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So far Guttman‐Yassky E, Weltfriend S, Bergman R. has created 994 blog entries.

Resolution of orofacial granulomatosis with amalgam removal.

A 61-year-old woman presented with a 2-year history of an abnormal erythematous swelling on the upper lip and cheek. Upon examination there were no other physical findings. Histological examination found discreet sarcoidal granulomas in the lower dermis. Routine laboratory studies, chest radiographs and pulmonary functions were all normal. Clinical presentation and histological findings were, therefore, compatible with the diagnosis of orofacial granulomatosis (OFG). The patient was patch tested with an extended standard series that included metal-salt, dental prosthesis, bakery and corticosteroids series. The patch test was positive (score ++) after 48 and 72 h for mercury in the metal-salt and dental prosthesis series. During the past decade the patient had received amalgam fillings of several dental cavities, including one adjacent to the swollen cheek. The unilateral localization of the soft tissue swelling adjacent to the amalgam tooth fillings, along with the positive patch test for mercury, raised the possibility that the OFG was part of a delayed hypersensitive reaction to the fillings. The patient therefore underwent a total amalgam replacement procedure; complete disappearance of the swelling overlying the right cheek was observed within 7 weeks and the swelling of the upper lip subsided completely within 6 months. We propose that mercury in amalgam tooth fillings is another cause of OFG and suggest appropriate patch testing in patients who do not have an apparent cause of OFG.

By |2018-07-22T19:28:28+00:00January 1st, 2003|Mercury|

The influence of sodium fluoride and sodium hexafluorosilicate on human leukemic cell lines.

Although potential toxic effects of sodium fluoride on early pro-genitor and stem cells have been reported previously, surprisingly few inves-tigations have examined the effects of fluoride on human leukemic cells. To address this need, four different human leukemic cell lines (HL-60, HEL, TF-1, and K562) were exposed to increasing levels (0, 0.24, and 1.19 mM F) of two forms of fluoride: sodium fluoride (NaF) and sodium hexafluorosilicate (Na2SiF6). Because of its widespread use in water fluoridation, Na2SiF6 was investigated in addition to NaF.  The early response effect of Na2SiF6 was greater, and in several cases significantly greater, than NaF on clonogenic growth and the induction of apoptosis in all four cell lines.  These findings show that human leukemic cells can be influenced and damaged by fluorine compounds.

Effect of fluoride in drinking water on children’s intelligence.

The Intelligence Quotient (IQ) was measured in 512 children, aged 8–13 years, living in two villages in Sihong County, Jiangsu Province, China, differing in the level of fluoride in their drinking water. In the high-fluoride village of Wamiao (water fluoride: 2.47±0.79 mg/L; range: 0.57–4.50 mg/L), the mean IQ of 222 children was significantly lower (92.02±13.00; range: 54–126) than in the low-fluoride village of Xinhuai (water fluoride: 0.36±0.15 mg/L; range: 0.18–0.76 mg/L), where the mean IQ of 290 children was higher (100.41±13.21; range: 60–128). The children’s IQs were not related to urinary iodine, family income, or parent’s education level. Higher drinking water fluoride levels were significantly associated with higher rates of mental retardation (IQ <70) and borderline intelligence (IQ 70–79). The Benchmark Concentration (BMC) for the concentration-response relationship between IQ <80 and the drinking water fluoride level was 2.32 mg/L, and the lower-bound confidence limit (BMCL) of the BMC was 1.85 mg/L. Taking dental fluorosis and other sources of dietary fluoride into account, the reference value con-centration (RfC) for fluoride was calculated to be 0.925 mg/L, which is very close to the current national Chinese standard of <1.0 mg/L. In endemic fluo-rosis areas, drinking water fluoride levels greater than 1.0 mg/L may adversely affect the development of children’s intelligence.

Treatment of an Amalgam Tattoo with a Q‐Switched Alexandrite (755 nm) Laser.

BACKGROUND:
Amalgam tattoos result from deposition of metallic particles (eg, silver, mercury, copper, zinc, and tin) into the oral mucosa. Their clinical and histologic appearance is similar to that of decorative tattoos.

OBJECTIVE:
To describe the successful use of a Q-switched alexandrite laser for removal of an amalgam tattoo.

MATERIALS AND METHODS:
An amalgam tattoo on the buccal mucosa and gingiva was treated with a QS 755 nm alexandrite laser. Three treatments were delivered at 8-week time intervals (average fluence = 6.8 J/cm2).

RESULTS:
Significant lightening of the tattoo was achieved after each of the three treatments without adverse sequelae.

CONCLUSION:
Q-switched alexandrite laser irradiation can safely and effectively eradicate amalgam tattoos.

By |2018-07-30T22:14:37+00:00January 1st, 2002|Mercury|

Environmental pollution and effects of lead and fluoride on animal health.

The quality of environment that human society had in the beginning of the twentieth century was far better than what has been handed over to the mankind of the first century of the new millennium. On account of ruthless development activities and over exploitation of natural resources, several animate and inanimate objects of the nature have either lost their quality or had perished. This has necessitated that people should learn more about the environment and educate themselves to protect it from further degradation and destruction, not only in terms of human health and welfare, but also in perspective of safety of other living and non-living constituents of the environment.

By |2018-08-02T20:49:07+00:00January 1st, 2002|Fluoride|

Environmental factors in medically unexplained symptoms and related syndromes: the evidence and the challenge.

Symptoms, and especially those without clear underlying medical explanations, account for a large percentage of clinical encounters. Many unexplained symptoms have been organized by patients and practitioners into syndromes such as chronic fatigue syndrome, multiple chemical sensitivity, sick building syndrome, Gulf War syndrome, and the like. All these syndromes are defined solely on the basis of symptoms rather than by medical signs. Some of the above-described conditions overlap strongly with explained conditions such as asthma. The relationship of such symptoms and syndromes to environmental exposure is often sharply debated, as is the distinction between the various syndromes. This leads to problems of what type of research should be conducted and who should conduct it. It is time to develop a comprehensive research agenda to sort out nomenclature, epidemiology, and environmental causation for these conditions, moving toward comprehensive and effective public health and clinical approaches.

By |2018-07-24T19:18:17+00:00January 1st, 2002|Other|

Greening of the tooth–amalgam interface during extended 10% carbamide peroxide bleaching of tetracycline‐stained teeth: a case report.

At-home bleaching with 10% carbamide peroxide in a custom-fitted tray has been shown to have some minor effects on certain brands of amalgam, pertaining to mercury release, but generally, effects on amalgam are not considered clinically significant. However, in this case report, a greening of the tooth structure in certain areas immediately adjacent to amalgam restorations in the maxillary and mandibular first molars occurred during tooth whitening. Other amalgam restorations in mandibular and maxillary second molars in the same mouth did not demonstrate any green discoloration of the teeth. Upon removal of the affected amalgam restorations, recurrent decay was present in the areas of tooth greening but not in other areas adjacent to the restoration. The teeth were restored with posterior composite restorations. Whether the green discoloration was a result of some loss of material from a particular brand of amalgam, indicating leakage, or indicative of original or recurrent tooth decay is unclear in this single-patient situation. Other patients in the same study did not demonstrate this occurrence. Dentists should be ready to replace amalgam restorations should this green discoloration in adjacent tooth structure occur during bleaching, in case decay is present.

CLINICAL SIGNIFICANCE:
The unusual discoloration cited suggests that amalgam restorations in potentially esthetic areas, including the lingual of anterior teeth, should be replaced prior to bleaching, to avoid the problem of difficult stain removal or translucency allowing restoration visibility following bleaching.

By |2018-07-23T17:17:04+00:00January 1st, 2002|Mercury|

Effect of fluoride mouth rinse on fluoride releasing and recharging from aesthetic dental materials.

This study evaluated fluoride-release and recharging with the fluoride mouth rinsing technique on fluoridated materials. Three fluoride containing materials and one non-fluoride containing composite resin were used for this study. Samples for each material consisted of 15 discs, 9 mm diameter with a thickness of 1 mm. Initial fluoride release was assessed over a 60-day period. After that, 15 discs for each material were divided into 3 groups: distilled water group, 450-ppm and 900-ppm mouth rinsing groups. Fluoride release increased in combination with fluoride mouth rinse, and fluoride was higher in the 900-ppm group than the 450-ppm group. Moreover, S-PRG or F-PRG fillers materials released fluoride in higher than fluoroaluminosilicate glass fillers materials. In addition fluoride release from control samples was not observed. Therefore, only fluoride release material takes up fluoride. The findings of the present investigation suggest that the rate of fluoride release was different for each material, because they contained different function fillers. The results showed the importance of the fluoride mouth rinsing technique for fluoride-releasing restorative materials for the prevention of secondary caries.

By |2018-07-23T17:10:53+00:00January 1st, 2002|Fluoride|

A comparative study of fluoride-releasing adhesive resin materials.

One of the most important and exciting properties of recently introduced dental restorative materials is their ability to release fluoride ions, as this has several advantageous effects on tooth structures. They have been extensively used as fluoride-releasing filling and luting materials. Recently, fluoride-releasing adhesive resins and fluoride-releasing adhesive resin cement have been developed and introduced for clinical use. The purpose of this study was to evaluate the fluoride release from these adhesive resins and the fluoride uptake by both enamel and dentin, as well as the acid-resistance of these tooth structures. Based on our results, we conclude that fluoride-releasing adhesive resins and luting cements are useful for the prevention of initial or secondary caries, especially along the margins of restorations.

By |2018-07-23T17:05:20+00:00January 1st, 2002|Fluoride|

The mercury burden in waste water released from dental clinics.

The aim of this study was to estimate mercury burden in waste water samples collected during one working day in 27 dental clinics. The samples were subjected to authorized analysis using the technique of QS-IE Enhanced Cold Vapour Mercury Analyzer to estimate the amount of mercury discharged. The mean value of mercury discharged was 2.49 parts per billion (ppb) for the clinics equipped with amalgam separators and 94.75 ppb for the clinics without amalgam separators. Some of the small amalgam particles released when new fillings are placed or during removal of old restorations form a sediment in tubes and drains. The remaining particles are carried with the waste water stream to the local purifying plant. If threshold values for heavy metal content including mercury are exceeded, the sludge is not allowed to be recycled as fertiliser. Installation of an approved amalgam-separating apparatus in dental clinics is recommended so as to reduce considerably the discharge of mercury into waste water.

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