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Biomedical subjects

M J Larsen

Publications and source records attributed to M J Larsen.

At least 55 records · Page 3Linked to original sources

Stability and mutual conversion of enamel apatite and brushite at 20 degrees C as a function of pH of the aqueous phase.

By calculation, apatite is more soluble than brushite at low pH and less soluble at high pH. Apatite, therefore should be able to transform spontaneously to brushite at low pH and brushite to apatite at high pH. The aim was to describe this mutual conversion as related to the aqueous phase composition. Powdered enamel, brushite or 1:1 mixtures of the two salts were suspended in distilled water for up to 12 weeks at 20 degrees C, pH was adjusted to 4, 5, 6, 7, 8, 9 or 10 by drops of perchloric acid or potassium hydroxide. The calcium and the phosphate concentrations and pH were determined, and the nature of the calcium phosphate powder was examined by X-ray diffraction. At pH 8 and above, brushite was invariably converted to apatite, whilst it was transformed to octacalcium phosphate at pH 7. In the pH range 6-4 brushite was not converted to apatite and enamel apatite was not transformed to brushite spontaneously within 2 months. In the enamel apatite suspensions, the apatite ion product altered with pH, which explained why apatite did not transform to brushite at pH 5-4. At pH 3.7, however, the enamel apatite was converted to brushite. No transformation of apatite to brushite was identified in apatite-brushite mixtures at pH 6-4. Supplementary experiments showed that ethanol, used as an agent for removal of water, salted out the water-free dicalcium phosphate, monetite.

Apatites↗

Solubility, unit cell dimensions and crystallinity of fluoridated human dental enamel.

The aim was to describe the dimensions of the fluorhydroxyapatite unit cell and the solubility of fluorhydroxyapatite as a function of the fluoride concentration in the apatitic lattice. Various amounts of powdered human dental enamel were suspended in a pH 4.5 acetate buffer containing fluoride. The suspensions were equilibrated for 365 days at 20 degrees C. After equilibration the fluoride concentration in the apatite varied from 0.003 to 0.89 (mole fraction). X-ray diffraction showed that the length of the alpha-axis decreased with increasing fluoride concentration, whilst a broadening of the (300) reflection indicated the presence of mixtures of various fluorhydroxyapatites. The solubility of the apatite after the long equilibration decreased slightly with increasing fluoride concentration in the solid. In a few samples the fluoride concentration in the aqueous phase was still discernible, indicating that even after 365 days, equilibrium had not been attained. In these samples the amount of dissolved apatite was extraordinarily low.

Apatites↗

Dental fluorosis among participants in a non-supervised fluoride tablet program.

The aim of the present study was to describe the intraoral pattern of dental fluorosis among fluoride tablet consumers. One hundred and forty-two children, of whom 56 had participated in a fluoride tablet program of 0.5/1.0 mg NaF per day were examined blindly for possible fluoride-induced enamel changes. A low prevalence of dental fluorosis was found among non-participants. The later in life the tooth was formed, the higher was the prevalence. The subjects who had participated in the fluoride tablet program showed a significantly higher prevalence of fluorosis. They could be divided into three groups: Group 1 exhibited a tooth prevalence pattern not statistically different from that of the non-participants, group 2 showed dental fluorosis in almost all teeth except in those formed before the start of the tablet program. In group 3 the early and the late formed teeth showed very little fluorosis while those formed in the few years just after the initiation of the fluoride tablet intake were affected by fluorosis.

Child↗

Chemical and structural challenges in remineralization of dental enamel lesions.

The aim of the present paper was to identify some chemical and structural factors which may prevent a full remineralization of caries lesions and to study whether it is possible to overcome such obstacles. Samples of powdered enamel apatite were equilibrated with solutions metastably supersaturated with respect to enamel hydroxyapatite and fluorapatite. After 10 min and 60 min of equilibration at 20 degrees C the suspensions were centrifuged and the calcium and phosphate concentrations and the pH were determined in the supernatant. In parallel studies, 50 75-microns-thick sections of 27 fluorotic teeth of a severity of 5-7 according to Thylstrup and Fejerskov's classification were examined by microradiography and in polarized light using distilled water, and Thoulett's media or seen dry in air. Five obstacles inhibiting remineralization were identified: 1) Although remineralizing solutions or saliva are supersaturated with respect to enamel apatite the total amount of calcium and phosphate dissolved in it is small, so that after precipitation of the dissolved mineral only 1/20,000-1/30,000 of the volume of the mineralizing solution is occupied by mineral. 2) The concentration gradients from the mineralizing solution into the enamel is small, which indicates a slow diffusion into and out of the lesion. 3) The uptake of calcium and phosphate by the enamel apatite crystals is so rapid that the aqueous phase within the pores can be presumed to be only marginally supersaturated in the deeper parts of the lesion. 4) The surface layer of the enamel lesions was found to be a serious obstacle to remineralization so that a subsurface area remains hypomineralized after exposure to salivary remineralization even for a lifetime. 5) Nucleation of new apatite crystals to substitute lost crystals is an unsolved problem.

Apatites↗

Fluctuation of fluoride concentrations in drinking waters: a collaborative study.

The aim of this study was to describe the variations with time in the concentrations of fluoride in drinking water sources in Greenland, Kenya, Greece, Denmark and Ireland. Water samples were collected monthly and shipped to laboratories in Aarhus for electrometric analyses. In Narssaq, Greenland the fluoride concentration of a single piped water supply ranged from 0.3 to 2.8 ppm, the variations being related to climate, precipitation and temperature over the year. Water from the Athi River, Kenya had a fluoride content ranging from 0.3 to 1.2 ppm, the higher concentrations being associated with the dry seasons. The fluoride concentration in piped water from mountain rivers in Mourjes, Greece, ranged over the year between 1.3 to 2.0 ppm, the changes being apparently unrelated to rainfall. Marked variations in fluoride concentrations from 0.5 to over 3.5 ppm were observed in water from artesian wells in Assiros, Greece. In drinking waters from boreholes in Boennerup Strand, Denmark, fluoride concentrations ranged with time from 1.4 to 2.4 ppm, the variations being unrelated to climate or precipitation, while little variation in fluoride concentrations was found in water from boreholes in either Roedvig or Egens, Denmark. Water obtained from two sources of artificially fluoridated water supplies from Ireland showed considerable variations with time, although pooled samples indicated relatively constant levels over the year. The study indicates that the results of single fluoride ion measurement from any given source should not be taken as being a reliable indicator of fluoride exposure from drinking water.(ABSTRACT TRUNCATED AT 250 WORDS)

Denmark↗

Dental fluorosis in the primary and the permanent dentition in fluoridated areas with consumption of either powdered milk or natural cow's milk.

The aim of the present study was to describe the patterns of dental fluorosis in the primary and the permanent dentition of children born and reared in two different fluoridated areas, one in which powdered milk suspended in tap water was commonly used (Narssaq, Greenland: 1.1 ppm fluoride in the water) and one in which cow's milk was provided (Vordingborg, Denmark: 1.4-1.6 ppm fluoride in the water). Dental fluorosis was recorded by Thylstrup and Fejerskov's classification. In both locations, the prevalence of dental fluorosis increased the later in life the tooth type was formed. The prevalence of dental fluorosis in the earliest formed teeth was higher in the area where powdered milk was suspended in fluoride-containing tap water than where pasteurized cow's milk was used. In the first permanent molars, the maxillary incisors, and the canines, the prevalence was rather similar in the two areas. In the latest formed teeth, the premolars, the level of fluorosis was higher in Vordingborg. The pattern of dental fluorosis suggests that when powdered milk was used frequently, the children were exposed to a higher fluoride intake earlier in life than were those consuming cow's milk during infancy and childhood.

Adolescent↗

Patterns of dental fluorosis in a European country in relation to the fluoride concentration of drinking water.

Dental fluorosis among 456 14-16-year-old schoolchildren who had resided continuously since birth in their respective study areas was recorded using the Thylstrup and Fejerskov classification system. The children fell into four groups according to fluoride concentration of their drinking water: (1) less than or equal to 0.1 ppm; (2) 0.3-0.5 ppm; (3) 0.5-1.25 ppm; and (4) 1.26-2.0 ppm. It was found that the later in childhood the tooth was formed, the higher was the prevalence of dental fluorosis. The fluoride concentration in the drinking water affected the prevalence of dental fluorosis in all teeth except the lower incisors, which are formed very early in life. Apart from these teeth, the proportionate increase of dental fluorosis with increasing water fluoride concentration was almost the same for all tooth types. However, the actual amount of increase in the prevalence and degree of fluorosis was greatest among those teeth that formed later during childhood. The observed fluorosis is presumed to result from and reflect the drinking water habits in the population as well as the patterns of use of fluoride prophylactics.

Adolescent↗

An investigation of the theoretical background for the stability of the calcium-phosphate salts and their mutual conversion in aqueous solutions.

A computer program for calculation of ion-activity products, in aqueous calcium-phosphate solutions and suspensions, was used to construct solubility diagrams which demonstrate the stability and instability fields of the calcium phosphates relative to various parameters. With increasing pH, the solubility of all calcium-phosphate salts decreased (with a solubility increase above pH 12); the most important factors in apatite solubility were pH, the fluoride concentration and the ion strength. It was inferred that apatite owes its instability below pH 5 to its increasing solubility relative to that of brushite. Calculation on amorphous tricalcium phosphate showed that this salt in the pH range above 5 was so soluble that the concurrent supersaturation with respect to either brushite or apatite would induce their formation causing the instability of the amorphous salt.

Calcium Phosphates↗

Solubility study of the initial formation of calcium orthophosphates from aqueous solutions at pH 5-10.

In unsaturated stock solutions with various concentrations of calcium and phosphate and pH of 4-5, supersaturation with respect to brushite, hydroxy- and fluorapatite, octacalcium phosphate and amorphous tricalcium phosphate was established at 20 degrees C by increasing pH in two series of portions, one containing low concentrations of fluoride, one fluoride-free. The precipitate as identified by X-ray diffraction was compared to the ion-activity products in the liquid. Brushite and amorphous tricalcium phosphate were formed at low supersaturation with respect to the salt in question; apatite formation required a high degree of supersaturation. Octacalcium phosphate was not observed presumably due to moderate supersaturations with respect to this salt. Fluoride had no effect on brushite and tricalcium-phosphate formation; only apatite was influenced slightly through a fluorapatite precipitation. The salts were often formed in mutual competition.

Apatites↗

Monkey pulp reactions to restorative materials.

Deep buccal cavities in 99 teeth in eight young monkeys were filled with the following combination of materials: a light-cured microfilled composite with or without a base, a chemically cured composite with a base, a silicate cement, and a zinc oxide-eugenol cement. The acid etch technique and intermediate layer of resin was used in the composite group. Pulp reactions and presence and location of bacteria were studied after 8 days and after 90 days. In the short observation period the inflammatory reactions were more pronounced when unlined composite fillings were evaluated compared with silicate cement fillings and with lined fillings. Bacteria were seen in all unlined cavities and a significant association between presence of bacteria and moderate to severe inflammatory responses was found. The most severe inflammatory reactions were seen when bacteria were found in the dentinal tubules. After 90 days slight inflammatory changes prevailed in all groups. A significant correlation between bacteria and inflammatory reactions could still be observed.

Acrylic Resins↗