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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↗

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↗

Deposition of loosely bound and firmly bound fluorides on tooth enamel by an acidic gel containing fluorosilicate and monocalcium phosphate monohydrate.

The amounts of loosely bound fluoride (F) deposited on human enamel by 4-min and 2-hour treatments with either acidulated phosphate fluoride (APF) or a monocalcium phosphate monohydrate and sodium hexafluorosilicate (MCPM-SHFS)-containing gel were measured with the use of a constant-composition F washing method. Enamel biopsies conducted before treatment and after washing were used to determine the firmly bound F uptake. The results showed that the MCPM-SHFS treatments produced significantly more loosely bound F than did the APF treatments. The 4-min treatment with either APF or MCPM-SHFS did not produce significant firmly bound F deposition, but the 2-hour treatments did, with that produced by MCPM-SHFS being significantly greater. The MCPM-SHFS gel, which had the same F content as APF and which may be applied to the proximal tooth surfaces in vivo without the use of a tray, has the potential to be more efficacious than APF because it deposits greater amounts of both loosely bound and firmly bound F.

Acidulated Phosphate Fluoride↗

Mineralization in bovine dentin adjacent to glass-ionomer restorations.

OBJECTIVES: To assess the uptake of fluoride as well as the increase in mineralization by bovine dentin after restoring an experimentally made cavity with conventional glass-ionomer cement or a polyacid resin composite. METHODS: Cylindrical cavities were prepared on the labial root surfaces in bovine dentin. The cavities were restored with the test material. The restored teeth were individually suspended in distilled water at 37 degrees C for 30 days. The teeth were sectioned and the superficial dentin cavity walls were analyzed for fluoride, calcium, and phosphorus by an EPMA device. The effects of the different fluoride-releasing materials on the hardness of the dentin were determined by indentation (20-microm intervals below the filled surface into the underlying sound dentin from the surface to a depth of 100microm). RESULTS: Conventional glass-ionomer cement had a significant effect on fluoride uptake. In addition, the calcium and phosphorus scan revealed the elevation of calcium and phosphorus levels in a deeper zone corresponding to the locations of the fluoride uptake at the surface of axial wall. However, the polyacid resin composite did not exhibit a zone of calcium and phosphorus elevation. The average dentin hardness under conventional glass-ionomer cement in the studied five distances ranged from 84.3 to 61.3KHN, however, that of the polyacid resin composite ranged from 62.5 to 64.9KHN. Analysis of variance for these data demonstrated a significant difference in hardness between the 20-microm depth and the other depths (P<0.01, ANOVA Fisher's PSLD). CONCLUSION: The present paper indicates that the fluoride penetrated deeper into the dentin with conventional glass-ionomer cement than the polyacid resin composite. Conventional glass-ionomer cement had a significant effect on fluoride uptake. In addition, hypermineralization occurred within the superficial dentin cavity wall region of conventional glass-ionomer cement.

Analysis of Variance↗

A physicochemical bench-scale caries model.

A diffusion cell comprising two compartments separated by a commerical membrane of known ion permselectivity was used as an experimental model to study factors which may affect caries formation. One compartment (the "lesion") contained an excess of hydroxyapatite or fluorapatite crystals, and its solution was kept near saturation by stirring. An unsaturated acidic calcium phosphate solution flowed continuously through the other compartment (the "plaque-saliva"), thus providing the driving force for dissolution of the crystals as modified by the permeability of the membrane and/or the presence of fluoride. Calcium, phosphate, fluoride, and chloride concentrations, pH, and membrane potential were measured at steady state. The permselective character of the membrane profoundly affected the solution in the "lesion": The initial Ca/P ratio of 1.6 was shifted, at steady state, to less than 1.1 ("neutral" membrane), to less than 0.48 (cation-permselective membrane), and to 3.3 (anion-permselective membrane). All the membranes caused Ca and PO4 concentrations in the "lesion" to increase (e.g., with the cation-permselective membrane, the Ca 22-fold and the PO4 75-fold). Substantial membrane potentials were encountered in all cases. The pH of the steady-state solution was always less than before diffusion was initiated; the average decrease was 1.1 units. In every case, the pH, and the Ca and PO4 concentrations of the F- -containing solution were less than those in the F- -free solution. The changes induced by the "neutral" membrane were unexpectedly large. In two cases, H3PO4 was diffusing against its chemical potential gradient at steady state. The results are relevant for understanding and for modeling of the caries process.

Apatites↗

[Clinical and hygienic evaluation of the combined effect of vibration and fluoride in humans].

Hygienic evaluation of work conditions and clinical examination of workers in fluoride mines proved vibration disease to be the prevalent occupational entity in those employees. Caused by joint effects of vibration and fluor, the clinical signs in this context demonstrate short development, occupational disablement and possible connection with fluorosis. Joint effects of vibration and calcium fluoride vs. influence of the isolated hazards show more compromised functions and changes of fluor kinetics in the body.

Calcium Fluoride↗

Surface adsorption of fluoride and ionic exchange reactions on hydroxyapatite.

The experiments showed that a part of the fluoride which was taken up by hydroxyapatite or teeth at low concentrations of fluoride at neutral pH was soluble in alkali (IN KOH, 24 h) and was thus not fluoroapatite. Calcium fluoride could not form under the present conditions because the solubility of this compound was not exceeded. It is suggested that the alkali soluble fluoride is adsorbed to calcium ions bound as counterions in the hydration layer of the hydroxyapatite or the enamel. This is consistent with previous findings in this laboratory, showing that fluoride displaced acidic proteins adsorbed to calcium receptors on the hydroxyapatite surface in the same way as other anions displace proteins. It could also be shown that polyanions and polycations adsorbed to hydroxyapatite surfaces by ionic exchange, displacing phosphate or phosphate and calcium respectively in the process. A model is suggested which differs slightly from that proposed by Bernardi.

Adsorption↗

Fluoride toxicity: a biochemical and scanning electron microscopic study of enamel surface of rabbit teeth.

The present study has been carried out to investigate the effect of fluoride toxicity on the morphology as well as inorganic chemical constituents of rabbit teeth. Rabbits were administered sodium fluoride at a dose of 10 mg NaF/kg body weight every 24 h for 18 and 23 months. The incisor and molar teeth (whole tooth) were investigated for fluoride, calcium and phosphorus content in 18- and 23-month treated animals. The enamel surfaces of incisor teeth of 23-month treated animals were examined under scanning electron microscope. A significant increase in fluoride levels and significant decrease in calcium content was found following fluoride administration for 18 and 23 months as compared to control. Ca/P ratio was significantly increased only in 23-month treated animals. The scanning electron micrographs revealed hypoplastic, rough, uneven, pitted and cracked enamel surfaces covered with granular deposits as a result of excessive intake of fluoride. It can be concluded that long term fluoride administration leads to severe structural alterations on the enamel surface, possibly through defective mineralization.

Animals↗

Fluoride-induced precipitates on enamel surface and subsurface areas visualised by electron microscopy and confocal laser scanning microscopy.

The present study examined the enamel surface after in vitro topical treatments with a neutral 2% NaF solution. For minimising the risk of artefacts, samples were inspected without pre-treatment as fresh, naturally wet specimens by complementary techniques: variable pressure electron microscopy (VP-SEM) and confocal laser scanning microscopy (CLSM). VP-SEM provided information on the surface morphology, whereas CLSM allowed non-destructive visualisation of subsurface areas. Neutral NaF solutions induced globular precipitates on the enamel surfaces. If the globules formed may be described as "calcium fluoride like material", the additional information of this experiment is that, after interaction with neutral solutions, they also contain considerable amounts of NaF. When the NaF solutions were soaked on pellets and then were brought into contact with the enamel surfaces, NaF crystallites of cubic shape are formed. Confocal optical tomographies of subsurface enamel after treatments with neutral NaF solutions revealed partly coroded enamel structures, whereas VP-SEM showed intact surfaces. In between the coroded areas, a fine granulate precipitate could be observed. This is evidence that fluoride induces the formation of sub-surface precipitates only when applied during demineralisation. The precipitate could be readily removed by 24-h contact with a KOH solution.

Adolescent↗

Treating hypersensitivity with fluoride varnishes.

Dentinal hypersensitivity results when stimulation causes the fluid in open dentinal tubules to undergo pressure changes, which activates mechanoreceptor nerves and results in pain. Treatment with fluoride varnish forms a protective layer of calcium fluoride that prevents this fluid flow, thereby reducing dentinal sensitivity.

Administration, Topical↗

Synaptosomal calcium influx is activated by sodium fluoride.

Neuronal calcium channels can be modulated by changes in membrane potential or by activation of channel-associated receptors. The latter may be modulated by guanine nucleotide binding proteins. NaF, which activates guanine nucleotide binding proteins, caused a large stimulation of 45Ca2+ uptake by synaptosomes prepared from rat brain. Stimulation of 45Ca2+ influx by NaF (i) was apparent in media containing either 5 mM-K+ or 50 mM-K+, (ii) was slower than the fast-phase of voltage-dependent 45Ca2+ influx but continued for a longer period of time than did depolarization-induced 45Ca2+ influx, and (iii) was not mimicked or modified by a number of drugs, including ouabain, dinitrophenol, sodium azide or sodium vanadate. These results are consistent with the hypothesis that NaF activates a guanine nucleotide binding protein associated with receptor-coupled calcium channels, resulting in stimulation of calcium influx.

Animals↗

Fluoride bioavailability from slow-release sodium fluoride given with calcium citrate.

Clinical pharmacology of slow-release sodium fluoride given with calcium citrate was examined in acute and long-term studies. Following a single oral administration of 50 mg slow-release sodium fluoride, a peak serum fluoride concentration (Cmax) of 184 ng/ml was reached in 2 h; thereafter, serum fluoride concentration declined with a T1/2 of 5.9 h. The concurrent administration of calcium citrate (400 mg calcium) gave an equivalent Tmax (time required to attain Cmax) and T1/2, but a lower Cmax of 135 ng/ml. The coadministration of a meal with fluoride also reduced Cmax but increased Tmax. The area under the serum concentration curve of slow-release sodium fluoride was reduced 17-27% by a meal or calcium citrate. Thus, calcium citrate reduced fluoride absorption and peak fluoride concentration in serum of slow-release sodium fluoride but did not affect the time required to reach peak concentration or the rate of subsequent decline. The effect of a meal was similar, except for a longer period required to reach peak serum concentration. During long-term administration of 25 mg slow-release sodium fluoride coadministered with 400 mg calcium as calcium citrate on a twice daily schedule, the trough level of serum fluoride could be kept between 95 and 190 ng/ml, believed to be the therapeutic window.

Adult↗

Structure of artificial enamel lesions after topical applications of high-concentration sodium fluoride solution in vitro.

A three-layer structure, including a columnar layer (CL), a buffer layer, and unaffected intact enamel, was successively formed from the outer to the inner part of artificial enamel lesions (AEL) by topical applications of a high-concentration acidic sodium fluoride solution (10,000 ppm, pH 5.6) in vitro. The AEL was produced in bovine enamel that was decalcified for 5 days in a lactic acid gel system. The morphological observations by using scanning electron microscopy showed that the CL was made of columnar deposits of small globules about 0.5 microns in diameter. It was observed for the first time that small globules filled the demineralized interprismatic regions in the buffer layer. The unaffected intact enamel was protected from further demineralization under the acidic condition. Structure and composition of the CL were investigated by using X-ray diffraction and X-ray photoelectron spectroscopy. In the CL the atomic ratio was Ca:P = 12.6 and Ca:F = 0.75, and the small globules were mainly a mixture of polycrystalline calcium fluoride and hydroxyapatite. For comparison, the sound enamel and the AEL attained by applications of 0 and 100 ppm acidic sodium fluoride solutions (pH 5.6) were also investigated. The formation mechanism of the three-layer structure and the related cariostatic effects are discussed.

Animals↗

Radiation dosimetry by a new solid-state effect.

Ionizing radiation can induce strong electrical polarization phenomena in dielectic solids. These radiation-induced thermally activated depolarization (RITAD) effects are quite different from radioelectret effects. For nominally pure calcium fluoride samples, the RITAD signals show a signal-to-noise power advantage of 40 decibels over that of thermoluminescence signals measured under the same experimental conditions. Ease of measurement, very high radiation sensitivity, and simple sample fabrication requirements give the RITAD phenomena a great potential for use as a new solid-state dosimetry technique.

Calcium Fluoride↗

Effect of additives on the microstructure and thermal properties of a mica-based glass-ceramic.

Previous work has shown that lithium mica glass-ceramics were excellent potential candidates as dental ceramics. The purpose of this study was to evaluate the effect of various additives on the microstructure and thermal properties of a mica glass-ceramic in the system Li(2)O-K(2)O-SiO(2)-MgO-F. Five glass compositions were prepared: a base composition and four compositions with various additives. The compositions were melted at 1400 C for 2 h and cast into 50 x 8 mm ingots. Differential thermal analyses were performed on the glasses up to 1400 C. Bars (4 x 8 x 25 mm) were cut from the ingots and heat treated at various temperatures. The crystalline phases were analyzed by x-ray diffraction. The microstructure was investigated by scanning electron microscopy. The percent crystallinity, crystal density, and average particle size were calculated from stereology measurements. X-ray diffraction revealed that the major crystalline phase was taeniolite for all glass-ceramics. Differential thermal analyses showed that the crystallization exotherm occurred in the temperature range 600--700 C. The addition of calcium fluoride was most efficient in promoting the growth of mica crystals. Larger mica plate diameter could be beneficial to the crack-propagation resistance of the glass-ceramic. The addition of aluminum phosphate promoted nucleation rather than crystal growth and led to a significantly lower glass transition temperature and crystallization exotherm temperature.

Aluminum Compounds↗

Raman spectroscopy in dental research: a short review of recent studies.

The Raman spectroscopic technique enables us to obtain vibrational (IR and far-IR) spectra of minerals by analyzing scattered light caused by (visible or near-visible) monochromatic laser excitation. The method possesses several advantages over IR absorption, including simple sample preparation, easy spectral/band analysis, and linear-response to mineral/chemical concentrations. In micro-Raman spectrometer systems, samples are positioned under an optical microscope, and specimens can be scanned with a lateral resolution (approximately 1 mm). In this paper, recent applications of micro-Raman spectroscopy and near-infrared Fourier transform Raman spectroscopy in the study of dental hard tissues and of calculus are reviewed. Special attention is given to mineral components in enamel, dentin, and calculus, and to calcium fluoride formed in/on enamel. The results from the use of an Ar(+)-laser/grating-based micro-Raman spectrometer show that: CaF2 formed in/on enamel by APF treatment is detectable and different from pure CaF2; and with the technique, the crystallite orientation in enamel can be determined. A Raman spectrometer based on Fourier transform and a diode-laser-pumped Nd:YAG laser (1.06 mm) can be used to obtain fluorescence-free Raman signals from biological materials, and identification of mineral components present in dental calculus is possible.

Calcium Fluoride↗

Probing ligand-protein recognition with sum-frequency generation spectroscopy: the avidin-biocytin case.

Infrared/visible sum-frequency generation (SFG) spectroscopy is used to study the recognition of a protein (avidin) by a derived vitamin (biocytin) adsorbed on a calcium fluoride substrate. The specificity of the process is tested by replacing avidin with bovine serum albumin or presaturated avidin. The SFG spectroscopy shows drastic modifications in the CH and NH spectral ranges only upon exposure of the biocytin film to avidin. The comparison of the SFG data with Fourier transform infrared reflection absorption spectra (FT-IRRAS) in the same spectral ranges illustrates the advantages of nonlinear spectroscopy for studying and detecting recognition between biomolecules.

Avidin↗

Three-dimensional visualization of the inner structure of single crystals by step-scanning white X-ray section topography.

Visualization of the three-dimensional distribution of the crystal defects of large single crystals of calcium fluoride has been demonstrated by white X-ray section topography using sheet-like X-rays (BL28B2 at SPring-8). An image of the three-dimensional distribution of the crystal defects was reconstructed by stacking section topographs, which expressed the images of cross sections of the sample. The section topographs were recorded using a CMOS flat-panel imager or a CCD detector combined with scintillator (Gd(2)O(2)S:Tb) and relay lens system. The section topographs were measured by repeating cycles of exposure and sample translation along the direction perpendicular to the top face of the sample. Using high-brilliance and high-energy white X-rays ( approximately 60 keV) efficiently, visualization of the three-dimensional structure of subgrains of a sample of up to 60 mm in diameter was achieved. Furthermore, the three-dimensional distribution of the glide plane in the crystal was visualized by reconstructing the linear contrast of the glide plane.

Calcium Fluoride↗