BackgroundCaries (dental decay) is a disease of the hard tissues of the teeth caused by an imbalance, over time, in the interactions between cariogenic bacteria in dental plaque and fermentable carbohydrates (mainly sugars). The use of fluoride toothpaste is the primary intervention for the prevention of caries.
ObjectivesTo determine the relative effectiveness of fluoride toothpastes of different concentrations in preventing dental caries in children and adolescents, and to examine the potentially modifying effects of baseline caries level and supervised toothbrushing.
Search methodsA search was undertaken on Cochrane Oral Health Group's Trials Register, CENTRAL, MEDLINE and several other databases. Reference lists of articles were also searched.Date of the most recent searches: 8 June 2009.
Selection criteriaRandomised controlled trials and cluster-randomised controlled trials comparing fluoride toothpaste with placebo or fluoride toothpaste of a different concentration in children up to 16 years of age with a follow-up period of at least 1 year. The primary outcome was caries increment in the permanent or deciduous dentition as measured by the change in decayed, (missing), filled tooth surfaces (D(M)FS/ d(m)fs) from baseline.
Data collection and analysisInclusion of studies, data extraction and quality assessment were undertaken independently and in duplicate by two members of the review team. Disagreements were resolved by discussion and consensus or by a third party. The primary effect measure was the prevented fraction (PF), the caries increment of the control group minus the caries increment of the treatment group, expressed as a proportion 1 Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents (Review)
Early class III orthopaedic treatment, with protraction facemask, in patients under 10 years of age, is skeletally and dentally effective in the short term and does not result in TMJ dysfunction. Seventy per cent of patients had successful treatment, defined as achieving a positive overjet. However, early treatment does not seem to confer a clinically significant psychosocial benefit.
The reporting quality of RCT abstracts presented at EOS congresses was suboptimal. Joint efforts by authors and conference committees to improve reporting are needed.
Background: Chlamydia trachomatis can cause a sexually transmitted infection, which, untreated, may result in considerable morbidity. Methods: A prevalence study was conducted for C trachomatis using nucleic acid amplification technology in asymptomatic women, and certain risk factors that may be used to direct future screening strategies were assessed. Results: The study population comprised 945 asymptomatic women, of whom 783 were attending antenatal clinics, 91 were attending infertility clinics and 71 were attending family planning clinics. An overall C trachomatis prevalence of 3.7% (35/945) was found, with the highest prevalence of 11.2% (22/ 196) in Irish single women aged ,25 years. Logistic regression analysis showed that single status and age ,25 years were independent, statistically significant predictors of C trachomatis infection. Conclusion: These results support routine screening of asymptomatic women who are sexually active and aged ,25 years. An opportunist active screening of all sexually active women independent of age should be additionally considered if resources permit.
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