In a joint blog, Dr Esha Abrol and Dr Clara Belessiotis-Richards critique this individual participant meta-analysis on sex differences in dementia risk and risk factors.
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This eview of the effectiveness of effervescent tablets in the cleaning and sanitising of removable prostheses included 23 RCTs. Six RCTs contributed to meta-analyses which indicate that use of brushing and effervescent tables reduce biofilm and bacterial conts more than brushing alone.
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This review summarising global data on the prevalence of edentulism and dental caries of people aged ≥45 years living in the community included 86 studies. The estimated global prevalence of edentulism in those ≥45 years was 22% (95%CI; 19 to 24%).
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This Cochrane review update of the effects of oral care measures in preventing nursing home-acquired pneumonia inlides 6 RCTs. Low-certainty evidence suggests that professional oral care may reduce mortality compared to usual care when measured at 24 months but evidence for other effects is inconclusive.
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This review of the effectiveness of professionally applied fluoride therapy in preventing and arresting dental caries in older adults aged 60 years or above included 7 studies. The findings suggest that 5% NaF varnish, 38% SDF solution, and 1.23% APF gel were effective in preventing root caries but the studies were varied in treatment protocols, intervention method and follow-up period so more research in needed.
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The use of dental implants has steadily increased and in recent years the largest increase has been noted in patients aged between 65-74 years. This age group are also likely to be on long-term prescription of antiplatelet and oral anticoagulants as prophylaxis against thromboembolic events. Dental implant placement as a surgical procedure presents a risk [read the full story…]
Carly Ross considers a review of the prevalence of chewing difficulty in older people in institutional long-term care. Only 10 cross-sectional studies were included in the review providing an estimated prevalence of chewing difficulties of 23% (95%CI; 1 to 53%) based on low certainty evidence.
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This blog on a review evaluating the association between periodontal disease (PD), Alzheimer’s disease (AD) and mild cognitive impairment (MCI) was written by the Scottish Special Care StRs following a critical appraisal workshop. The review included 13 studies and suggests a link between PD and AD/MCI, but the evidence is limited.
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Anjuli Kaul blogs about a new systematic review and meta-analysis of longitudinal cohort studies, which explores the relationship between PTSD and all-cause dementia.
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Andrew Sommerlad appraises a recent review on the efficacy of interventions for depression in people with dementia, which identified several non-drug treatments that can have a meaningful effect on depressive symptoms in dementia.
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