D e n t a l    F o l l i c l e               

             The        Monthly     E-newsletter                   Vol - I       Number- V I  I             November-2006

In this Issue:

Editorial :

      Dear Dentists,

                              We are happy to bring you the new edition of "Dental Follicle"  published from the house of . We are happy as day by day ,more and more ,dentists are subscribing to our free E-Newsletter. We hope from the next edition we will be bringing a series of articles by a very renowned laser Dentist on the topic "Lasers in Dentistry ".

                            I am pleased to inform you that one of most widely used software by Orthodontists "OrthoFlash" will soon be available @ DentistryUnited for a very special price!

                     Our team of Dentists in Yahoo Groups is growing too with 118 registered members.If you are still not a member of DentistryUnited on Yahoo Groups, click below

Click here to join DentistryUnited
Click to join DentistryUnited

Yours truly

Dr.S. Nabeel

Editor - Dental Follicle


News :

The New HPV Vaccine Is it Worth the Hype?


Laughter The Best Medicine :

A patient sits in the dental chair with severely fractured front teeth. After discussing how they will be restored and what the fee would be the patient says, " Before we begin, Doc, I gotta know: Will I be able to play the trumpet when you are finished? "
The dentist replies " Sure you will! "
The patient replies " Great, I couldn't play a note before! "



                                                               Getting down to Roots of Dentistry

               Egypt has been a land of contribution to the human civilization from 365 days calender to massive public projetcs and now evidence suggets the Roots of dentistry to be in Egypt.Archelologisits have found the tombs of three dentists

The pictorial letters also spell out the names of the chief dentist — "Iy Mry,  and assistants Kem Msw and Sekhem Ka Hawass"in SAQQARA, Egypt. The tombs were Curse protected  for 4,200-years--warngin :"Violate these tombs and you will be eaten by a crocodile and a snake".

Their location near the Step Pyramid of King Djoser — believed to be Egypt's oldest pyramid — indicate the respect accorded dentists by Egypt's ancient kings, who "cared about the treatment of their teeth,"






by- Dr.Vinayak Joshi


Our body as an inbuilt defense mechanism, one of which is the defense against oxidative damage induced by the free radicals and/or reactive oxygen species. The in vivo anti oxidant defense systems are mainly of three kinds:

a) Preventive antioxidants, e.g.: Catalase, Glutathione peroxidase, S- transferase, Transferrin, albumin, haptoglobin, ceruloplasmin, Superoxide dismutase, carotenoids.

b) Radical scavengers E.g: Ubiquinol ( co-enzyme 10), vit A, vit E, carotenoids, uric acid, ascorbic acid, albumin, bilirubin.

c) Repair and de novo enzymes E.g: DNA repair enzymes, Protease, Transferase, Lipase.

Coenzyme Q10 (CoQ10) is an essential component of the mitochondria - the energy producing unit of the cells of our body. CoQ10 is involved in the manufacture of ATP, the energy currency of all body processes.

Coenzyme Q10 (CoQ10) is a vitamin-like substance, vital in the production of energy. It is also called as ubiquinone since it is found in every cell. CoQ10 was first isolated from beef heart mitochondria by Dr. Frederick Crane of Wisconsin, U.S.A., in 1957

CoQ10 (2, 3-dimethoxy-5methylbenzoquione) is chemically classified as a fat-soluble quinone ring attached to 10 isoprene side units, structurally similar to vitamin K.

The primary action of CoQ10 is as a cofactor in the electron-transport chain. It is found in relatively high concentration in cells with high energy requirements such as heart, liver, muscle, and pancreas. Normal blood levels range from 0.7 - 1.0micro g/mL and the total body content is estimated to be 0.5 - 1.5g.

CoQ10 is synthesized in human cell in an eight-step pathway, from amino acid tyrosine, and vitamins such as folic acid, niacin, riboflavin, and pyridoxine.

CoQ10 are well absorbed by oral supplementation a peak plasma levels are attained within 5 - 10 hours, with absorption being dependent on the fat presence in the gastrointestinal tract. The elimination half-life of the parent compound is approximately 34 hours; excretion is primarily through the biliary tract and over 60% of the oral dose is recovered in the feces.

Mechanism of Action:

Electron Transport Chain (ETC) to Produce ATP:

CoQ10, found in the inner mitochondrial membrane, is the cofactor for at least three mitochondrial enzymes that play a vital role in oxidative phosphorylation. Each pair of electrons processed by the ETC must interact with CoQ10, which is considered the rate-limiting constituent of the mitochondrial respiratory chain. Therefore; CoQ10 plays a essential role in ATP production.


CoQ10 acts to inhibit lipid and protein peroxidation and scavenges free radicals. It undergoes constant oxidation reduction recycling. In addition CoQ10 works synergistically with vitamin E, regenerating its active form, tocopherol, in the same synergistic mechanism as with vitamin C. CoQ10 is the only known naturally occurring lipid-soluble antioxidant that can be regenerated to its active form in the body.

Membrane Stabilization and Fluidity:

The membrane stabilizing property of Coq10 has been postulated to involve the phospholipid-protein interactions that increases prostaglandin (especially prostacyclin) metabolism. it is thought that CoQ10 stabilizes myocardial calcium-dependent ion channels and prevents the depletion of metabolites essential for ATP synthesis. CoQ10 also decreases blood viscosity, and improves blood flow to cardiac muscle in patients with ischemic heart disease.

Formulations and Dosage:

Exogenously CoQ10 are found in fish, fish oil, organ meats and germ of whole grains. The average diet is estimated to provide approximately 10mg/day of CoQ10.

Commercially available CoQ10 is produced by the fermentation of beets and sugar cane, using special strains of yeast. Dosage forms currently available include powder-filled capsules, powder-based tablets, soft gel capsules, fully solubilized soft gel capsules, chewable wafers, intravenous solution, and intra-oral spray.

Doses of 30-60 mg/day BID are generally recommended to prevent CoQ10 deficiency and to maintain normal serum concentrations of 0.7 -1.0µg/mL. For treatment of Chronic heart disease therapeutic doses of 100 -200mg/day are advocated and 90 -390mg/day for treatment of breast cancer. Divided doses are recommended to minimize adverse affects when doses exceed 100mg/day. Maximum absorption of CoQ10 can be achieved if taken with meals that contain fat.

CoQ10 Recommended Intake



Usual Doses

Chronic Heart Failure

100 – 200 mg

Stable Angina

150 – 200 mg


100 – 200 mg


50 mg

Cardiac Surgery/Arrhythmia

100 – 200 mg

Adverse effects:
Adverse effects with use of Coq10 have been minor and include epigastric discomfort, appetite suppression, nausea and diarrhea. These affects are dose related and are minimized with dose reduction or dose division. There is elevated serum LDH and SGOT levels with doses exceeding 300mg/day, but does not result in hepatotoxicity.






Jaw anomaly can be misdiagnosed

When dentists see an unusual shadowy area of bone loss on an X-ray of the lower jawbone, they may be concerned and order a biopsy.

In dental parlance, this strange formation may represent an "anterior variant of the mandibular lingual bone depression," a condition that may look serious, but actually is a harmless bone depression, a rare congenital anomaly that needs no further treatment.

"It's important to know that it's a benign developmental condition," said Lynn Solomon, first author on a paper discussing this "diagnostic challenge" in the September-October issue of General Dentistry