Publications by authors named "Alexander J Keightley"

Introduction Bitewing radiographs (BWs) with visual examination (VE) are critical for the early detection of caries in primary molars. However, their influence on treatment planning is not extensively studied. Given they involve exposure to ionising radiation, it is essential to understand their impact on treatment decisions.

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Aims The aims were to determine the profile of patients referred for treatment with dental general anaesthetic (DGA) and identify patient-related factors that contributed to a child requiring a DGA.Design setting In total, 42 patients were recruited from new patient assessment clinics at the Edinburgh Dental Institute, Scotland. Prospective questionnaires were given to the patients' caregivers with questions regarding their child's dental anxiety level, ethnicity, level of English spoken and languages spoken at home.

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Introduction Bitewing radiographs (BWs) are under-utilised for children, and reliance on visual diagnosis alone is likely to under-diagnose caries. Quantification of the level of the under-reporting of caries and the vital role of BWs would be beneficial when providing dental care to the paediatric population.Aim To quantify the diagnostic value of bitewings in the management of proximal caries in primary molars.

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Background: Different genes and loci that are associated with non-syndromic developmental tooth agenesis (TA) have the same causation pathway in the development of tumours including breast cancer (BC), epithelial ovarian cancer (EOC), colorectal cancer (CRC) and lung cancer (LC).

Objectives: To assess the link between TA and the development of cancer.

Search Sources: This registered review included a comprehensive search of electronic databases (Cochrane Central Register of Controlled Trials [CENTRAL], LILACS, Scopus, Web of Science and Medline via Ovid) until 1 April 2020, supplemented by manual, grey literature and reference lists search.

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Article Synopsis
  • The study evaluated reasons for children undergoing dental treatment under general anaesthesia in NHS Lothian, focusing on a sample of 294 patients.
  • Most children required treatment due to dental caries, with a significant number coming from the most deprived areas, indicating socioeconomic factors play a crucial role.
  • The findings suggest a need for comprehensive strategies to address child dental health issues, particularly for those from disadvantaged backgrounds, alongside further research to guide effective interventions.
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Background: Crowns for primary molars are preformed and come in a variety of sizes and materials to be placed over decayed or developmentally defective teeth. They can be made completely of stainless steel (know as 'preformed metal crowns' or PMCs), or to give better aesthetics, may be made of stainless steel with a white veneer cover or made wholly of a white ceramic material. In most cases, teeth are trimmed for the crowns to be fitted conventionally using a local anaesthetic.

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Design: A two year placebo-controlled, double-blind, randomised control trial in 1-4-year-old children.

Intervention: Children were recruited from low income families in Rio de Janeiro, Brazil, with access to a fluoridated public water supply. Both groups received oral hygiene instruction along with provision of toothbrushes and 1450 ppm F- toothpaste.

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Unlabelled: Autotransplantation of immature teeth has good survival rates, and has benefits over ossointegrated implants in the growing child, but is very technique sensitive. Spiral CT imaging has been previously used in adult patients to enable computer-aided prototyping to produce a surgical template of the donor tooth, further increasing success rates.

Case Report: The case presented describes management of a 9-year-old girl with the combination of hypodontia affecting the upper lateral incisors as well as a severely ectopic maxillary canine.

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