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About Chong LY, Clarkson JE, Dobbyn‐Ross L, Bhakta S.

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So far Chong LY, Clarkson JE, Dobbyn‐Ross L, Bhakta S. has created 991 blog entries.

Slow‐release fluoride devices for the control of dental decay.

AUTHORS’ CONCLUSIONS:
There is insufficient evidence to determine the caries-inhibiting effect of slow-release fluoride glass beads. The body of evidence available is of very low quality and there is a potential overestimation of benefit to the average child. The applicability of the findings to the wider population is unclear; the study had included children from a deprived area that had low levels of fluoride in drinking water, and were considered at high risk of caries. In addition, the evidence was only obtained from children who still had the bead attached at 2 years (48% of all available children); children who had lost their slow-release fluoride devices earlier might not have benefited as much from the devices.

By |2018-08-06T16:42:52+00:00January 1st, 2018|Fluoride|

Diode laser and periodontal regeneration-assisted management of implant complications in anterior maxilla.

Dental implant is being considered successful if the patient is pleased with both of its functional and esthetic outcome. As implant complications (such as peri-implantitis, inappropriate implant position, wrong angulation, and implant location too close to anatomical structures) have been frequently encountered in dental practice, therefore, thorough knowledge to manage such complications is the key prerequisite to prevent the failure of implant. The present case report discussed the etiology, diagnosis of early peri-implantitis, and periodontal abscess with their successful management through periodontal regeneration and diode laser-assisted therapy.

By |2018-08-13T16:41:31+00:00January 1st, 2018|Other, Periodontal Disease|

THE RESEMBLANCE OF FLUOROSIS PATHOLOGY TO THAT OF AUTISM SPECTRUM DISORDER: A MINI-REVIEW.

The rising prevalence of autism spectrum disorder (ASD) in recent decades might reflect an increased burden from the synergistic action of new ecotoxicological factors such as aluminum (Al3+), heavy metals, pesticides, fertilizers, endocrine disruptors, and others. ASD pathogenesis is still poorly understood. Although epidemiological studies have identified fluoride (F) as a developmental neurotoxin, F is not included among the ASDrisk factors. Millions of people drink fluoridated tap water for the prevention of tooth decay. Currently, about 500 million people live in endemic areas with high concentrations of F in groundwater and in the biosphere. Endemic fluorosis is a progressive degenerative disease. Comparing the fluorosis pathological symptoms with ASD pathological symptoms supports the view that F might play a role in ASD etiology. Mitochondrial dysfunctions, oxidative stress and inflammation, decreased melatonin levels, and decrease of IQ have been observed in both ASD and endemic fluorosis. It has been estimated that, in the United States of America, the total costs of ASD per year will reach 461 billion USD by the year 2025. This significant burden, which has widespread effects from the personal level to the state economy, can be probably lowered by focusing more on ASD prevention, including the elimination of F.

By |2019-05-18T16:37:11+00:00January 1st, 2018|Other|

A review of global environmental mercury processes in response to human and natural perturbations: Changes of emissions, climate, and land use.

We review recent progress in our understanding of the global cycling of mercury (Hg), including best estimates of Hg concentrations and pool sizes in major environmental compartments and exchange processes within and between these reservoirs. Recent advances include the availability of new global datasets covering areas of the world where environmental Hg data were previously lacking; integration of these data into global and regional models is continually improving estimates of global Hg cycling. New analytical techniques, such as Hg stable isotope characterization, provide novel constraints of sources and transformation processes. The major global Hg reservoirs that are, and continue to be, affected by anthropogenic activities include the atmosphere (4.4-5.3 Gt), terrestrial environments (particularly soils: 250-1000 Gg), and aquatic ecosystems (e.g., oceans: 270-450 Gg). Declines in anthropogenic Hg emissions between 1990 and 2010 have led to declines in atmospheric Hg0 concentrations and HgII wet deposition in Europe and the US (- 1.5 to – 2.2% per year). Smaller atmospheric Hg0 declines (- 0.2% per year) have been reported in high northern latitudes, but not in the southern hemisphere, while increasing atmospheric Hg loads are still reported in East Asia. New observations and updated models now suggest high concentrations of oxidized HgII in the tropical and subtropical free troposphere where deep convection can scavenge these HgII reservoirs. As a result, up to 50% of total global wet HgII deposition has been predicted to occur to tropical oceans.

Integrating mercury research and policy in a changing world.

Scientific research on Hg transport and fate in the environment and risk to human and wildlife health is growing at a time when international and national policy approaches are needed and being formulated (Evers et al. 2016; Sunderland et al. 2016). The time is optimal for translating the science of Hg pollution and providing guidance to policymakers so that decisions made under the Minamata Convention and national and local efforts to control and mitigate Hg releases and limit exposure can be based on the most rigorous and current scientific research. These four synthesis papers represent collective findings of the international Hg science and policy communities. They will provide a basis in the coming years for developing policy to minimize environmental effects and exposures of Hg.

By |2018-08-06T16:11:18+00:00January 1st, 2018|Mercury|

Prenatal mercury exposure and features of autism: a prospective population study

BACKGROUND:
Mercury (Hg) has been suspected of causing autism in the past, especially a suspected link with vaccinations containing thiomersal, but a review of the literature shows that has been largely repudiated. Of more significant burden is the total quantity of Hg in the environment. Here, we have used the Avon Longitudinal Study of Parents and Children (ALSPAC) to test whether prenatal exposure from total maternal blood Hg in the first half of pregnancy is associated with the risk of autism or of extreme levels of autistic traits. This is the largest longitudinal study to date to have tested this hypothesis and the only one to have considered early pregnancy.

METHODS:
We have used three strategies: (1) direct comparison of 45 pregnancies resulting in children with diagnosed autism from a population of 3840, (2) comparison of high scores on each of the four autistic traits within the population at risk (n~2800), and (3) indirect measures of association of these outcomes with proxies for increased Hg levels such as frequency of fish consumption and exposure to dental amalgam (n > 8000). Logistic regression adjusted for social conditions including maternal age, housing circumstances, maternal education, and parity. Interactions were tested between risks to offspring of fish and non-fish eaters.

RESULTS:
There was no suggestion of an adverse effect of total prenatal blood Hg levels on diagnosed autism (AOR 0.89; 95% CI 0.65, 1.22) per SD of Hg (P = 0.485). The only indication of adverse effects concerned a measure of poor social cognition when the mother ate no fish, where the AOR was 1.63 [95% CI 1.02, 2.62] per SD of Hg (P = 0.041), significantly different from the association among the offspring of fish-eaters (AOR = 0.74 [95% CI 0.41, 1.35]).

CONCLUSION:
In conclusion, our study identifies no adverse effect of prenatal total blood Hg on autism or autistic traits provided the mother ate fish. Although these results should be confirmed in other populations, accumulating evidence substantiates the recommendation to eat fish during pregnancy.

The role of oral cavity biofilm on metallic biomaterial surface destruction–corrosion and friction aspects.

Metallic biomaterials in the oral cavity are exposed to many factors such as saliva, bacterial microflora, food, temperature fluctuations, and mechanical forces. Extreme conditions present in the oral cavity affect biomaterial exploitation and significantly reduce its biofunctionality, limiting the time of exploitation stability. We mainly refer to friction, corrosion, and biocorrosion processes. Saliva plays an important role and is responsible for lubrication and biofilm formation as a transporter of nutrients for microorganisms. The presence of metallic elements in the oral cavity may lead to the formation of electro-galvanic cells and, as a result, may induce corrosion. Transitional microorganisms such as sulfate-reducing bacteria may also be present among the metabolic microflora in the oral cavity, which can induce biological corrosion. Microorganisms that form a biofilm locally change the conditions on the surface of biomaterials and contribute to the intensification of the biocorrosion processes. These processes may enhance allergy to metals, inflammation, or cancer development. On the other hand, the presence of saliva and biofilm may significantly reduce friction and wear on enamel as well as on biomaterials. This work summarizes data on the influence of saliva and oral biofilms on the destruction of metallic biomaterials.

Discovering time-trends of the German populations exposure to contaminants by analysis of human samples of the German Environmental Specimen Bank (ESB).

The German Environmental Specimen Bank (ESB) is a monitoring instrument of the German Federal Ministry for the Environment, Nature Conservation and Nuclear Safety. The permanent biobank facility is run since 1981 containing environmental and human samples from Germany. All samples are collected according to standard operating procedures (SOP). An standardized annual collection of human samples at four different regional sites of the country has been established since 1997. Routine sampling is done once a year, recruiting healthy non occupationally exposed students aged 20-29 years, in an equal gender distribution. The number of participants recruited is approximately 120 students per site and year. Directly after the annual sampling process, the human samples are analyzed for selected environmental chemicals. The time-trends of lead in blood, mercury and pentachlorophenol in 24 h-urine and polychlorinated biphenyls in plasma demonstrated a decrease of exposure during the last two decades by about 40-90 percent. In parallel retrospective studies using cryo-archived samples revealed increasing time trends of emerging chemicals used as substitutes for regulated toxicants. The data demonstrates the great relevance of the ESB for the health related environmental monitoring and shows the importance of human biomonitoring as a tool in information based policy making.

A systematic analysis on possibility of water fluoridation causing hypothyroidism.

Background: Community water fluoridation is widely used worldwide and its role in preventive dental health care is well established. However, there is sufficient evidence of the ill effects of excessive fluoride content in water, causing skeletal and dental fluorosis. Alongside, there was also extraskeletal and dental manifestations of excessive fluorides reported. They include the effect on thyroid function, but the literature regarding this is sparse.

Aim: The present systematic review aims to analyze the data from controlled studies about the effect of fluoride on thyroid function.

Materials and Methods: A systematic literature search was performed using PUBMED, MEDLINE, EMBASE, COCHRANE Library, EBSCO search, and the internet search, with language restriction to English. The search included published studies which dealt with the association of fluorine with hypothyroidism, from January 1981 to November 2015. Literature search was done using keywords: fluoride and hypothyroidism, dental fluorosis and thyroid disorders, systemic fluorosis and thyroid disease, excessive water fluoridation and hypothyroidism, thyroid and fluoride, fluorosis and its adverse effects.

Results: Out of 166 publications, related to search strategy, 37 full articles which were related with the association of fluoride and hypothyroidism were acquired for further inspection. Out of the 37 articles, 10 articles met the inclusion criteria. The data were extracted and placed in an excel sheet and were analyzed. The analysis suggested a positive correlation of excess fluoride and hypothyroidism.

Conclusion: The present systematic review suggests a positive correlation between excess fluoride and hypothyroidism. This calls the need for further well-controlled studies in this otherwise emerging alarming issue. It also calls for considerable community network through health informatics for problem sensitization.

A case of skeletal fluorosis?

A 79-year-old lady presented with a history of diffuse sero-negative arthritis dating from early adulthood. Numerous investigations and therapies had failed to provide any significant benefit and both knees and a hip had been replaced when initially seen a year ago. On questioning at that time, she admitted to daily drinking at least six cups of black tea since childhood. She lives in a retirement village where there has not been water fluoridation since 1994. However, her fasting fl uoride results (Medlab) were elevated.

By |2018-08-08T15:39:22+00:00January 1st, 2018|Fluoride|
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