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Lesher JToronto: University of Toronto Press; 2001
Equality Act. 2010. http://www.legislation.gov.uk/ukpga/2010/15/contents (accessed July 2024)
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Preventing UV-associated cancers by altering skin pigmentation. 2021. https://news.harvard.edu/gazette/story/2021/07/altering-skin-pigmentation-can-prevent-uv-cancer (acccessed July 2024)
D'Orazio J, Jarrett S, Amaro-Ortiz A, Scott T UV radiation and the skin. Int J Mol Sci. 2013; 14:12222-12348 https://doi.org/10.3390/ijms140612222
Cao J, Wan L, Hacker E MC1R is a potent regulator of PTEN after UV exposure in melanocytes. Mol Cell. 2013; 51:409-422 https://doi.org/10.1016/j.molcel.2013.08.010
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Liem EB, Joiner TV, Tsueda K, Sessler DI Increased sensitivity to thermal pain and reduced subcutaneous lidocaine efficacy in redheads. Anesthesiology. 2005; 102:509-514 https://doi.org/10.1097/00000542-200503000-00006
Liem EB, Lin CM, Suleman MI Anesthetic requirement is increased in redheads. Anesthesiology. 2004; 101:279-283 https://doi.org/10.1097/00000542-200408000-00006
Mogil JS, Wilson SG, Chesler EJ The melanocortin-1 receptor gene mediates female-specific mechanisms of analgesia in mice and humans. Proc Natl Acad Sci U S A. 2003; 100:4867-4872 https://doi.org/10.1073/pnas.0730053100
Study finds link between red hair and pain threshold. 2021. http://www.nih.gov/news-events/nih-research-matters/study-finds-link-between-red-hair-pain-threshold (accessed July 2024)
Robinson KC, Kemény LV, Fell GL Reduced MC4R signaling alters nociceptive thresholds associated with red hair. Sci Adv. 2021; 7 https://doi.org/10.1126/sciadv.abd1310
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Williams HR, Pandit JJ Red hair and pain sensitivity-insights into genomics of pain?. Anesthesiol Perioper Sci. 2023; 1
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Redheads: Detangling the Myths

From Volume 51, Issue 8, September 2024 | Pages 557-560

Authors

Libby Maclean

Vocational Dental Practitioner, Cherry Court Dental Care and Implant Clinic, Peebles

Articles by Libby Maclean

Jane Maclean

Specialist Orthodontist, Gavin Caves Orthodontics, Haddington

Articles by Jane Maclean

Email Jane Maclean

Abstract

Dentists have historically approached redheaded patients with some caution owing to their reputation for heightened bleeding, lower pain tolerance and increased requirement for anesthesia and pain relief. This article examines the evidence and dispells any misconceptions.

CPD/Clinical Relevance: Updating evidence-based knowledge with regard to red-headed patients and its relevance to dental treatment.

Article

Hair colour is a genetic and physiologically complex phenotype. Approximately 2% of the global population possesses the red hair phenotype, with an increase to 6% in Scotland and 10% in Ireland.1

This phenotype is often characterized by fair skin, freckles and light-coloured eyes. This is attributable to the elevated red pigment, pheomelanin, and the reduced levels of the dark pigment, eumelanin. The genetic basis of red hair was identified in 1995 in association with the melanocortin-1 receptor (MC1R) located on chromosome 16. Additionally, individuals with red hair tend to be sensitive to UV light.2,3 The MC1R gene-encoded protein is made up of 317 amino acids, and over 35 polymorphic sites on the gene have been identified, only a small number of which cause red hair. The underlying genotype for the red hair phenotype is the MC1R mutation.

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