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

             The        Monthly     E-newsletter                   Vol - I V    Number-  I I I        August 2009

In this Issue:

  • Editorial

  • News

  • DentistryUnited @ Rank 6 on GOOGLE

  • Laughter - The best Medicine


  • Tick saliva could hold cancer cure: Brazilian scientists

  • Dr. Carmen D. Sanchezwins R.I. minority SBA award                                            

  • DEDICATES DENTAL MUSEUM; U. of P. Awards Honors at Opening of Evans Building. - Feb 15 1923- The new York times



Editorial :

      Dear Fellow Dentist,

The higher the technology goes , the higher is the feeling of going back to basics. Ultimately inspite of the high technology it  is the basic skills of the dentist that plays a mojor role in the treatment outcome. Sometimes the treatment for a particular ailment could perhaps be in some bug. In one of the articles this issue , there is about " Amblyomma cajennense" a blood sucking parasite which holds the future of cancer care.

I welcome more and more of you to send your cases or articles for Dental Follicle .

mailto: dentistryunited at gmail dot com

Click here to join DentistryUnited
Click to join DentistryUnited

Yours truly

Dr. Syed  Nabeel

Editor of Dental Follicle & WebMaster

News :


                        DentistryUnited Ranks 6 on Google  for key word "Dentistry"

Laughter - The Best Medicine :

Its always amazing to hear of crash victims so badly mutilated that they have to be identified by their dental records.What't tough to understand it.. if they dont know who the dead fellow is, how they know who the dentist of the dead man is???





Halitosis -Breath Malodor - A review

By Dr.Ghazala Danish MDS

Oral Diagnostitian & Radiologist



Breath malodor means an unpleasant odor of the expired air, whatever the origin may be. Oral malodor specifically refers to such odor originating from the oral cavity itself. A term like halitosis is synonymous with breath malodor. There are references to it in the Bible and in the Koran. Surprisingly enough, until recently breath malodor has not been a matter of much interest in periodontology, although its most frequent causes are plaque-related gingivitis and periodontitis.

Breath malodor should not be confused with the momentarily disturbing odor caused by food intake (e.g., garlic) or smoking because these odors do not reveal a health problem. The same is true for morning bad breath: as habitually experienced on awakening.

A persistent breath malodor, by definition, does reflect some pathology.

Imaginary breath odor or halitophobia, well-established personality disorder questionnaires allow the clinician to assess the patient's tendency for illusional breath malodor.


Morning bad breath

Transient breath malodor is noticed when waking up in the morning in more man half the adult population. It does not deserve special attention since it is due to the xerostomia developed during sleep, i.e. when salivary flow is reduced to a minimum. This with the ongoing intra-oral putrefaction explains the malodor when waking up. Morning breath odor disappears soon after the intake of food or fluid. The intra-oral placement of a toothpaste containing zinc salts and triclosan has the capacity to reduce the odor for several hours, even in the absence of toothbrushing.


Socio-economic aspects

The real concern of the population is the breath malodor which remains during the day and which can cause social and/or relational problems. Subjects who believe they produce malodor can adopt avoidance patterns such as keeping a distance when speaking to others or holding their hand in front of the mouth while speaking. There is also a tendency to constantly use rinses, sprays, chewing gums or pills to mask the breath odor, although many such items have no effect whatsoever or at least no lasting effect.

Even more disturbing is the fact that a number of subjects imagine they have breath malodor when they may not have. This imaginary breath odor, also called halitophobia, has been associated with obsessive-compulsive disorders or hypochondria. It has even led to suicide. For such patients, the presence of a psychologist/psychiatrist at the multidisciplinary malodor consultation is essential.


Etiology and pathophysiology

Causes of halitosis

I Physiologic

  Lack of flow of saliva during sleep




II Pathologic

A.    Disorders of oral cavity

  Poor oral hygiene

  Dental plaque




  Hairy tongue

  Oral carcinoma

B.     Disorders of upper respiratory tract

  Mouth breathing

  Chronic sinusitis

  Foreign bodies

  Atrophic rhinitis (ozena)

  Wegeners granulomatosis (Midline granuloma)





  Nasopharyngeal abscess

  Carcinoma of larynx


C.     Disorders of lower respiratory tract

  Pulmonary abscess

  Carcinoma of the lung



Necrotizing pneumonitis


D.    Gastrointestinal conditions

  Salivary gland dysfunctions


                  Anticholenergic drugs


                  Sjogrens syndrome

  Peritonsillar abscess

  Retropharyngeal abscess

  Cryptic tonsillopathy

  Vincents angina

  Carcinoma of the tonsil or pharynx

  Pharyngitis sicca

  Gangrenous angina

  Zenkers diverticulum

  Postcricoid carcinoma

  Congenital bronchoesophageal fistula

E.     Disorders of lower gastrointestinal tract

  Gastric carcinoma

  Hiatus hernia

  Pyloric stenosis

  Enteric infections

F.      Neurologic disorders



  Zinc deficiency

G.    Systemic diseases



  Febrile illness with dehydration


  Hepatic failure


H.    Drugs

  Lithium salts




  Dimethyl sulfoxide

I.       Functional


  depression be continued in next issue


Tick saliva could hold cancer cure: Brazilian scientists

A South American tick, Amblyomma cajennense , a blood sucking parasite ,may perhaps be the cure for skin cancer . A protein in the saliva of the tick apparently reduces and can even eradicate cancerous cells while leaving healthy cells alone.The protein shares some characteristics with a common anti-coagulant called TFPI (Tissue Factor Pathway Inhibitor), specifically a Kunitz-type inhibitor which also has been shown to interfere with cell growthApparently it did not kill the normal cells.This is hoped to revolutionalize the cancer care.










Dr. Carmen D. Sanchezwins R.I. minority SBA award

Dr. Carmen D. Sanchez founded Comfort Dental in 1999 in Providence after moving to the United States from the Dominican Republic. She earned her degrees in dentistry from Boston University and the Pontificia Universidad Catlica Madre y Maestra in the Dominican Republic. She also has been the recipient of a fellowship on implants from the Misch International Implant Institute in Detroit.She will be  honored next  the U.S. Small Business Administration (SBA) as the 2009 Rhode Island Minority Small Business Person of the Year.

Harvard's New Dental School -


DEDICATES DENTAL MUSEUM; U. of P. Awards Honors at Opening of Evans Building. - Feb 15 1923- The new York times