Cyanoacrylate tissue adhesive in postoperative palatal pain management

Gingival graft

This review assessing the effect of cyanoacrylate tissue adhesive (CTA) in the management of palatal wound healing and post-operative pain after epithelialised gingival graft harvesting included just 4 small RCTs. While the findings suggest a potential benefit with CTA both the quantity and quality of the available evidence is very limited.

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What do users think about mental health chatbots?

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Rob Meadows and Christine Hine consider the findings of a recent scoping review of the perceptions and opinions of patients about mental health chatbots.

They also present their own ongoing sociological study on the everyday use of mental health chatbots.

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On the dangers of protocolising telephone psychotherapy

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In his debut blog, Richard Byng summarises a study which finds that protocolising psychological therapy could be detrimental for telemental health.

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Implant-supported overdentures and fixed prostheses in edentulous mandibles

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This review comparing patient-reported outcome measures (PROMs) and clinical outcomes associated with implant-supported overdentures and fixed prostheses in edentulous mandibles included 10 small studies. While the findings suggest better PROMS with fixed prosthesis the available evidence is limited in quality and quantity.

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Superior labial frenum and maxillary midline diastema

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This review aiming to provide information about the association between a superior labial frenum and maxillary midline diastema included 11 cross-sectional studies. The findings suggest that papillary and papillary penetrating frenum may be associated with maxillary midline diastema but the evidence is limited.

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Videoconference delivered CBT for anxiety disorders: working alliance and intolerance of uncertainty

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Tyler Hughes blogs about a randomised controlled trial which explores therapeutic alliance in videoconference delivered CBT for anxiety.

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Management of dental patients taking anticoagulants or antiplatelet drugs

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We take a look at the recently updated guidance on the Management of Dental Patients Taking Anticoagulants or Antiplatelet Drug from the Scottish Dental Clinical effectiveness programme (SDCEP).

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Mental health apps for people in crisis: helpful or harmful?

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Wouter van Ballegooijen summarises a review of the ‘best apps’ for mental health, which finds very little support for people experiencing a mental health crisis.

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How living alone, loneliness and lack of emotional support link to suicide and self-harm

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Yutung Ng reviews a cohort study exploring the links between loneliness, living alone and emotional support with suicidality and self-harm.

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Third molar surgery – Er:Yag lasers and post-operative problems

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This review of the effectiveness of Er:YAG lasers in reducing pain, oedema and trismus compared to rotary instruments for the removal of impacted lower third molars included 6 small studies only one of which was at low risk of bias. The findings suggest a reduction in swelling and a small reduction in pain however the findings should be viewed cautiously because of the limited amount and quality of the evidence.

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