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So far Johnson JD. has created 996 blog entries.

Use of the flu vaccine opens the door to studying associations between inflammation, depression, and cognitive impairments.

The current paper published in Brain, Behavior, and Immunity by Kuhlman and colleagues demonstrate that even mild inflammatory responses following vaccination with the influenza vaccine are sufficient to induce depressed mood and cognitive impairments in healthy young adults (Kuhlman et al., 2018).  The authors found that following vaccination participants demonstrated changes of varying magnitude in serum IL-6 levels measured pre- and 1 day post-vaccination, and that larger increases in circulating IL-6 were associated with greater mood disturbances and cognitive symptoms.  Changes in mood and cognitive function were measured the week prior to and the week after vaccination by the analysis of daily diaries that consisted of the 15-item Profile of Mood States (POMS-15) and 3-item POMS-Confusion subscale (inability to concentrate, forgetfulness, and confusion).

By |2018-08-08T20:50:34+00:00January 1st, 2018|Other|

Five hundred patients reporting on adverse effects from dental materials: Frequencies, complaints, symptoms, allergies.

OBJECTIVE:
Information on patients with real or claimed adverse reactions towards dental materials in large patient cohorts is rare. Therefore, the aim of the present study was to investigate patients reporting on complaints and symptoms to dental materials over a 16-year period.

METHODS:
Five hundred patients were characterized by one single dental team regarding age and sex distribution, subjective complaints and objective intraoral symptoms, and allergy status relevant to dental materials.

RESULTS:
Elder patients and females predominated. Subjective complaints were reported by 490 patients, ranging from 1 to 12 complaints per patient. Most often, burning mouth (44%), tooth-/jawache (22%) and dry mouth (20%) were reported. In 54% no objective intraoral symptom was diagnosed. The main objective intraoral symptoms were tongue anomalies (lingua plicata or geographica; 14%), gingivitis adjacent to restorations (12%), redness of the palate or the edentulous ridge (7%), oral lichen planus (6%), grayish discolorations, lichenoid contact lesions, and leukoplakia (<5%). Patch testing of 416 (83%) patients revealed that allergy was diagnosed as contributing to the complaints or symptoms in 70 (14%) patients with metals being the most frequent allergens. Gingivitis adjacent to restorations (3.2%), redness of the palate or edentulous ridge (1.4%) and whitish lichen-like lesions (1.8%) were associated to allergy from dental materials.

SIGNIFICANCE:
The high number of subjective complaints per patient and their wide variety suggests that most patients seriously suffered. Furthermore, the fact that only 46% of the patients had objective intraoral symptoms demands for an interdisciplinary collaboration to elucidate other than dental causes.

Fluoride exposure and thyroid function among adults living in Canada: Effect modification by iodine status.

BACKGROUND:
Fluoride exposure has the potential to disrupt thyroid functioning, though adequate iodine intake may mitigate this effect. This is the first population-based study to examine the impact of chronic low-level fluoride exposure on thyroid function, while considering iodine status. The objective of this study was to determine whether urinary iodine status modifies the effect of fluoride exposure on thyroid stimulating hormone (TSH) levels.

METHODS:
This cross-sectional study utilized weighted population-based data from Cycle 3 (2012-2013) of the Canadian Health Measures Survey (CHMS). Information was collected via a home interview and a visit to a mobile examination centre. The weighted sample represented 6,914,124 adults in Canada aged 18-79 who were not taking any thyroid-related medication. Urinary fluoride concentrations were measured in spot samples using an ion selective electrode and adjusted for specific gravity (UFSG). Serum TSH levels provided a measure of thyroid function. Multivariable regression analyses examined the relationship between UFSG and TSH, controlling for covariates.

RESULTS:
Approximately 17.8% of participants fell in the moderately-to-severely iodine deficient range. The mean (SD) age of the sample was 46.5 (15.6) years and the median UFSG concentration was 0.74 mg/L. Among iodine deficient adults, a 1 mg/L increase in UFSG was associated with a 0.35 mIU/L increase in TSH [95% CI: 0.06, 0.64; p = 0.01, one-tailed].

CONCLUSIONS:
Adults living in Canada who have moderate-to-severe iodine deficiencies and higher levels of urinary fluoride may be at an increased risk for underactive thyroid gland activity.

By |2019-01-06T20:35:29+00:00January 1st, 2018|Fluoride|

Periodontal pathogens and the association between periodontitis and rheumatoid arthritis in Korean adults.

Purpose:
Periodontitis and rheumatoid arthritis (RA) share a similar inflammatory pathogenesis. Porphyromonas gingivalis (Pg) can induce anticyclic-citrullinated peptide autoantibodies (anti-CCP antibodies), a key factor in the development of RA. This study aimed at evaluating the relationships between the 2 diseases and identifying the clinical implications thereof, with a focus on periodontal pathogens in Korean adults.

Methods:
A total of 260 RA patients and 86 age- and sex-matched control patients without arthritis were enrolled in this prospective cross-sectional study. Periodontal indices and the prevalence and amount of periodontal pathogens were compared between the groups. Correlations between periodontal and RA indices were examined, as were correlations between 9 periodontal pathogens and RA indices.

Results:
The RA group had significantly higher values than the control group for all investigated periodontal indices (P<0.05) except the number of teeth. The gingival index (GI) was correlated with the disease activity score 28 (DAS28) (r=0.125, P=0.049), RA disease duration (r=0.253, P<0.001), erythrocyte sedimentation rate (ESR) (r=0.162, P=0.010), and anti-CCP antibody titer (r=0.205, P=0.004). Probing pocket depth (PPD) was correlated with ESR (r=0.139, P=0.027) and anti-Pg antibody titer (r=0.203, P=0.001). Bleeding on probing (BOP) was correlated with DAS28 (r=0.137, P=0.030), RA disease duration (r=0.202, P=0.001), ESR (r=0.136, P=0.030), anti-Pg antibody titer (r=0.177, P=0.005), and anti-CCP antibody titer (r=0.188, P=0.007). Clinical attachment level (CAL) and periodontitis severity were correlated with anti-Pg antibody titer (the former r=0.201, P=0.002; the latter r=0.175, P=0.006). The quantity of Pg was positively correlated with the serum anti-Pg antibody titer (r=0.148, P=0.020).

Conclusions:
The GI, BOP, and PPD showed positive relationships with several RA indices. The anti-Pg antibody titer had positive relationships with PPD, BOP, CAL, and periodontitis severity. Thus, increasing values of periodontal indices could be used as a risk indicator of disease development in RA patients, and an increasing anti-Pg antibody titer could be considered as a warning sign in RA patients suffering with periodontitis.

Review of microbiology of endodontics and molecular identification of microorganisms from endodontic infections.

Endodontic therapy aims at eliminating the existing infection and also inhibiting re-infection. Endodontic failures attribute almost 30-40% of dental failures. Microorganisms are recognized worldwide as the etiological agent for the majority of endodontic infections. The current day medicine emphasizes on understanding the etio-pathogenesis of disease process rather than just symptomatic approach. The limitations of conventional culture techniques like low sensitivity, non-specificity etc has paved way for more potential molecular biology techniques. The molecular techniques are highly sensitive & highly specific making it an integral part of modern day medicine and research. This tool gives insight to the interactions of molecules like DNA, RNA and proteins that are the key factors for life process. A significant contribution of molecular biology methods to medical microbiology relates to the identification of previously unknown human pathogens. More than 50 % of previously uncultivable oral bacteria have been identified by this advanced technique. The techniques can be applied extensively for diagnosis, management and prevention of pathology. This review intends to familiarize various molecular techniques and underlying concepts. This in turn facilitates in implementing them to various contemporary areas of research.

By |2019-06-03T20:26:15+00:00January 1st, 2018|Other|

Impact of endodontically treated teeth on systemic diseases.

Background: This study compares the radiographic distribution of apical periodontitis (AP) in rootfilled and endodontically treated teeth among healthy controls and patients with systemic diseases; the incidence of AP was almost twice as high in the latter group.
Objective: The question arises as to whether the biogenic amines (mercaptan/thioether/hydrogen sulfide) originating from endodontically treated teeth have systemic, subtoxic and immunological effects.
Method: In order to determine this, local hydrogen sulfide measurements of endodontically treated teeth were combined with the laboratory serum analyses of modified proteins to assess the relationship of these compounds with type IV immune reactions.
Results: It was found that 42.5% of the group with systemic diseases showed immunological disturbance as a result of root-filled teeth. Furthermore, the presence of AP was almost three times higher than in the control group (17.2% versus 5.9%, respectively).
Conclusion: In summary, the data demonstrates that local pathologies caused by endodontically treated teeth may increase immunological and systemic dysfunction.

By |2018-08-09T20:29:57+00:00January 1st, 2018|Other|

Challenges and opportunities for managing aquatic mercury pollution in altered landscapes.

The environmental cycling of mercury (Hg) can be affected by natural and anthropogenic perturbations. Of particular concern is how these disruptions increase mobilization of Hg from sites and alter the formation of monomethylmercury (MeHg), a bioaccumulative form of Hg for humans and wildlife. The scientific community has made significant advances in recent years in understanding the processes contributing to the risk of MeHg in the environment. The objective of this paper is to synthesize the scientific understanding of how Hg cycling in the aquatic environment is influenced by landscape perturbations at the local scale, perturbations that include watershed loadings, deforestation, reservoir and wetland creation, rice production, urbanization, mining and industrial point source pollution, and remediation. We focus on the major challenges associated with each type of alteration, as well as management opportunities that could lessen both MeHg levels in biota and exposure to humans. For example, our understanding of approximate response times to changes in Hg inputs from various sources or landscape alterations could lead to policies that prioritize the avoidance of certain activities in the most vulnerable systems and sequestration of Hg in deep soil and sediment pools. The remediation of Hg pollution from historical mining and other industries is shifting towards in situ technologies that could be less disruptive and less costly than conventional approaches. Contemporary artisanal gold mining has well-documented impacts with respect to Hg; however, significant social and political challenges remain in implementing effective policies to minimize Hg use. Much remains to be learned as we strive towards the meaningful application of our understanding for stakeholders, including communities living near Hg-polluted sites, environmental policy makers, and scientists and engineers tasked with developing watershed management solutions. Site-specific assessments of MeHg exposure risk will require new methods to predict the impacts of anthropogenic perturbations and an understanding of the complexity of Hg cycling at the local scale.

Evaluation of the antibacterial activity of a new ozonized olive oil against oral and periodontal pathogens.

Background:
In the present study, the antimicrobial properties of a new ozonized olive oil (O-zone gel) against oral and periodontal pathogens will be evaluated and compared with that of common CHX-based agents.

Material and Methods:
O-zone gel was compared with two agents based on chlorhexidine digluconate (CHX): Corsodyl Dental Gel and Plak Gel. A. actinomycetemcomitans, P. intermedia and S. mutans, were selected and the antibacterial capability of the compounds was tested by using direct contact agar diffusion test (DCT) and minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) evaluations. Differences between specific means were analyzed by a one-way analysis of variance (ANOVA). Group means were compared using a one-way ANOVA and Tukey’s test (P<0.05).

Results:
O-zone gel reported inhibition zones which correspond to 33% and 43% of that achieved by the CHX agents. No inhibition of bacterial growth (MIC) on the Gram-positive strain by using O-zone gel was found and no antimicrobial effect (MBC) was observed by using O-zone gel on both Gram-negative and -positive strains.

Conclusions:
The new ozonated oil was a relatively moderate antiseptic. Gram-negative bacteria proved to be more sensitive to ozonized olive oil than Gram-positive ones. The ozonized olive oil demonstrated a lower antibacterial activity if compared to the CHX-based agents tested.

By |2019-02-18T20:14:59+00:00January 1st, 2018|Mercury|

The assessment of mercury released from dental amalgams after exposure to wi-fi and x-ray radiation in artificial saliva.

Mercury is a well-known toxic element that is found in various forms in nature. Recently, dental amalgams have been recognized as a new source of mercury. This study was carried out under in vitro condition; the amount of mercury released from teeth restored with amalgams in the presence of Wi-Fi router radiation (non-ionizing radiation) and X-ray (ionizing radiation) using a protocol similar to Computed Tomography of Para-nasal Sinuses (CT) were analyzed separately, and in combination on the samples. For this reason, 50 human premolars were restored with a certain type of commercial amalgams. The samples were divided into five groups; control, only-CT, CT+Wi-Fi, Wi-Fi+CT and only-Wi-Fi groups, and mercury measurement were investigated at 24 and 48 hours after exposure to radiation by cold-vapor atomic absorption system. The results showed a significant difference between subgroups 24 and 48 h (p-values = 0.001 and 0.008). However, over time a significant difference was only found in CT+Wi-Fi group (p-value = 0.043). In addition, in comparison with the control group, only the subgroup that was exposed to Wi-Fi waves showed a significant difference after 24 hours (p = 0.033). In line with some of the previous studies, our findings showed that electromagnetic waves are involved in mercury release process, and warnings about the consequences of electromagnetic waves on mercury release and subtitling it with a new compound in restorative dentistry should be taken into consideration.

Oral Foci of Infection Leading to Systemic Diseases-An Emerging Problem in Medicine.

The relationship between oral and general health has been increasingly recognised during the past two decades. Several epidemiological studies have linked poor oral health with cardiovascular disease, poor glycaemic control in diabetics, low birth-weight pre-term babies and a number of other conditions, including rheumatoid arthritis and osteoporosis. It is therefore important that the individuals should be made aware of the risks associated with poor oral health. Hence, dentists and medical practitioners should work together to provide comprehensive health care, thereby reducing the morbidity and mortality associated with oral infections.

By |2019-06-25T19:49:46+00:00January 1st, 2018|Other|
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