Monday 21 January 2013

Riemser buys Curasan's dental business


Riemser buys Curasan's dental business
By DrBicuspid Staff
August 20, 2008 -- German pharmaceutical company Riemser Arzneimittel has acquired the dental business of Curasan.
Curasan had been marketing bone regeneration and membrane products in the U.S. since 2004. Its three leading products include Cerasorb, Epi-Guide, and Revois.
"Given the rapid growth in the U.S. of Cerasorb bone regeneration material and Epi-Guide membrane -- which have doubled in users and sales during each of the past two years -- we are eager to bring additional financial resources to the expansion of these and other dental products," Norman Braun, head of Riemser's dental division, stated in a company press release.

Copyright © 2008 DrBicuspid.com

Dentistry and depression: Part I -- Are dentists more suicidal?


Dentistry and depression: Part I -- Are dentists more suicidal?
By Rochelle Sharpe, DrBicuspid.com contributing writer
August 20, 2008 -- Dentistry has the highest suicide rate of any profession. Or so they say. The perception is so entrenched in the popular culture that it once cropped up in an episode of the TV comedy "Seinfeld."
But researchers from the National Institute for Occupational Safety and Health (NIOSH) are saying it may be a myth. In a recent study, they report that, overall, white male dentists had slightly lower suicide rates than the general working population (Occupational Health, January 2008, Vol. 58:1; pp. 25-29).
So where did the notion get started?
There's no question that dentists struggle with depression. "Dentists are under such horrible pressure," said Dorothea Lack, Ph.D., a San Francisco psychologist who used to work as a dental hygienist. "It's not surprising that they have psychological problems."
In the "Seinfeld" episode, Jerry Seinfeld's Jewish dentist Tim declared, "You have no idea what my people have been through."
"The Jews?" Seinfeld asked.
"No, the dentists," Tim replied.
After Tim states that dentists have the highest suicide rate of any profession, Seinfeld retorted: "Is that why it's so hard to get an appointment?"
The perception may have originated in the 1960s when an Oregon study found that the state's dentists had the highest suicide rate of any professional group. A few other statewide studies showed high rates, too. Washington dentists had the second highest suicide rate in a 1983 analysis (behind sheep herders and wool workers), while California dentists ranked third for suicides in a 1973 inquiry (behind chemists and pharmacists).
Some national studies had similar findings. A 1971 examination of data collected by the U.S. Public Health Service showed that dentists had the third highest suicide rate of 36 occupations (behind managers and police officers). Then, in 1996, Steven Stack, a Wayne State University sociologist, analyzed more recent public health service data, using sophisticated statistical techniques to ensure that the high rate was not due to age, race, gender, or marital status. He concluded that being a dentist increases the risk of suicide by 564%.
Other studies reached completely different conclusions, however, finding that dentists' suicide rates did not differ much from the general working population. Those included a 1985 analysis of North Carolina dentists and at least two national studies in the mid-'70s, one of which was published by the ADA. The ADA even convened a conference on the topic in 1977, with experts declaring that reports of high suicides rates were exaggerated.
Settling the question is not easy. The research is inherently complicated, given that people sometimes won't list suicide as their loved one's cause of death. In addition, not all states collect suicide data by occupation.
The NIOSH researchers wrote that their colleagues have reached conflicting conclusions because they analyzed the data differently. "Only older white male physicians and dentists have elevated suicide rates, which partially explains the varied conclusions in the literature," they wrote.
Overall, they found that dentists older than age 50 had elevated suicide rates. Those between 60 and 64 years, the oldest working dentists studied, had the highest rates: 47.5 of 100,000 dentists committed suicide, compared to 42.6 of 100,000 workers of this age in the general population.
Medical doctors between 60 and 64 years had even higher rates, with 54.8 of 100,000 of these older doctors committing suicide.
But whichever profession is the most stressful, it's clear that many dentists need new ways to cope with the emotional burdens of their jobs.
In part II of this series, we take a look at techniques that psychologists and stressed-out dentists themselves are offering.

New bacteria could help battle tooth decay


New bacteria could help battle tooth decay
By Rabia Mughal, Contributing Editor
August 19, 2008 -- Dentists battle tooth decay and gum disease on a daily basis. Now British researchers have lent them a hand by discovering a new species of bacteria that could be a possible contributor to both.
Identifying and cataloguing new and existing oral bacteria could aid in developing new prevention methods and treatment of oral diseases. However, it is still unclear how relevant these particular new bacteria will be to treating periodontal disease.
The research team, led by William Wade, a professor of oral microbiology from the Dental Institute at King's College London, found three strains of the bacteria in oral mucosal tissue.
The new organism belongs to the Prevotella species, which are part of the normal microbial flora in humans and are associated with various oral diseases and infections in other parts of the body, and has been named Prevotella histicola, from the Latin wordhisticola -- "inhabitant of tissues."
"The healthy human mouth is home to a tremendous variety of microbes, including viruses, fungi, protozoa, and bacteria," Wade stated in a Kings College press release. "The bacteria are the most numerous: there are 100 million in every milliliter of saliva and more than 600 different species in the mouth."
Researchers performed a thorough phenotypic and genotypic characterization of these strains and published the results in the International Journal of Systematic and Evolutionary Microbiology (August 2008, Vol. 58:8, pp. 1788-1791).
The three strains form a homogenous group and are clearly distinct from any species with validly publishable names, the authors noted.
"Cells are saccharolytic and are able to ferment fructose, glucose, lactose, maltose, mannose, raffinose, and sucrose, but not arabinose, cellobiose, mannitol, melezitose, melibiose, rhamnose, ribose, salicin, sorbitol, trehalose, or xylose," they stated. "Major amounts of acetic acid and succinic acid and trace to minor amounts of isovaleric acid and lactic acid are produced as end products of metabolism."
The researchers found the new species living inside both healthy tissue and oral cancer cells.
"This confirms other work showing that oral bacteria can invade both tissues and individual cells," Wade stated.
This discovery is part of a larger goal of describing oral microbiota, Wade told DrBicuspid.com in an e-mail interview. Less than half of oral bacterial species have yet been named, and around half cannot even be cultured in the laboratory, he noted.
"Although we are looking for life on Mars, we are still largely ignorant of the microbial world of our own mouths!" Wade said.
"Very few single discoveries consist of major breakthroughs. In this case, the discovery of a new human oral species of Prevotella (a genus of gram-negative bacteria) is important, but further information will be needed to determine its specific importance related to periodontal diseases," said Chris H. Miller, Ph.D., a professor of oral microbiology at Indiana University. "According to the current NIDCR [National Institute of Dental and Craniofacial Diseases] listing of oral microbial species, there are already five species of oral Prevotella."
Tooth decay and gum disease are not traditional infectious diseases; they result from an imbalance between the human host and its commensal microbiota, influenced by environmental factors, Wade explained.
"To understand the interactions between host and microbiota, we need to fully characterize the microbial communities present," he said.
Wade's team, in collaboration with scientists at the Forsyth Institute in Boston, compiled a list of oral bacterial species earlier this year. That list comprises 600 species and provides descriptions of each species together with tools for analysis of their DNA.
Although most bacteria in the mouth are important for oral health, some can potentially cause disease. This database will help scientists study the role of specific bacteria in human health and disease, according to the college press release.
A better understanding of oral bacteria can also assist in developing new prevention methods and treatment of oral diseases.
"In the case of gum disease, it is clear that individuals who are susceptible display a greater degree of inflammation than those who are not susceptible, to the same level of bacterial challenge," Wade told DrBicuspid.com. "New treatments will be aimed at restoring tolerance to the normal microbiota in susceptible individuals."