Johnston S.,Glasgow Dental Hospital and School
British Dental Journal | Year: 2013
Minocycline is a broad-spectrum antibiotic belonging to the tetracycline family, often prescribed in infective skin conditions such as acne and rosacea. Minocycline-induced staining of the sclerae, ears, oral mucosa and teeth are rare but troublesome conditions. If patients already have concerns about their appearance due to an unsightly skin condition, careful consideration ought to be given to using minocycline as it could worsen the status quo, should potentially irreversible blue staining occur. This report describes one case and highlights some of the other dangers of long-term minocycline use which may present themselves to dentists. © 2013 Macmillan Publishers Limited. All rights reserved.
Al-Ani M.Z.,Glasgow Dental Hospital and School |
Davies S.J.,University of Manchester |
Gray R.J.,The Beeches Consulting Center |
Sloan P.,Royal Infirmary |
Glenny A.-M.,University of Manchester
Cochrane Database of Systematic Reviews | Year: 2016
Background: Pain dysfunction syndrome (PDS) is the most common temporomandibular disorder (TMD). There are many synonyms for this condition including facial arthromyalgia, TMJ dysfunction syndrome, myofacial pain dysfunction syndrome, craniomandibular dysfunction and myofacial pain dysfunction. The aetiology of PDS is multifactorial and many different therapies have been advocated. Objectives: To establish the effectiveness of stabilisation splint therapy in reducing symptoms in patients with pain dysfunction syndrome. Search methods: Electronic databases (including the Cochrane Oral Health Group's Trials Register; the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2003, Issue 2); MEDLINE (1966 to June 2001); EMBASE (1966 to June 2001)) were searched. Handsearching of relevant journals was undertaken and reference lists of included studies screened. Experts in the field were contacted to identify unpublished articles. There was no language restriction. Selection criteria: Randomised or quasi-randomised controlled trials (RCTs), in which splint therapy was compared concurrently to no treatment, other occlusal appliances, or any other active intervention. Data collection and analysis: Data extraction was carried out independently and in duplicate. Validity assessment of the included trials was carried out at the same time as data extraction. Discrepancies were discussed and a third review author consulted. The author of the primary study was contacted where necessary. The studies were grouped according to treatment type and duration of follow up. Main results: Twenty potentially relevant RCTs were identified. Eight trials were excluded leaving 12 RCTs for analysis. Stabilisation splint therapy was compared to: acupuncture, bite plates, biofeedback/stress management, visual feedback, relaxation, jaw exercises, non-occluding appliance and minimal/no treatment. There was no evidence of a statistically significant difference in the effectiveness of stabilisation splint therapy (SS) in reducing symptoms in patients with pain dysfunction syndrome compared with other active treatments. There is weak evidence to suggest that the use of SS for the treatment of PDS may be beneficial for reducing pain severity, at rest and on palpation, when compared to no treatment. Authors' conclusions: There is insufficient evidence either for or against the use of stabilisation splint therapy for the treatment of temporomandibular pain dysfunction syndrome. This review suggests the need for further, well conducted RCTs that pay attention to method of allocation, outcome assessment, large sample size, and enough duration of follow up. A standardisation of the outcomes of the treatment of PDS should be established in the RCTs. © 2016 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Britton K.F.,Glasgow Dental Hospital and School
European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry | Year: 2010
To compare the prevalence of dental caries in children with cleft lip/palate with national data at the same age. Ethical approval was granted from the West of Scotland Ethics Committee. Children attending the Oral Orthopaedic Clinic were examined for caries according to the criteria of the British Association for the Study of Community Dentistry (BASCD) by two trained and calibrated examiners (KB, RW). Subjects were divided into five age groups: 0.5-1.49; 1.5-2.49; 2.5-3.49; 3.5-4.49 and 4.5-6.0 years. Mean dmft scores were compared with available national data (National Dental Inspection Program of Scotland) for nursery [NDIP 3-year-old survey 2008, unpublished] and 5-year-old children in Scotland [NDIP, 2008]. 209 subjects were examined (participation rate of 87.4%); 45.9% were female, 54.1% male; 21 children (10%) had a recognised syndrome and were reported separately. Cleft Palate (CP) was the most commonly occurring cleft in both syndromic and non-syndromic groups, followed in decreasing numbers by Unilateral Cleft Lip and Palate (UCLP), Bilateral Cleft Lip and Palate (BCLP), Unilateral Cleft Lip (UCL) and Bilateral Cleft Lip (BCL). The only age group with a significantly higher level of dental caries compared with national data was the 4.5-6.0 year-olds where only 37.2% of the children with clefts were caries free compared with the national figure of 57.7% (p=0.004). This same age group had a mean dmft for the cleft group of 3.24 compared with 1.86 nationally. The other age groups had similar dmft and percentages of subjects caries free compared with the national data. The differences did not reach significance. Caries was more common in the anterior teeth of the youngest two age groups, but in the posterior teeth of the two oldest age groups. By the age of 4.5 years, children with cleft lip/palate in the West of Scotland have significantly more caries than their non-cleft peers.
Crighton A.,Glasgow Dental Hospital and School
Primary dental journal | Year: 2014
Prescribing medicines is an essential part of comprehensive dental care. Behind this seemingly simple act lies a range of skills. These include understanding the physiological interaction of the medicines in the body as well as their potential for harm either to body systems or when conflicting with other medicines taken by the patient. The decision to prescribe is thus complex even before the efficacy of the drug for the dental condition is considered. This paper reviews some of the issues that the primary care practitioner must consider when prescribing, as well as practical concerns to make prescribing safe and effective.
Benington P.C.,Glasgow Dental Hospital and School
Dental update | Year: 2010
This paper reviews the role of three-dimensional digital imaging in dentistry and its related specialties. Current methods of image capture of the dentition are described, along with the current status of CAD/CAM-based restorative treatment. The advantages of cone beam computed tomography (CBCT) in comparison with conventional radiography are outlined in the fields of endodontics, periodontology, oral surgery and orthodontics. The integration of CBCT with state-of-the-art computer planning systems for implantology is described. The application of multi-modal imaging techniques in the management of orthognathic and cleft lip and palate patients is explained and potential future educational benefits are considered. CLINICAL RELEVANCE: With three-dimensional digital imaging and its related technologies advancing rapidly, it is important for both general and specialist dental practitioners to have an awareness of its current and potential future roles in clinical practice.