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

             The        Monthly     E-newsletter                   Vol - I       Number- IV                       September-2006

In this Issue:

Editorial :

      Dear Dentists,

                              I'm happy to bring you this month's "Dental Follicle'. One more good news is that we would be starting an entirely new website for our newsletter.Meanwhile I request our esteemed readers to take a minute and give us your feedback about "Dental Follicle" and contribute actively in  the content of "Dental Follicle" DentistryUnited is now a groups on Yahoo with more than 80 members actively discussion dentistry! In case you have not yet become a memebr ,click on the Icon below!

Click here to join DentistryUnited
Click to join DentistryUnited

Yours truly

Dr.S. Nabeel

Editor - Dental Follicle and webmaster

News :

          Oral sex causes cancer

        Rocky Mountain Orthodontics Fits its Supply Chain with ERP

        Dr. Jeffrey Collins Joins UIC College of Dentistry Faculty

        Robotic Help For Oral Cancer

        The who, what and where of the AIDS epidemic

        Temporomandibular Joint Disorder Can Be Hard To Diagnose and Treat

        Anti-Periodontitis Plastic

         5-year-old Chicago girl in coma after dental treatment

        Signal backs oral health in GCC

        UNC Dental School Uses Team Effort To Tackle Cleft Palate

        Indian Dentist wins right to stay and work in Scotland



Laughter The Best Medicine :

A dinner speaker was in such a hurry to get to the hotel that when he arrived and sat down at the head table, he suddenly realized that he had forgotten to get his false teeth. Turning to the man next to him he said, "I forgot my teeth." The man said, "No problem." With that he reached into his pocket and pulled out a pair of false teeth.

"Try these," he said. The speaker tried them. "Too loose," he said. The man then said, "I have another pair...try these." The speaker tried them and responded, "Too tight." The man was not taken back at all. He then said, "I have one more pair...try them." The speaker said, "They fit perfectly." With that he ate his meal and gave his address.

After the dinner meeting was over, the speaker went over to thank the man who had helped him. "I want to thank you for coming to my aid. Where is your office? I've been looking for a good dentist." The man replied, "I'm not a dentist. I'm the local undertaker."





                                                                    C-reactive proteinó Part II

by- Dr.Vinayak Joshi



 C-reactive protein (CRP) values can be increased for multiple reasons. A major increase in CRP values is seen with infections (e.g. Bacterial, viral, fungal, or parastic infection), hypersensitive complications of infections (e.g. Rheumatic fever), acquired and inherited inflammatory diseases (e.g. Rheumatoid arthritis, Ankylosing spondylitis), tissue necrosis (e.g. Myocardial infection, Tumor embolization), trauma ( e.g. burns, surgery), neoplasia ( e.g.carcinoma, sarcoma), and also moderate increase in systemic lupus erthematousus, scleroderma, and graft vs.- host disease.


However the relation between CRP values and cardiovascular diseases (CVD) is the major area of focus, reason being the high prevalence of this disease in the developed and developing countries alike.

If you consider the number of studies coming out of the literature trying to link the high CRP levels and the occurrence of cardiovascular events, the relations seems to grow stronger.


Possible hypothesis for occurrence of CVD:

CRP is regulated by interleukin -6 (IL6), interleukin 1, tumor necrosis factor alpha, and other cytokines. CRP is thought to stimulate tissue factor production and activate complement when aggregated. Tissue factor may be the main stimulus to initiating coagulation, which could be crucial in CVD development. Also its shown that CRP binds to low density lipoprotein, which in turn activates complement, tissue factor production by macrophages leading to coagulation.


Another hypothesis based on findings, that an infection, possibly a bacterial or a viral (e.g. Helicobacter pylori, Chlamydia pneumoniae, Herpes simplex virus and cytomegalovirus) might contribute to atherosclerosis. Having known that CRP levels are increased in bacterial and viral infections this is quite possible.


A third theory suggests that CRP is a pro coagulant, increases opsonization and artherogenesis. CRP not only correlates with the increase in the other inflammatory markers but also is know to bind selectively to low and very low density lipoprotein (LDL and VLDL), found in the atheromatous plaque. CRP is also known to be deposited in these plaques, and along with its range of pro-inflammatory properties it could potentially contribute to the pathogenesis, progression and complications of atheroma. Data suggest that CRP is involved in foam cell formation by mediating the LDL uptake by the macrophages, and also its known presence in the plaques with pro inflammatory properties, may play a role in destabilizing the plaque.


During myocardial infraction (MI) the tissue necrosis occurring is a stimulus for CRP response. The CRP is deposited in and around infract not only reflects the extent of myocardial necrosis but also contributes significantly to the severity of ischaemic myocardial injury.


The higher CRP levels are been strongly associated with increased body mass index and metabolic syndrome. Adipocytes are the source of substantial portion of baseline IL6 production.  Weight loss leads to reduction in baseline CRP concentration. CRP production predicts the development of type 2 diabetes independently of traditional risk factors. Low-insulin response diets may decrease plasma CRP by influencing adipocyte function. The elevated CRP levels may provide an additional marker for risk of progression to type 1 diabetes. Oral contraceptive use and systemic hormone replacement therapy are associated with significantly raised baseline CRP levels. Other associations with elevated baseline CRP values include periodontal disease, smoking, consumption of coffee, and stress.

With this little knowledge of CRP it would be certainly interesting to see the relation between CRP and periodontal disease, and that is what you would read in the third and final part.

~As Understood by me~


References for Part I and II:



3)     Saran de Ferranti, Nadir Rifai, C-reactive protein and cardiovascular disease: a review of risk prediction and interventions. Clinical Chimica Acta 2000; 317: 1-15

4)     G.M. Hirschfield and M.B. Pepys, C-reactive protein and cardiovascular disease: new insights from an old molecule. Q J Med 2003; 96: 793 Ė 807.





10 Ways to Take Control

                                                              by- Cathy Warschaw


Iím really big on positive thinking. Letís face it negative thinking only makes a person more frustrated, overwhelmed and simply makes it harder to manage every day responsibilities.


Practicing positive thinking allows people to focus on their strengths and accomplishments, which increases happiness and motivation. This, in turn, allows us to spend more time making progress, and less time feeling down and stuck. The following tips provide practical suggestions that you can use to help you shift into more positive thinking patterns:


1. Take Good Care of Yourself

It's much easier to be positive when you are eating well, exercising, and getting enough rest.


2. Remind Yourself of the Things You Are Grateful For

Stresses and challenges don't seem quite as bad when you are constantly reminding yourself of the things that are right in life. Taking just 60 seconds a day to stop and appreciate the good things will make a huge difference.


3. Look for the Proof Instead of Making Assumptions

A fear of not being liked or accepted sometimes leads us to assume that we know what others are thinking, but our fears are usually not reality. If you have a fear that a friend or family member's bad mood is due to something you did, or that your co-workers are secretly gossiping about you when you turn your back, speak up and ask them. Don't waste time worrying that you did something wrong unless you have proof that there is something to worry about.


4. Refrain from Using Absolutes

Have you ever said "You're ALWAYS late!" or complained to a friend "You NEVER call me!"? Thinking and speaking in absolutes like 'always' and 'never' makes the situation seem worse than it is, and programs your brain into believing that certain people are incapable of delivering.


5. Detach From Negative Thoughts

Your thoughts can't hold any power over you if you don't judge them. If you notice yourself having a negative thought, detach from it, witness it, and don't follow it.


6. Squash the "ANTs"

In his book "Change Your Brain, Change Your Life," Dr. Daniel Amen talks about "ANTs" - Automatic Negative Thoughts. These are the bad thoughts that are usually reactionary, like "Those people are laughing, they must be talking about me," or "The boss wants to see me? It must be bad!" When you notice these thoughts, realize that they are nothing more than ANTs and squash them!


7. Practice Lovin', Touchin' & Squeezin' (Your Friends and Family)

You don't have to be an expert to know the benefits of a good hug. Positive physical contact with friends, loved ones, and even pets, is an instant pick-me-up. One research study on this subject had a waitress touch some of her customers on the arm as she handed them their checks. She received higher tips from these customers than from the ones she didn't touch!


8. Increase Your Social Activity

By increasing social activity, you decrease loneliness. Surround yourself with healthy, happy people, and their positive energy will affect you in a positive way!


9. Volunteer for an Organization, or Help another Person

Everyone feels good after helping. You can volunteer your time, your money, or your resources. The more positive energy you put out into the world, the more you will receive in return.


10. Use Pattern Interrupts to Combat Rumination

If you find yourself ruminating, a great way to stop it is to interrupt the pattern and force yourself to do something completely different. Rumination is like hyper-focus on something negative. It's never productive, because it's not rational or solution-oriented, it's just excessive worry. Try changing your physical environment - go for a walk or sit outside. You could also call a friend, pick up a book, or turn on some music.


When it comes to the work environment a code of behavior is pretty much the rule of thumb. There are those who seem to work well under pressure, but every one is different. To let little things get under our skin won't solve the problem. Sometimes it takes a bit of courage to admit that we're turning into workaholics rather than admit to ourselves that we're not doing our best.


© Warschaw Learning Institute 2006

Cathy Warschaw is the Director of the Warschaw Learning Institute an online educational site offering; Dental Office Management Program, Telephone Training,  HIPAA and various e-books.  For more information go to or call (323) 822-0917(323) 822-0917.





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