Teething: signs and symptoms

Baby, bathwater, nuff said...

This review of the local or systemic signs and symptoms during the eruption of the primary teeth included 16 observational studies only 5 of which were at low risk of bias. The overall prevalence of signs and symptoms associated with primary tooth eruption in children between 0 and 36 months was 70.5% (95%CI; 54.1-84.6).

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Dementia and oral health

we need to ensure even more so that care staff feel capable and happy in doing what can be a stressful and demanding, as well as rewarding job, so that the residents with dementia are also well looked after and happy

This review of the oral health status of dementia patients included 36 observational studies and highlights the high levels of plaque and many soft tissue related oral health problems suffered by this group of patients.

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School dental screening

The review found that adding family-based interventions to school-based interventions may reduce the onset of smoking by 4-25%.

This Cochrane review of school dental screening included 6 RCTs finding insufficient evidence that it improves dental attendance. although personalised referral letters or additional motivation elements probably have the ability to improve dental attendance over the short term.

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Tooth loss: does it affect dietary intake and nutritional status?

A Mediterranean diet high in fruits, vegetables, fish and wholegrains has been associated with decreased depression. Is there a key ingredient?

This review of the impact of tooth loss on dietary intake and nutritional status included 8 low quality cohort studies. Weak and inconsistent evidence of an association was seen. Further high quality studies are needed.

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Dementia and oral health status

Caring for a loved one with dementia can be stressful at times.

28 observational studies were included in this review of the oral health status of people with dementia. The findings suggest that compared with people without dementia those with dementia have poorer oral health.

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Supervised toothbrushing for children and adolescents

Brush_Teeth

Four studies were included in this review of supervised toothbrushing in children and adolescents. The evidence identified provides no conclusive evidence. However previous Cochrane reviews have suggested benefits on caries from supervised brushing.

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Motivational Interviewing for adolescent oral health

iStock_000013941806XSmall teenagers queuing

This large well-conducted 3-arm cluster RCT compared motivational interviewing(MI) with prevailing health education. Both MI arms of the study were more effective in eliciting positive changes in adolescents’ oral health behaviours and preventing dental caries after 12 months.

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School-based oral health education only has short term impact

The review found that adding family-based interventions to school-based interventions may reduce the onset of smoking by 4-25%.

This review of school-based oral health education included 12 trials and found it was effective in reducing plaque accumulation over a short period. there was no long-term evidence on the effectiveness.

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Barriers and enablers to dental care for people affected by mental health disorders

The study participants may not be representative of the real-world population

This narrative review focuses on the barriers and enablers for patients with mental health problems in accessing dental care. Most of the published work focuses on barriers . More work and resources are needed to improve both access to care and oral health outcomes or this group of patients.

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