Showing posts with label AZ 85260. Show all posts
Showing posts with label AZ 85260. Show all posts

Tuesday, August 20, 2013

Gene Associated with Longevity Also Regulates Circadian Clock

Human sleeping and waking patterns are largely governed by an internal circadian clock that corresponds closely with the 24-hour cycle of light and darkness. This circadian clock also controls other body functions, such as metabolism and temperature regulation.
Studies in animals have found that when that rhythm gets thrown off, health problems including obesity and metabolic disorders such as diabetes can arise. Studies of people who work night shifts have also revealed an increased susceptibility to diabetes.
A new study from MIT shows that a gene called SIRT1, previously shown to protect against diseases of aging, plays a key role in controlling these circadian rhythms. The researchers found that circadian function decays with aging in normal mice, and that boosting their SIRT1 levels in the brain could prevent this decay. Conversely, loss of SIRT1 function impairs circadian control in young mice, mimicking what happens in normal aging.
Since the SIRT1 protein itself was found to decline with aging in the normal mice, the findings suggest that drugs that enhance SIRT1 activity in humans could have widespread health benefits, says Leonard Guarente, the Novartis Professor of Biology at MIT and senior author of a paper describing the findings in the June 20 issue of Cell.
“If we could keep SIRT1 as active as possible as we get older, then we’d be able to retard aging in the central clock in the brain, and health benefits would radiate from that,” Guarente said.
Staying on schedule
In humans and animals, circadian patterns follow a roughly 24-hour cycle, directed by the circadian control center of the brain, called the suprachiasmatic nucleus (SCN), located in the hypothalamus.
“Just about everything that takes place physiologically is really staged along the circadian cycle,” Guarente sid. “What’s now emerging is the idea that maintaining the circadian cycle is quite important in health maintenance, and if it gets broken, there’s a penalty to be paid in health and perhaps in aging.”
Last year, Guarente found that a robust circadian period correlated with longer lifespan in mice. That got him wondering what role SIRT1, which has been shown to prolong lifespan in many animals, might play in that phenomenon. SIRT1, which Guarente first linked with aging more than 15 years ago, is a master regulator of cell responses to stress, coordinating a variety of hormone networks, proteins and genes to help keep cells alive and healthy.
To investigate SIRT1’s role in circadian control, Guarente and his colleagues created genetically engineered mice that produce different amounts of SIRT1 in the brain. One group of mice had normal SIRT1 levels, another had no SIRT1, and two groups had extra SIRT1—either twice or 10 times as much as normal.
Mice lacking SIRT1 had slightly longer circadian cycles (23.9 hours) than normal mice (23.6 hours), and mice with a 10-fold increase in SIRT1 had shorter cycles (23.1 hours).
In mice with normal SIRT1 levels, the researchers confirmed previous findings that when the 12-hour light/dark cycle is interrupted, younger mice readjust their circadian cycles much more easily than older ones. However, they showed for the first time that mice with extra SIRT1 do not suffer the same decline in circadian control as they age.
The researchers also found that SIRT1 exerts this control by regulating the genes BMAL and CLOCK, the two major keepers of the central circadian clock.
Enhancing circadian function
A growing body of evidence suggests that being able to respond to large or small disruptions of the light/dark cycle is important to maintaining healthy metabolic function, Guarente says.
“Essentially we experience a mini jet lag every day because the light cycle is constantly changing. The critical thing for us is to be able to adapt smoothly to these jolts,” Guarente said. “Many studies in mice say that while young mice do this perfectly well, it’s the old mice that have the problem. So that could well be true in humans.”
If so, it could be possible to treat or prevent diseases of aging by enhancing circadian function—either by delivering SIRT1 activators in the brain or developing drugs that enhance another part of the circadian control system, Guarente said.
“I think we should look at every aspect of the machinery of the circadian clock in the brain, and any intervention that can maintain that machinery with aging ought to be good,” he says. “One entry point would be SIRT1, because we’ve shown in mice that genetic maintenance of SIRT1 helps maintain circadian function.”
Some SIRT1 activators are now being tested against diabetes, inflammation and other diseases, but they are not designed to cross the blood-brain barrier and would likely not be able to reach the SCN. However, Guarente believes it could be possible to design SIRT1 activators that can get into the brain.
Roman Kondratov, an associate professor of biology at Cleveland State University, says the study raises several exciting questions regarding the potential to delay or reverse age-related changes in the brain through rejuvenation of the circadian clock with SIRT1 enhancement.
“The importance of this study is that it has both basic and potentially translational applications, taking into account the fact that pharmacological modulators of SIRT1 are currently under active study,” Kondratov said.
Researchers in Guarente’s lab are now investigating the relationship between health, circadian function and diet. They suspect that high-fat diets might throw the circadian clock out of whack, which could be counteracted by increased SIRT1 activation.
The research was funded by the National Institutes of Health and the Glenn Foundation for Medical Research.
dentistrytoday.com

Sunday, August 18, 2013

Cause of Colorectal Cancer May Stem From Mouth Bacteria

There may be a newly discovered cause of colorectal cancer.
Two new studies indicate that a type of gut bacteria located in the mouth can cause colorectal cancer as a result of influencing the immune response and turning on cancer genes. The research team thinks this information could result in more efficient ways to diagnose, treat and possibly prevent colorectal cancer.
The information from the two studies appears in the August 14 issue of the online journal Cell Host & Microbe.
The gut contains trillions of bacteria, which outnumber the number of cells in our bodies. The microbe communities maintain their health by training the immune system and aiding in the digestion of food. The down side is that they could cause disease.
Previous studies have demonstrated that when there is an imbalance, the bacteria could cause colon cancer.
Of all cancers, colorectal cancer is the second leading cause of death for Americans. The researchers have determined Fusobacteria from the mouth are also plentiful in tissues of colorectal cancer patients.
The first study concluded that Fusobacteria in benign tumors can eventually become cancerous. In mice bred to have a form of colorectal cancer similar to that of humans, the bacteria increased the rate in which tumors formed.
In the second study, it was determined that Fusobacteria utilize a molecule that inhabits the surface of the bacterial cell. It then sticks to and attacks the human colorectal cancer cells.
dentistrytoday.com

Saturday, August 10, 2013

Results from large international clinical trials provide dentists and patients with a new level of confidence in dental implant

Results from two of the largest international clinical studies performed to date with dental implants have just been published and demonstrate excellent clinical performance. Together, the studies have evaluated more than one thousand Straumann Bone Level implants in Europe, the US and Australia. The scope of these studies is particularly remarkable in view of the fact that most dental implant companies do not conduct clinical trials because they want to cut costs and do not have the capabilities.
 The studies are also remarkable in that they both reported very high implant survival rates of more than 98% with practically no bone loss around the implants. The findings are considerably better than values reported in a comprehensive review of previously published studies with other implants[1]. The new studies add to the wealth of strong clinical evidence backing the Straumann dental implant system and thus provide very good reasons for patients and dentists to insist on Straumann implants rather than undocumented alternatives.
 
The benchmark in clinical research
The first study was a randomized controlled clinical trial (RCT) at 11 clinical centers in Europe, USA and Australia[2]. RCTs are the benchmark in clinical research because they offer the highest level of clinical evidence. However, few are performed with dental implants and very rarely on such a large scale.
 This RCT has evaluated 106 patients each treated with one implant and followed for three years. The investigators compared the outcomes of two different approaches - the first involving two surgical steps, in which the implant is covered with gum tissue ('submerged') during healing, and the second involving just a single step, in which part of the implant is left exposed ('transmucosal') thus saving a second surgical operation. The most impressive highlight reported was the fact that only a single implant was lost, yielding 3-year implant-survival rates of 98.1% and 100% for the transmucosal and submerged groups respectively.
 Because bone loss around implants has been documented as a common undesirable effect of implant treatment[3], this study looked carefully at bone level changes. It showed that bone level was impressively stable over 3 years after implant placement, with mean decreases of less than 0.7 mm and 0.6 mm in the submerged and transmucosal groups respectively. These values are well below the data presented in previous studies with other implants. An analysis of published data showed that only three implant systems achieved mean marginal bone loss below 1 mm over a period of 5 years[1].
 
Excellent results also achieved in everyday practice
While RCTs demonstrate that products or treatments work well, they are usually conducted by specialists in selected and strictly controlled populations. This study was performed by dental practices and University clinics that are highly specialized in dental implantology, which raises the question of whether its excellent results can be reproduced in daily dental practice. To answer this, a large study using the same implant was conducted in Europe and the US, in which the dentists had to follow the product guidelines but were able to use the implant as they would in normal daily practice. The strength of this type of investigation, which is known as 'non-interventional study' (NIS), is that it documents real-life situations, in which indications, patients and conditions all vary widely.
 In this study[4], a total of 908 implants were evaluated in 538 patients at more than a hundred dental practices in six countries, revealing an implant survival rate of 98.5% after one year (the risk of failure is highest in the first year after implant placement5). Besides the very high survival rates, the bone level remained very stable in the majority of cases. The investigators therefore concluded that treatment with Straumann Bone Level Implants yielded very successful outcomes in 'real life' conditions.
 
Results impress further when viewed in the context of other published data
The survival rates reported in both studies are higher than those documented in the literature. The most recent analysis of published data on other implants showed an overall implant survival rate of 95.5% one year after implant placement[5], in contrast to the 98.5% achieved in this NIS in daily dental practice conditions.
 
Medicalnewstoday.com

Saturday, July 13, 2013

Brian H. Williams, D.D.S., F.A.G.D., Ltd. - Preventive & Reconstructive Dentistry

Dr. Brian H. Williams has been practicing dentistry for over 25 years. Dr. Williams not only provides family, cosmetic and preventive dentistry in his Scottsdale, Arizona practice, he also provides maxillofacial prosthodontics and reconstructive dentistry.  He has been providing maxillofacial prosthetics to patients for over 15 years.

Below are a few of the maxillofacial prosthetic treatment options he offers. 


Maxillofacial Extra oral Prostheses
·        Ocular Prosthesis
·        Orbital Prosthesis
·        Auricular Prosthesis
·        Nasal Prosthesis
·        Midfacial Prosthesis
·        Somatic Prosthesis
·        Radiation Shield


Maxillofacial Intra oral Prostheses
·        Surgical Obturator Prosthesis
·        Interim and Definitive Obturator
·        Palatal Lift Prosthesis ( Speech Prothetics )
·        Palatal Augmentation (Drop) Prosthesis
·        Mandibular Resection Prosthesis
·        Fluoride Carrier


Other Specialty Services Offered:
·        Oral Appliance Therapy for Snoring/Sleep Apnea
·        In-Office IV Sedation
·        Hospital Dentistry for Medically Compromised patients or “ Dental Phobics”.

Friday, May 17, 2013

What is Snoring?

Snoring is the vibration of respiratory structures and the resulting sound, due to obstructed air movement during breathing while sleeping.  In some cases the sound may be soft, but in other cases, it can be loud and unpleasant. Snoring during sleep may be a sign, or first alarm, of obstructive sleep apnea.





Generally speaking the structures involved are the uvula and soft palate.  
The irregular airflow is caused by a passageway blockage and is usually due to one of the following:
  • Throat weakness, causing the throat to close during sleep.
  • Mispositioned jaw, often caused by tension in the muscles.
  • Fat gathering in and around the throat.
  • Obstruction in the nasal passageway.
  • Obstructive sleep apnea
  • The tissues at the top of airways touching each other, causing vibrations.
  • Relaxants such as alcohol or drugs relaxing throat muscles.
  • Sleeping on one's back, which may result in the tongue dropping to the back of the mouth


Oral Appliance Therapy for Snoring

Oral Appliances are placed in the mouth and are worn much like an orthodontic appliance or sports mouth protector. They are worn during sleep to prevent the collapse of the tongue and soft tissues in the back of the throat so that the airway stays open during sleep. The appliances promote adequate air intake and help to provide normal sleep in people who snore and have sleep apnea. Oral appliances can be used alone or in conjunction with other means of therapy such as continuous positive air pressure (CPAP). Determination of proper therapy can only be made by joint consultation of your sleep apnea dentist and sleep physician.


Types of Sleep Apnea Dental Appliances

Currently, over 80 different types of sleep apnea dental devices for snoring and sleep apnea are available to specially trained dentists to treat sleep disordered breathing. At first glance, this number appears overwhelming but on close examination each of the appliances falls basically into one of two categories and the diverse variety is simply a variation of a few major themes. Oral appliances can be classified by mode of action or design variation.


          Tongue Retaining Appliances
Sleep Apnea Mouth Appliance
There are very few tongue retaining devices available, but they have been well studied and shown to be effective in many patients. Tongue retainers function by directly holding the tongue in a forward position by means of a suction bulb that holds the tongue. When the tongue is in a forward position, the back of the tongue does not collapse during sleep and obstruct the airway in the throat. The tongue is held in the suction bulb that protrudes from between the teeth in the above model.

Mandibular Repositioning Dental Appliances

Sleep Apnea Dental Device 
Mandibular repositioning appliances are by far the most numerous type on the market. They all function to reposition and maintain the lower jaw (mandible) in a protruded position during sleep. It is felt that this serves to open the airway by indirectly pulling the tongue forward since the tongue is attached to the lower jaw, by stimulating activity of the muscles in the tongue and making it more rigid, and by holding the lower jaw and other structures in a stable position to prevent opening of the mouth.  Thin shells are placed over the upper and lower teeth and a device is incorporated that will pull the lower jaw forward as necessary to open the airway.

 

Friday, May 10, 2013

GUM DISEASE AND HEART DISEASE

HEART DISEASE

DiagramSeveral studies have shown that periodontal disease is associated with heart disease. While a cause-and-effect relationship has not yet been proven, research has indicated that periodontal disease increases the risk of heart disease.
Scientists believe that inflammation caused by periodontal disease may be responsible for the association.
Periodontal disease can also exacerbate existing heart conditions. Patients at risk for infective endocarditis may require antibiotics prior to dental procedures. Your periodontist and cardiologist will be able to determine if your heart condition requires use of antibiotics prior to dental procedures.

STROKE

Additional studies have pointed to a relationship between periodontal disease and stroke. In one study that looked at the causal relationship of oral infection as a risk factor for stroke, people diagnosed with acute cerebrovascular ischemia were found more likely to have an oral infection when compared to those in the control group.   perio.org