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PubMed1993

Effect of long-term administration of sodium fluoride on plasma calcium level in relation to intestinal absorption and urinary excretion in rabbits.

The present study was undertaken to determine the effect of chronic fluoride toxicity on calcium metabolism. Rabbits (n = 10) were orally administered an aqueous solution of 10 mg NaF/kg body wt daily for 18 months. Equal numbers (n = 10) of age-, sex- and weight-matched rabbits kept under identical laboratory conditions, but not treated, with NaF solution, served as control. The fasting plasma calcium concentrations of fluoride-treated rabbits were significantly lower (P < 0.001) than those of control animals. In contrast to the decrease in plasma calcium level, and increase in intestinal radioactive calcium (45Ca) absorption was observed (P < 0.001) in all fluoride-treated animals. However, urinary calcium excretion levels were found to be reduced (P = not significant) in fluoride-treated rabbits. It is therefore concluded that long-term fluoride poisoning alters the calcium homeostatic mechanism, thereby affecting calcium metabolism.

Animals↗
PubMed2006

Oral hygiene products and acidic medicines.

Acidic or EDTA-containing oral hygiene products and acidic medicines have the potential to soften dental hard tissues. The low pH of oral care products increases the chemical stability of some fluoride compounds, favors the incorporation of fluoride ions in the lattice of hydroxyapatite and the precipitation of calcium fluoride on the tooth surface. This layer has some protective effect against an erosive attack. However, when the pH is too low or when no fluoride is present these protecting effects are replaced by direct softening of the tooth surface. Xerostomia or oral dryness can occur as a consequence of medication such as tranquilizers, anti-histamines, anti-emetics and anti-parkinsonian medicaments or of salivary gland dysfunction e.g. due to radiotherapy of the oral cavity and the head and neck region. Above all, these patients should be aware of the potential demineralization effects of oral hygiene products with low pH and high titratable acids. Acetyl salicylic acid taken regularly in the form of multiple chewable tablets or in the form of headache powder as well chewing hydrochloric acids tablets for treatment of stomach disorders can cause erosion. There is most probably no direct association between asthmatic drugs and erosion on the population level. Consumers, patients and health professionals should be aware of the potential of tooth damage not only by oral hygiene products and salivary substitutes but also by chewable and effervescent tablets. Additionally, it can be assumed that patients suffering from xerostomia should be aware of the potential effects of oral hygiene products with low pH and high titratable acids.

Acids↗
PubMedDate not supplied

Fluoride exposure and respiratory symptoms in welders.

Welders inhale gases and respirable particles. To investigate the relationship between fluoride exposure and respiratory symptoms in welders using basic electrodes containing calcium fluoride, 63 railroad track welders were interviewed. Fluoride was measured in post-shift urine samples. Seventeen welders reported respiratory symptoms related to welding fume exposures. Respiratory symptoms were somewhat more common with increasing concentrations of fluoride in urine. The association between welding fume exposure and respiratory symptoms seems related more to fluorides than to other particles among welders using basic electrodes.

Adult↗
PubMed1989

No effect of waxed dental floss on enamel fluoride uptake or on enamel dissolution changes.

Enamel specimens were flossed in vitro with "waxed" dental floss and then treated with water, Act, Meridol, or Elmex Gel to evaluate the effect of "waxed" floss on the enamel fluoride uptake and on the enamel dissolution rate. The flossed and treated enamel was etched 4 times successively in 2N HCl for 5, 10, 15 and another 15 s. The concentrations of fluoride, calcium and phosphorus were assayed in the etching solutions. The enamel fluoride concentration was significantly increased in only the first layer of the Elmex Gel group compared to the other 3 groups. Respective etching depths were similar for the water, Act and Elmex Gel groups. However, the first layer in the Meridol group was less etched than that in the 3 other groups. This study showed that "waxed" dental floss did not compromise the fluoride uptake by surface enamel after treatment with a concentrated acidic topical fluoridating agent. Moreover, previously reported results showing that Meridol solution containing SnF2 and amine fluoride 297 significantly decreased the in vitro dissolution rate of enamel were confirmed by the present study. Even though the enamel was first treated with "waxed" dental floss, the SnF2/amine fluoride 297 still produced a decreased enamel dissolution rate.

Acid Etching, Dental↗
PubMed1990

Physical and chemical considerations of the role of firmly and loosely bound fluoride in caries prevention.

Historically, there has been considerable debate concerning the roles of loosely bound (calcium fluoride) and firmly bound (fluorapatite) fluoride for caries prevention. Research now shows that fluorapatite (FAP) is a finite reaction product of enamel/apatite fluoridation with or without CaF2 formation, suggesting that CaF2 always be considered as a supplement to, rather than a substitute for, FAP formation. In the presence of low levels of fluoride in the solution phase, the crystallization of hydroxyapatite is enhanced, while the corresponding dissolution is retarded. Fluoride in the bulk FAP or CaF2 solid phase, in contrast, has limited impact on crystal growth or dissolution kinetics. Both FAP and CaF2 can provide F to the solution phase to enhance remineralization and retard demineralization of enamel HAP crystallites. The FAP provides most of this F under low pH conditions, while CaF2 provides F at neutral or lower pH. The reactivity of fluoride on sound and carious enamel differs significantly. Carious enamel acquires more fluoride, acquires it more quickly, and itself acts as a source of retained fluoride in comparison with the more limited reactivity of sound enamel. Overall, the most important question concerning fluoride reactivity relates to its efficiency in enhancing remineralization or retarding demineralization processes. This is influenced not only by the reaction products, e.g., loosely or firmly bound fluoride, but also by the nature of the enamel substrate and frequency of application of the topical fluoridating agent. Inasmuch as the reactivity of bulk HAP is dominated by surface layers of FAP material, the debate over usefulness of various fluoride reaction products solely on a chemical level is no longer critical. Instead, all factors influencing the efficiency of a fluoridating regimen must be considered in the development of improved systems for caries prevention.

Apatites↗
PubMed1983

Risk of myocardial infarction in Finnish men in relation to fluoride, magnesium and calcium concentration in drinking water.

To study the influence of drinking water composition on the risk of myocardial infarction, the following study was conducted: The cases (C), men 30-64 years of age, had been discharged with a first acute myocardial infarction (AMI) from Kotka Central Hospital. The hospital controls (HC), matched for age and type of community, were selected for each case among surgical patients. Population controls (PC), matched for age and municipality, were drawn for each case from the population register. Subjects submitted a sample of their drinking water and a filled-in questionnaire. After exclusions, a series of 50 C-HC and 50 C-PC pairs was finally constructed. The point estimate of relative risk (RR) for the association between low F (less than or equal to 0.1 ppm) and increased risk of AMI was 3.0 in the C-HC series. In the C-PC comparison, RR was 4.4 RR for low Mg (less than or equal to 1.2 ppm) was 2.0 in the C-HC comparison and 4.7 in the C-PC comparison. The results are consistent with the hypothesis that both a low F and a low Mg intake are conducive to atherosclerosis leading to AMI.

Adult↗
PubMed1994

Mode of action of fluoride: application of new techniques and test methods to the examination of the mechanism of action of topical fluoride.

Modern techniques in dental research continue to assist in the study of the mode of (anticaries) action of topical fluorides. The Plaque Glycolysis and Regrowth Model (PGRM) facilitates the standardized assessments of antimicrobial effects on plaque following use of test formulations in vivo without complications arising from coincident mineral reactivity. In vivo plaque glycolysis testing demonstrates that topically applied fluoride, at conventional levels found in dentifrices, has only modest effects on the metabolic (acid-producing) activity of dental plaque. Any 'plaque' contribution to fluoride efficacy must come from more subtle effects on plaque acidogenicity than those measured in PGRM. The 19-FMAS NMR (Magic Angle Spinning Nuclear Magnetic Resonance) technique provides unambiguous measures of the reaction products of F-enamel interactions. Studies have revealed a new 'reaction product' of fluoride-enamel interactions--designated as Non-Specifically-Adsorbed Fluoride, NSAF. This species, along with FAP (fluoroapatite), FHAP (fluorohydroxyapatite), and CaF2 (calcium fluoride), contributes to the remineralization/demineralization benefits of fluoride. pH cycling and in situ denture chip studies permit quantitative assessments to be made of the relative benefits of fluoride in promoting remineralization and in inhibiting demineralization. Results from pH cycling/in situ experiments are strongly supportive of Koulourides' 'Acquired Acid Resistance' concept, describing fluoride's decay-preventive effects. The continued application of new analytical/physical techniques and testing regimens to the study of fluoride anticaries mechanisms may lead to the development of improved fluoride agents/treatment modalities for the prevention of dental caries.

Analysis of Variance↗
PubMed1975

Quantitative infrared spectroscopy of lipids in solution: II. Novel polar solvent systems.

In the second part of this series, previous solvent limitations in infrared studies are discussed and novel polar solvent systems for the analysis of nonpolar and polar lipids described. Limitation of potassium bromide windows for infrared cells are discussed. The use of calcium fluoride cells with crude lipids is discussed. Problems related to hydrogen bonding of lipid solutes in various solvent systems are discussed as well as hydrogen-deuterium exchange in biologically important lipids.

Calcium↗
PubMed1997

Fluoride content and mineralization of red deer (Cervus elaphus) antlers and pedicles from fluoride polluted and uncontaminated regions.

Fluoride, calcium, and phosphorus content as well as ashpercentage and ash density of primary antlers and pedicle bones were studiedin nine yearling red deer stags from a fluoride polluted region in NorthBohemia (Czech Republic) and in nine control animals from two uncontaminatedareas in West Germany. Fluoride levels in antlers (845 +/- 257 mgF-/kg ash, mean +/- SD) and pedicles (1,448 +/- 461 mgF-/kg ash) of the N-Bohemian specimens exceeded that of thecontrols (antlers: 206 +/- 124 mg F-/kg ash, pedicles:322 +/- 157 mg F-/kg ash) by factors of 4.1 and 4.5,respectively. Antler and pedicle fluoride concentrations of the deer(n = 18) were closely correlated (r = 0.975,p < 0.001). Analyses of ash percentage and ash density revealed that theantlers of the N-Bohemian deer contained significantly less mineral and weresignificantly less dense than both their pedicles and the control antlers. Inthe pooled antler samples (n = 18), bone fluoride concentration wasnegatively correlated with ash density (r = -0.826, p < 0.001)and ash percentage (r = -0.759, p < 0.001), whereas nonsignificant, positive correlations existed for the pooled pedicle samples. Ash percentage and ash density of the antlers and their correspondingpedicles were uncorrelated. It is concluded that increased fluoride exposureof deer leads to reduced mineral content and mineral density of antler boneand that it is the rapidity of their growth and mineralization that makesantlers especially susceptible to fluoride action. Due to their ability toaccumulate high amounts of fluoride during a defined, limited timespan andthe apparently dose-dependent negative effect of fluoride on their densityand mineral content, (primary) antlers can be recommended as monitoring toolsfor studying environmental pollution by fluorides.

Animals↗
PubMed2004

Additional beneficial effect of tamarind ingestion over defluoridated water supply to adolescent boys in a fluorotic area.

OBJECTIVE: We evaluated the effect of tamarind (Tamarindus indicus) on ingestion and whether it provides additional beneficial effects on mobilization of fluoride from the bone after children are provided defluoridated water. METHODS: A randomized, diet control study was conducted in 30 subjects from a fluoride endemic area after significantly decreasing urinary fluoride excretion by supplying defluoridated water for 2 wk. Subjects were then assigned to one of two groups, with 15 in each group. One group was supplemented with tamarind (experimental group) for 3 wk and the other (control) group was given only defluoridated water for the same period. RESULTS: The mean changes in urinary components after tamarind ingestion (volume, pH, fluoride calcium, copper, and magnesium) in the control and experimental groups were compared. There was a significant increase (P < 0.01) in fluoride excretion and urinary pH and a significant decrease in urinary calcium (P < 0.01) and copper (P < 0.05) excretion in the experimental group as compared with the control group. There was no change in urinary volume between groups. CONCLUSIONS: Tamarind intake appears to have an additional beneficial effect on the mobilization of deposited fluoride from bone, by enhancing urinary excretion of fluoride.

Adolescent↗
PubMed2003

Effect of fluoride pretreatment on the solubility of synthetic carbonated apatite.

The purpose of this research was to address the following question: How is the solubility of fluoride-pretreated carbonated apatite (CAP) in aqueous acidic media related to the equilibrium solution fluoride and/or the CAP adsorbed fluoride levels? A CAP sample prepared by a precipitation method at 70 degrees C containing approximately 6% carbonate was fluoride-treated (F adsorption from neutral aqueous solutions) to yield a approximately 1000 ppm F CAP and a approximately 3300 ppm F CAP. Metastable equilibrium solubility distributions were determined in acetate buffers at pH 5.0. Solution fluoride, calcium, phosphate, and pH were determined from the equilibrated solutions. The equilibrium solution fluoride levels were extremely low, e.g., as low as approximately 0.10 ppb to approximately 0.30 ppb at 50% dissolved for the two CAP preparations. The approximately 3300 ppm F CAP yielded a lower solubility than the approximately 1000 ppm F CAP (shift in the mean pKHAP value of 1.5-2 units). This can be attributed to the lower solution F(-) for the sample containing approximately 1000 ppm fluoride compared with the approximately 3300 ppm fluoride-containing CAP. These important findings suggest that a fluoride treatment simply may provide an adsorption fluoride depot for subsequent release, providing a solution fluoride effect upon the CAP solubility and not necessarily any intrinsic alteration of the mineral solubility.

Apatites↗
PubMed2006

Thermoluminescent detectors applied in individual monitoring of radiation workers in Europe--a review based on the EURADOS questionnaire.

Among the activities of EURADOS Working Group 2 formed by experts from several European countries is the harmonisation of individual monitoring as part of radiation protection of occupationally exposed persons. Here, we provide information about thermoluminescent detectors (TLDs) applied by the European dosimetric services and the dosimetric characteristics of dosemeters in which these detectors are applied. Among 91 services from 29 countries which responded to the EURADOS questionnaire, 61 apply dosemeters with TLDs for the determination of personal dose equivalent H(p)(10) for photons and beta radiation, and 16 services use TLDs for neutron albedo dosemeters. Those most frequently used are standard lithium fluoride TLDs (mainly TLD-100, TLD-700, Polish MTS-N and MTS-7, Russian DTG-4), high-sensitive lithium fluoride (GR-200, MCP-N) and lithium borate TLDs. Some services use calcium sulphate and calcium fluoride detectors. For neutron dosimetry, most services apply pairs of LiF:Mg,Ti TLDs with (6)Li and (7)Li. The characteristics (energy response) of individual dosemeters are mainly related to the energy response of the detectors and filters applied. The construction of filters in dosemeters applied for measurements of H(p)(10) and their energy response are also reviewed.

Europe↗
PubMed1981

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↗
PubMed1975

The effect of fluoride alone or fluoride followed by calcium and vitamin D on disuse osteoporosis of the rat tail vertebrae.

The therapeutic effect of fluoride alone or fluoride followed by calcium and vitamin D administration on the osteoporosis induced by immobilization of the rat tail vertebrae was investigated. Tail immobilization was carried out by musclectomy and tendectomy. After 60 days of immobilization, the vertebrae were examined for bone mass, breaking strength, ash percentage and Ca, P and F content. NaF or Ca and vitamin D as separate treatments improved the osteoporosis induced by immobilization. The effects of NaF treatment were more pronounced than those of Ca and vitamin D. NaF and NaF followed by Ca and vitamin D produced a similar degree of improvement in breaking strength. The fact that fluoride and calcium and vitamin D were administered separately and sequentially may explain the absence of a synergistic effect.

Animals↗
PubMed1981

A three-year study of the effect of a sodium fluoride-silica abrasive dentifrice on dental caries.

The purpose of this study was to determine if a 0.243% sodium fluoride-silica abrasive dentifrice provides greater anticaries efficacy than a 0.4% stannous fluoride-calcium pyrophosphate abrasive dentifrice. A sample of 1,824 schoolchildren was randomly assigned to either the sodium fluoride dentifrice or the stannous fluoride dentifrice and examined clinically and radiographically for dental caries initially and after one, two, and three years of dentifrice usage. Two examiners independently examined each of the subjects for dental caries. After three years of ad libitum dentifrice usage, the results for both examiners showed that the group brushing with the sodium fluoride dentifrice had significantly lower DMF tooth and DMF surface increments than the group brushing with the stannous fluoride dentifrice. The percent reductions for DMF teeth were 14.8% and 10.5%, and for DMF surfaces 16.4% and 13.1% for the two examiners, respectively.

Adolescent↗
PubMed1982

Multi-method analysis of calcium localization in the secretory ameloblast.

X-ray micro-analysis and electron energy loss analysis were used to confirm cytochemical localization by potassium pyro-antimonate of calcium in secretory ameloblasts. Neither intercellular calcium concentration between ameloblasts nor over-all calcium levels of the enamel organ were lowered during a period of inhibition of enamel mineralization by injected fluoride. Calcium concentrations in mitochondria and secretory granules were reduced.

Ameloblasts↗