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Biomedical subjects

M J Larsen

Publications and source records attributed to M J Larsen.

At least 73 records · Page 4Linked to original sources

Ethanol-induced formation of solid calcium phosphates.

Conventional transmission electron microscopy requires an effective dehydration of the tissue specimens under investigation. This dehydration, for which ethanol most often is used, may influence the solubility of the slightly soluble calcium phosphates. To study the behavior of calcium phosphates in ethanol, stable neutral aqueous solutions containing the ions were mixed with ethanol in various ratios at 20 degrees C. After 24 hours, the precipitates formed wee identified by x-ray diffraction to be either apatite, brushite, or amorphous calcium phosphate. The results are discussed with reference to possible formation of calcium phosphate artifacts.

Calcium Phosphates↗

An X-ray diffraction and solubility study of equilibration of human enamel-powder suspensions in fluoride-containing buffer.

Various amounts of enamel-apatite powder were suspended in an acetate buffer (pH 4.5) containing sufficient fluoride to give molar ratios of fluoride/apatite from zero to unity. The suspensions were equilibrated at 20 degrees C for periods between 4h and 1 year, with continuous gentle stirring. Solubility studies showed dissolution of hydroxyapatite, formation and re-dissolution of calcium fluoride and formation of fluorapatite. The amount of mineral dissolved was low during the fluorapatite formation and increased by a factor of approx. 10 as equilibrium was approached. The fluoride content of the solid apatite, which ranged from 0.1 to 70 mol% fluorapatite, only influenced the solubility slightly, whereas the fluoride content of the bathing solution had a large effect. X-ray diffraction showed a linear correlation between the fluoride content and the a-axis of the apatite.

Apatites↗

Dermal uptake of technetium-99m MDP in calcinosis cutis.

A rare case of extensive dermal uptake of Tc-99m MDP associated with renal failure is reported. The mechanism of Tc-99m MDP uptake in such examples of metastatic calcification is not proved, but may relate to adsorption onto hydroxyapatite crystals. This phenomenon is useful in demonstrating distribution of nonvisceral metastatic calcification.

Adult↗

Prevalence of dental fluorosis after fluoride-gel treatments in a low-fluoride area.

The goal of the present investigation was to study whether periodic use of fluoride-gel treatments resulted in an increased prevalence of dental fluorosis. 269 children, from 14 to 16 years of age, who had received semi-annual or quarterly fluoride-gel treatments were examined for possible fluoride-induced enamel changes. Further, in order to determine the amount of fluoride retained during the gel treatment, the expectorate was analyzed in 18 younger children presently participating in the prophylaxis program. It was found that the retention of fluoride averaged 7.3 mg per treatment (up to 0.5 mg fluoride per kg body weight). An increased prevalence of dental fluorosis was not observed, even after up to five yearly treatments were given during tooth formation periods. The background prevalence of dental fluorosis in a low-fluoride area in Denmark is described.

Adolescent↗

A comparison of some effects of fluoride on apatite formation in vitro and in vivo.

In a liquid (22 degrees C) saturated with and in contact with powdered bone apatite, the fluoride ion activity was adjusted to 1-10 parts/10(6). Due to the fluorapatite (FAP) supersaturation produced hereby, a rapid formation of this salt occurred leading to a decrease of the concentration of the ions involved. When no more fluoride was available in the liquid, the concentrations of calcium and phosphate increased again, due to dissolution of presumably hydroxyapatite (HAP). Fifty four rats were given either 10, 20, or 40 mg NaF per kg body weight intraperitoneally. The animals were sacrificed from 5 min to 96 h after the injection. The fluoride concentration in plasma increased to a peak, after which it decreased. Plasma calcium decreased and remained low until the fluoride had attained normal levels. The intensity of mineralization of the growing dental hard tissue was monitored on microradiographs. Corresponding to the plasma fluoride peak and the decrease of plasma calcium, a hypermineralized layer was formed while a hypomineralized zone was formed during plasma calcium increase after disappearance of fluoride. Similarities and dissimilarities between the in vitro and the in vivo experiments are discussed.

Animals↗

Fluoride in mixed human saliva after different topical fluoride treatments and possible relation to caries inhibition.

Fluoride concentrations in mixed saliva were measured at different intervals following topical treatments with various fluoride preparations and procedures such as dentifrice, tablets, mouthrinse and topical solution. The results were related to available caries reduction data from corresponding clinical trials previously published. Salivary fluoride levels varied widely reflecting the different dosages applied, whereas the caries reduction data irrespective of type of treatment appear very similar, with a magnitude of about 30%. When combining salivary fluoride data with recent understanding of enamel-fluoride kinetics it was possible to explain the clinical caries reductions.

Adolescent↗

Effect of intraperitoneally injected fluoride on plasma calcium in suckling and adult rats.

Sodium fluoride 10, 20 or 40 mg/kg body weight was given intraperitoneally to rats (6-11 days old and 90-95 days old). Blood analyses showed an initial increase in plasma fluoride concentration. The subsequent decrease in fluoride was paralleled by a decrease in total plasma calcium. These plasma concentrations were normal at blood collection 4 days after fluoride injection. The baby rats differed from the older rats in that their initial plasma calcium was higher and that the drop in plasma calcium concentration was less pronounced than in the old rats. A diet low in calcium and phosphate enhanced the effects of fluoride on total plasma calcium. The data indicate that the effect of large doses of fluoride on lowering the plasma calcium level is modified by the calcium intake.

Aging↗

Rational use of fluorides in caries prevention. A concept based on possible cariostatic mechanisms.

The aim of this review has been to suggest that future fluoride preventive programs should be based on what is at present known about the possible cariostatic mechanisms of fluoride. The relative role of enamel fluoride in caries prevention has become increasingly questioned during the last two decades. No significant relationship has been demonstrated between caries experience of the individual and fluoride content of the enamel. Furthermore, the fluoride content in surface enamel between teeth developed in low and "optimal" fluoride areas is too small to explain any significant effect on dissolution rate of the enamel. As the major explanation for the cariostatic effect of fluoride must therefore be sought in its local effect on the oral environment, the possible effects on plaque colonization, composition and metabolic activities are discussed. The effect of even low concentrations of fluoride in the liquid phase on enamel dissolution is described, and it is concluded that the major cariostatic effect of water fluoridation, fluoride tooth paste and mouth rinses can probably be ascribed to regular increases in fluoride ion activity in the oral fluids. The effect of high concentrations of topical fluoride solutions is thought to be a result of a slow dissolution of calcium fluoride deposited in initial caries lesions, whereby an increased fluoride ion concentration is maintained locally for longer periods of time. Finally, the clinical consequences of these considerations are described.

Adolescent↗

Effects of fluoride, calcium, and phosphate administration on mineralization in rats.

Seven days before a fluoride injection of 20 mg sodium fluoride per kg body weight, 3-month-old rats grown on a standard pellet diet containing 0.8% calcium and 1.4% phosphate were given a diet of rice with only 0.025% calcium and 0.1% phosphate. Microradiographs of the continuously growing incisors showed a hypermineralized and subsequent hypomineralized zone. Blood analysis demonstrated a decrease and a subsequent reestablishment of plasma calcium concentration. In some experiments calcium and phosphate were administered to compensate the hypocalcemia which prevented the hypomineralized zone from arising. A delay of calcium and phosphate administration led to formation of a mineralized band within the hypomineralized zone. The results are discussed with reference to calcium homeostasis.

Administration, Oral↗

Effect of long-term administration of fluoride on plasma fluoride and calcium in relation to forming enamel and dentin in rats.

Three groups of 1-month-old rats were kept on water containing 0.2, 56.5 and 113 parts/10(6) F-, respectively, for a period of 2 months. These groups were set up in order to study the relationship between long-term administration of high doses of waterborne fluoride, plasma values of fluoride and calcium and changes in forming dentin and enamel of the rat incisor. The microradiographic study revealed that increased levels of fluoride caused a delay in mineralization of the enamel. In the 113 parts/10(6) group the radiolucent areas in the enamel exhibited a distinct periodicity along the tooth, a phenomenon which cannot at present be explained. In the dentin the fluoride interfered with the process of mineralization giving rise to radiolucent and radiopaque banding in the experimental groups. With increasing levels of fluoride in the water supply a significant increase of plasma fluoride was recorded. In contrast the serum calcium values in both experimental groups were reduced to the same extent, which differed significantly from that of the control group. It is concluded that the fluoride doses which are needed to create fluorotic changes in rats may interfere with calcium metabolism and basic mineralization processes.

Amelogenesis↗