This review evaluating the efficacy of subgingival instruments for the treatment of periodontitis included 19 RCTs. The findings show that mechanical subgingival instrumentation is efficacious in the nonsurgical treatment of periodontitis, irrespective of type of instrument or mode of delivery.
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Tamsin Ford asks what outcomes count, when it comes to measuring adolescent depression?
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Only 2 RCTs are included in this Cochrane review update of the effects of systemic antibiotics on adults with symptomatic apical periodontitis or acute apical abscess providing insufficient evidence of effectiveness.
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In his debut blog Kenny Strain considers a new review which compares the working times for digital versus conventional impressions as well as patient centered outcomes. The review suggest a patient preference for the digital approach.
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4o studies were included in this scoping review of orthodontic outcomes used with cleft lip and palate patients. The majority (68%) relate to morphological features of maloclussion with on 3 addressing quality of life issues and 2 health service utilisation.
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André Tomlin considers a new article about high integrity mental health services for children, which calls for mental health and wellbeing support to draw on self, families, school and community resources.
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While 24 studies were included in this review of the impact of orthodontic retainers on periodontal health there was a lack of high quality evidence to support any particular retainer on this or a range of other parameters. More well-designed and long terms studies are required.
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Marcus Munafo explores a recent study that uses a machine learning approach across two trials (STARD*D and CO-MED) to try and predict treatment outcomes (primarily focusing on the antidepressant citalopram) for depression.
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This large Swedish questionnaire survey conducted on a random sample of patients achieved a high response rate (83%) . Those who had received dental implant supported restorative treatment reported very high levels of satisfaction (94%). However, 31% had experienced implant related complications although only 6% reported that these complications occurred frequently.
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This new review looked a 6 main outcome domains in orthodontic research and found that 3 domains (quality of life, health service resource utilization, and adverse effects of treatment.) that could provide useful insight were infrequently evaluated.
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