February 23, 2015

Healthy Metabolism Key to Breast Health in Postmenopausal Women


Postmenopausal women who are metabolically healthy but overweight do not have the same increased risk of breast cancer as those who are overweight with high insulin levels.  One of the first studies that examined the association between insulin and breast cancer looked at data from 2,830 participants in the Women's Health Initiative, 497 of whom had breast cancer.  They compared the insulin sensitivity of those of normal weight and overweight, and used the fasting insulin level to define metabolic health.  The study found that metabolically healthy overweight women were not at elevated risk of breast cancer compared with metabolically healthy normal weight women.

Source:  CancerRes, 2015: 75(2):270-274

Robert G. Tupac, DDS, FACP, Inc., Diplomate, American Board of Prosthodontics (661) 325-1275 | www.drtupac.com 5060 California Ave., #170, Bakersfield, CA 93309

February 19, 2015

What Is Peri-implantitis?


Peri-implantitis is a more serious disease distinguishable from the condition of peri-implant mucositis.  It is characterized by an inflammatory process around a dental implant, which includes both soft tissue inflammation and progressive loss of supporting bone beyond biological bone remodeling.  It is present when there is bleeding on probing and/or suppuration and detectable bone loss.  Since after all dental implants are placed the bone undergoes a process of remodeling that results in the loss of an average of 1 mm of bone height, the only way to document further bone loss is by comparison to a baseline radiograph obtained at the time of suprastructure placement, or by (if no baseline radiograph is present) using a threshold vertical distance of 2 mm from the expected marginal bone level following remodeling post implant placement.

Risk factors include:

  • previous periodontal disease--does not affect implant survival rate, but is a more frequent finding in patients with a history of periodontitis
  • poor plaque control or difficulty cleaning due to prosthesis design dictated by esthetics, phonetics and function
  • residual cement that provides a positive environment for bacterial attachment
  • smoking--a 3.6 to 4.6 times greater risk of inflammation
  • genetic factors that contribute to patient susceptibility
  • diabetes--which affects tissue repair ability and defense against inflammation
  • possible bite overload

Diagnosis of peri-implantitis:

The presence of bone loss and probing depth alone is not enough to make the diagnosis.  Only in the presence of bacterial inflammation, is bone loss, seen over time, definitive for peri-implantitis.  Non-surgical therapy has not been shown to be effective in the treatment of the disease, therefore surgical intervention is necessary, and there are several ways to do it.  An understanding of peri-implant mucositis and peri-implantitis underscores the importance of regular monitoring and professional care for dental implants as well as for natural teeth.

Robert G. Tupac, DDS, FACP, Inc., Diplomate, American Board of Prosthodontics (661) 325-1275 | www.drtupac.com 5060 California Ave., #170, Bakersfield, CA 93309

February 17, 2015

Exercise and Lupus


The latest Lupus Foundation Newsletter from www.lupus.org has a Q&A with Dr. Hazel Breland regarding exercise and Lupus.

What is Lupus?

Lupus is an autoimmune disease characterized by, among other things, fatigue and joint pain.  It is a disease that alters a person's lifestyle.  Lupus patients are very aware of the limitations the disease creates and therefore are doubly motivated to do things even when they don't feel well.  There are good days and bad, and some patients don't know how they will feel on any given day until they wake up in the morning.  They also don't want to do anything that may cause the disease to "flare."

The consensus regarding exercise is that, with the approval of the patient's physician, a program that involves low impact motions, such as yoga, Tai Chi, water aerobics, a stationary bike, or walking, are best.  Staying hydrated during exercise is also important.  Exercises that promote staying limber and maintaining range of motion are recommended.

Patients are encouraged to stay active and at the same time pay attention to their tolerance levels to get the most benefit without overdoing it.

Robert G. Tupac, DDS, FACP, Inc., Diplomate, American Board of Prosthodontics (661) 325-1275 | www.drtupac.com 5060 California Ave., #170, Bakersfield, CA 93309

February 13, 2015

Another Health Benefit of Coffee



Previous studies have shown that (caffeinated) coffee consumption may reduce the risk of non-melanoma skin cancers.  A new study, published in the Journal of the National Cancer Institute of 447,000 people from the NIH-AARP Diet and Health Study, followed patients for a period of ten years from 1996.  All were cancer free at the beginning, and researcher adjusted for various risk factors, such as UV radiation exposure, age, alcohol intake, sex, smoking history, physical activity, and body mass index.  Results showed that those who drank 4 or more cups of coffee per day had a 20% lower risk of melanoma.

Robert G. Tupac, DDS, FACP, Inc., Diplomate, American Board of Prosthodontics (661) 325-1275 | www.drtupac.com 5060 California Ave., #170, Bakersfield, CA 93309

February 11, 2015

Blood Type Matters for Brain Health


Blood type may affect brain function as we age, according to a new large, long-term study. People with the rare AB blood type, present in less than 10 percent of the population, have a higher than usual risk of cognitive problems as they age.
University of Vermont hematologist Mary Cushman and her colleagues used data from a national study called REGARDS, which has been following 30,239 African-American and Caucasian individuals older than 45 since 2007. The aim of the study is to understand the heavy stroke toll seen in the southeastern U.S., particularly among African-Americans. Cushman's team focused on information collected twice yearly via phone surveys that evaluate cognitive skills such as learning, short-term memory and executive function. The researchers zeroed in on 495 individuals who showed significant declines on at least two of the three phone survey tests.
When they compared that cognitively declining group with 587 participants whose mental muster remained robust, researchers found that impairment in thinking was roughly 82 percent more likely in individuals with AB blood type than in those with A, B or O blood types, even after taking their race, sex and geography into account. The finding was published online last September in Neurology.
The seemingly surprising result has some precedent: past studies suggest non-O blood types are linked to elevated incidence of heart disease, stroke and blood clots—vascular conditions that could affect brain function. Yet these cardiovascular consequences are believed to be linked to the way non-O blood types coagulate, which did not seem to contribute to the cognitive effects described in the new study. The researchers speculate that other blood-group differences, such as how likely cells are to stick to one another or to blood vessel walls, might affect brain function.
Cushman emphasizes the need for follow-up studies not only to verify the blood type/brain function association but also to untangle mechanisms for it. In the meantime, those with AB blood need not panic about their future cognitive wherewithal, she says, noting that all our brains are apt to benefit from a healthy diet, awareness of our risk factors for heart disease and stroke, and regular exercise for the body and brain.
Andrea Anderson
From Blood to Brain
Blood type has been linked with a variety of mental disorders, but the associations are weak—many other factors are more important in determining who ends up with an illness. Still, the fact that a connection may exist intrigues some scientists, who hope one day to uncover the biological processes that link blood molecules to mental health, possibly improving our understanding and treatment of these illnesses.
  • People with O blood type may be more likely to have depression and intense anxiety; children may be at a greater risk of attention-deficit disorder.
  • People with A blood type may be more prone to obsessive-compulsive disorder; children may be at a greater risk of attention-deficit disorder.
  • Children with B blood type may have a lower risk of attention-deficit disorder.
Victoria Stern

Source: http://www.scientificamerican.com/article/blood-type-matters-for-brain-health/?WT.mc_id=SA_Twitter
Robert G. Tupac, DDS, FACP, Inc., Diplomate, American Board of Prosthodontics (661) 325-1275 | www.drtupac.com 5060 California Ave., #170, Bakersfield, CA 93309

February 10, 2015

Dentures: Where Your Natural Teeth Used To Be



Well-fitting Dentures

When teeth are removed, our jawbone begins a continuous, lifelong process of resorption, or shrinkage.  The pressure from dentures on gum tissues contribute to the shrinkage, since gum tissues were never intended to withstand chewing forces.  High quality, well-fitting dentures restore your youthful appearance, allow you to eat most of the foods that you love, helps you feel better about yourself, eliminates embarrassment, enables you to speak more clearly and even helps with digestion.

Loose Dentures

If you've worn the same set of dentures for a long time, your ridges have shrunk.  As a result, your bite has become closed down, and your lips and cheeks have less support from the teeth than they once did.  Since a set of dentures is made to fit the shape of your oral anatomy at the time they are made, often you don't notice the gradual shrinkage as gums and bone recede.  Your dentures become looser and more unstable, affecting speaking and chewing.  The collapsed "denture look" develops, when before nobody knew you were wearing dentures.

If this is you, it's time to get your smile back with a new set of dentures.  The new set will make you look better and feel younger, speak more clearly and enhance your chewing ability.

Robert G. Tupac, DDS, FACP, Inc., Diplomate, American Board of Prosthodontics (661) 325-1275 | www.drtupac.com 5060 California Ave., #170, Bakersfield, CA 93309

February 06, 2015

A Diet to Fight Type 2 Diabetes

Mediterranean Diet

Researchers studied more than 22,000 participants over an eleven year time period.  They then took those who had developed type 2 diabetes and monitored their dietary habits.  The researchers constructed a 10-point "Mediterranean Diet Score" (MDS) and a similar scale to measure the available carbohydrate (or glycemic load (GL)) of the diet.

A Mediterranean diet features the use of extra virgin olive oil, which leads to a high ratio of monounsaturated fats to saturated fatty acids.  The diet recommends fish and lean meats, whole grains, legumes, fruits and vegetables, and nuts.

MDS Score vs. GL Score

People with an MDS score of over 6 were 12% less likely to develop diabetes than those with a score of 3 or below.  Those with the highest available carbohydtrate in their diet were 21% more likely to develop diabetes than those with the lowest.  Those people with both high MDS and low GL had a 20% less chance of developing type 2 diabetes.  In addition, they found that it was the dietary characteristics, according to these two measures, rather than gross weight (or overweight) that was significant.

Robert G. Tupac, DDS, FACP, Inc., Diplomate, American Board of Prosthodontics (661) 325-1275 | www.drtupac.com 5060 California Ave., #170, Bakersfield, CA 93309