38 RCTs were included in this Cochrane review update of oral health care in ventilated patients. High quality evidence was found to show that chlorhexidine mouthwash or gel reduces the risk of developing ventilator-associated pneumonia in critically ill patients from 25% to about 19%.
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20 studies were identified for this review of oral health related quality of life in children following general anaesthetic (GA). While a majority demonstrated an improvement following GA most are based on convenience samples and are of limited quality so more high quality research is needed.
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9 trials were included in this Cochrane review of oral health education & training for care home residents & staff . These trials provided insufficient evidence from which to draw evidence about the effects of the interventions so more high quality studies are needed.
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This Cochrane review of community-based oral health promotion interventions included 38 studies and suggests that interventions combining oral health education with supervised toothbrushing or professional preventive oral care can reduce dental caries in children.
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This Cochrane review update of oral health advice for patients with serious mental illness only included 3 RCTs. The identified studies were of low to moderate quality providing limited evidence to support decision making about the effectiveness of oral health advice for people with serious mental illness.
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This new guidance from NICE focuses on improving and maintaining residents’ day-to-day oral healthcare, ensuring staff are properly trained to confidently look after the oral health needs of residents, and there is adequate access to dental services when needed
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33 longitudinal studies were included in this review of the impact of the frequency toothbrushing on dental caries. Frequent brushers had fewer new cavities.
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For this review of molar incisor hypomineralisation (MIH) 28 low quality studies were identified. The available evidence suggest that prenatal and perinatal factors are infrequently associated with MIH but that early childhood illness (in particular fever) may be associated.
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44 studies were included in the review of oral health promotion in dental practice that was undertaken to the recent NICE guidance on this topic. The results of this review suggest that the psychology of behaviour change is the key to oral health promotion and greater emphasis on teaching oral health professionals about health psychology would make oral health promotion in the dental surgery more effective.
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This review of psychological interventions to improve oral health identified 9 RCTs reported in 11 papers. A small statistically significant improvement in plaque index was noted but the quality of the available evidence is low. More higher quality studies are needed.
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