panirselvam summarises the recently published Lancet Seminar on Suicide and Self-Harm, and highlights the free webinar due too take place on Monday 4th July 2022.

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Full-mouth scaling or full-mouth disinfection (within 24 hours) for treatment of periodontitis

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This Cochrane review update comparing full-mouth scaling/disinfection (FMS/D) to conventional quadrant scaling for periodontitis for the treatment of periodontitis included 20 RCTs. However there is still no clear evidence that FMS/D approaches provide additional clinical benefit compared to conventional treatment.

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Sagittal split osteotomy – Do third molars increase the risk of complications?

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This review investigating whether the presence of third molars during sagittal split osteotomy of the mandible increases the risk of complications included 15 studies. The findings suggests no statistically significant relationship between the presence of 3Ms and complications. However a majority of the studies were retrospective with 13 studies being considered to be at high risk of bias so the certainty of the evidence is considered to be very low.

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