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Fluoride release and effect on enamel softening by fluoride-treated and fluoride-untreated glass ionomer specimens.

The effect of fluoride application on fluoride release and enamel protection was studied using conventional and light-activated glass ionomers and composite. The specimens prepared from the materials were tested as (1) freshly mixed, (2) aged (29 days), (3) aged and fluoride treated, and (4) aged, fluoride treated, and aged (29 days). For fluoride application, the specimens were immersed in 1.2% NaF solution for 10 min and washed. After handling, the specimens were glued on polished bovine enamel slabs and immersed in lactic acid (pH 5.0) for 3 h. The microhardness of the enamel was measured before and after the acid immersion. Freshly mixed glass ionomers significantly prevented enamel softening. The effect disappeared (conventional glass ionomer) or decreased (light-activated glass ionomer) during aging, but was reestablished by fluoride application. After the subsequent 4 weeks of aging, no significant protective effect could be seen for either of the glass ionomers. The fluoride release, which was greatly increased by fluoride application, was still elevated after 4 weeks of aging for both materials.

Animals↗

The influence of incorporated and adsorbed fluoride on the dissolution of powdered and pelletized hydroxyapatite in fluoridated and non-fluoridated acid buffers.

The effects of fluoride (F) incorporated into hydroxyapatite (HA), adsorbed onto the HA surface, and fluoride in solution were studied during HA dissolution. Dissolution rates at pH 5.0 and 25 degrees C were determined in fluoridated (0.1, 5.0 micrograms/mL) and non-fluoridated buffers for the following powdered and pelletized synthesized HAs: non-fluoridated HA, partially-fluoridated (100, 1000, 37,000 micrograms/g) HA, and surface-adsorbed fluoridated (100, 1000 micrograms/g) HA. The dissolution rate curves were used to derive two components we have called 'diffusion' and 'surface chemical reactivity'. With powders, the rate-determining factor was surface chemical reactivity during the first 60 min. Diffusion was reduced by increasing the F levels in the apatite or buffer. In non-fluoridated buffers, diffusion was reduced 29% for apatite with 100 micrograms/g incorporated F and 99% with 37,000 micrograms/g. Diffusion was reduced by 37% and 81% by 0.1 and 5.0 micrograms/mL F, respectively, in the buffer. With pelletized HA, the rate-determining factor during the first 10 min was surface chemical reactivity. Diffusion then became relatively more important, but the diffusion rate was independent of F content. During the dissolution of powdered apatites, F was taken up by the remaining apatite solid, as evidenced by the lower F concentration in solution than that calculated to be released during dissolution. There was also a decrease in the F concentration of the 0.1 microgram/mL buffer as reaction progressed. Pelletized apatites did not release enough F to influence dissolution significantly. Surface-adsorbed F was more effective than incorporated F in reducing HA dissolution.(ABSTRACT TRUNCATED AT 250 WORDS)

Acids↗

Fluoride profiles in different surfaces of human permanent molar enamels from a naturally fluoridated and a non-fluoridated area.

The surfaces, sites and depths of fluoride profiles of enamel from a naturally fluoridated area (West Hartlepool, WHP, 1.9 parts/10(6) F in drinking water) and a non-fluoridated area (Leeds, LDS, < 0.1 parts/10(6) F in drinking water) were examined in detail. Using a regression curve, y = ax-b, comparisons of fluoride concentrations were made at depths of 1, 3, 5, 10, 20 and 30 microns at occlusal, middle and cervical sites of buccal, lingual, mesial and distal molar enamel surfaces. In the outermost enamels (< 10 mu in depth), fluoride concentrations tended to be lower in the occlusal sites than in the cervical sites. In interior enamels (> 20 microns in depth), the fluoride concentrations of molars from WHP were statistically higher than those from LDS, while few significant differences were found in the outermost layers. In the mesio- and disto-occlusal sites of approximal surfaces, there were some significant differences in the exponential regression coefficients of fluoride profiles between the two groups of molars.

Dental Enamel↗

Enamel fluoride content after using amine fluoride- or monofluorophosphate-sodium fluoride-dentifrices.

The fluoride retention in enamel was determined in vivo comparing the short-term unsupervised use of amine fluoride- and monofluorophosphate-sodium fluoride-dentifrices. Acid-etch enamel biopsies in the double-blind study showed that the fluoride content in enamel was significantly higher following use of the amine fluoride dentifrice, 959 ppm F vs 330 ppm F. Both dissolution of the enamel, determined by the amount of phosphorus (33.9 micrograms vs 50.9 micrograms) and the depth of etch (6.2 microns vs 9.6 microns) were significantly reduced after use of the amine fluoride compared to the monofluorophosphate-sodium fluoride combination.

Amines↗

The prevalence of developmental defects of enamel in 15-16-year-old children residing in three districts (natural fluoride, adjusted fluoride, low fluoride) in the north east of England.

Developmental defects of enamel were assessed in 15-year-old children born and continuously resident in three communities in the north east of England. In naturally fluoridated Hartlepool (F = 1.0-1.3 ppm), artificially fluoridated Newcastle (F = 1.0 ppm) and non-fluoridated Middlesbrough (F < 0.2 ppm) 361, 356 and 376 children respectively were examined. Conventional clinical recording and a photographic technique where colour slides are assessed at random were used and compared. Scoring in both assessments was done by using a modified version of both the Murray and Shaw index and the developmental defects of enamel index. In the clinical assessment more white lines and diffuse opacities were found in the fluoridated areas than in the non-fluoridated area. More opacities were recorded using the photographic assessment than with the clinical assessment, but a similar trend of an increased prevalence of white lines and diffuse opacities was observed using the photographic method. Overall, there was only a small increase in the prevalence of milder forms of enamel defects in fluoridated compared with non-fluoridated areas.

Adolescent↗

Studies on dental fluoride-releasing polymers. IV: Fluoridation of human enamel by fluoride-containing sealant.

An experimental fluoride-containing acrylic sealant was prepared using methacryloyl fluoride-methyl methacrylate copolymer as powder component. The in vitro fluoride acquisition by human enamel coated with the sealant after 11, 21, 41 and 84 days of incubation in a phosphate buffer of pH7 at 37 degrees C was determined. Fluoride penetration and uptake were increased by prolonging the exposure time of enamel to the sealant. Most of the fluoride retained in enamel was found to be present as fluorapatite. The discharge of fluoride in the sealant was about 12% of initial load after 84 days of immersion.

Apatites↗

Resonance Raman and absorption spectroscopic detection of distal histidine--fluoride interactions in human methemoglobin fluoride and sperm whale metmyoglobin fluoride: measurements of distal histidine ionization constants.

The pH dependence of the resonance Raman and absorption spectra of human methemoglobin fluoride (HbIIIF) and sperm whale metmyoglobin fluoride (MbIIIF) has been examined. Both the Raman and absorption spectra of HbIIIF and MbIIIF indicate the existence at alkaline pH of an equilibrium between the hydroxide and fluoride complexes. The absorption maxima of HbIIIF and MbIIIF solutions shift to longer wavelengths as the pH is decreased from neutrality. The Raman data show a corresponding shift of the 461- and 468-cm-1 Fe-F vibrational stretching peaks at pH 7.0 [Asher, S. A., & Schuster, T. M. (1979) Biochemistry 18, 5377] to 399 and 407 cm-1 at acid pH in MbIIIF and HbIIIF, respectively. These shifts are interpreted to result from protonation of the distal histidine and the formation of a hydrogen bond to the fluoride ligand. Measurements of the pH dependence of the absorption and resonance Raman spectra give distal histidine ionization constants (apparent) corresponding to pK = 5.1 (+/- 0.1) for HbIIIF and pK = 5.5 (+/- 0.1) for MbIIIF. An examination of the distal histidine pK values and the frequency of the hydrogen-bonded Fe--F stretching vibration at pH 5.0 of HbIIIF with and without inositol hexaphosphate indicates little difference in the distal histidine--heme distance between the so-called R and T quaternary forms of HbIIIF. These results indicate that the changes in the electronic spectrum of HbIIIF that occur upon switching from the R to the T form do not result from alterations in (1) the iron--fluoride bond distance, (2) the iron out-of-heme plane distance, or (3) the distal histidine--fluoride distance.

Animals↗

Fluoride retention after rinsing with sodium fluoride and amine fluoride.

Fluoride retention from fluoride rinses (250 ppm F), calculated from F-concentrations and volumes of expectorates, and fluoride clearance, determined in whole saliva samples collected 1, 5 and 10 minutes after rinsing, were studied in 70 adults. F-retention from a 1:1 oleylamine-cetylaminefluoride rinsing solution (15 ml. 15 sec) was 410 mjg F, from a sodium fluoride rinse 343 mug F. 563 mug F were retained from a 30-sec amine fluoride rinse. Fluoride clearance was significantly slower after cetylaminefluoride rinses than after NaF rinses. Prerinsing with sodium lauryl sulfate or cetylaminechloride annihilated the F clearance superiority of cetylaminefluoride over NaF.

Adult↗

Effect of an acute maternal fluoride dose on fetal plasma fluoride levels and enamel fluoride uptake in guinea pigs.

We conducted this study to measure maternal plasma, fetal plasma, and fetal enamel fluoride concentrations for four hours following an oral F dose to near-term pregnant guinea pigs. We placed female guinea pigs on de-ionized (Group I) or 3-ppm-F (Group II) drinking water prior to breeding and during gestation. On the 57th day of gestation, we administered a maternal dose of NaF solution (0.6 mg F/kg) by stomach tube. We collected samples of maternal plasma, fetal plasma, and fetal enamel at baseline, at 15 and 30 min, and at one, two, and four h after administration of the dose. We assayed samples for F using a modification of the micro-diffusion and ion-specific electrode method. Group I mean baseline F values were: maternal plasma, 0.016; fetal plasma, 0.002; and fetal enamel, 7.0 ppm. Group II mean values were: 0.055, 0.004, and 19.0 ppm. After the maternal fluoride dose, the mean maternal plasma [F] rose sharply for 30 to 60 min and declined to about 50% of peak values by four h. Fetal plasma [F] changed less in absolute values, but similarly to maternal changes relative to baseline. Fetal enamel mean [F] rose more in Group II than in Group I. Baseline F status had an important effect on F uptake in fetal enamel following an acute maternal fluoride dose.

Administration, Oral↗

Fluoride in dog parotid saliva after intravenous administration of sodium fluoride, sodium monofluorophosphate, and calcium fluoride.

Sodium fluoride, sodium monofluorophosphate, or calcium fluoride, in amounts equivalent to 0.5 mg/kg, were given intravenously to dogs and the effect on parotid saliva F was determined. Significant (P less than 0.01) differences in saliva F levels were related to the ionization of NaF, the hydrolysis of the PO3F ion, and the insolubility of CaF2.

Animals↗

Differences in iron-fluoride bonding between the isolated subunits of human methemoglobin fluoride and sperm whale metmyoglobin fluoride as measured by resonance Raman spectroscopy.

The heme geometries of the isolated alpha and beta subunits of human methemoglobin fluoride (HbIIIF) and sperm whale metmyoglobin fluoride (MbIIIF) have been examined by exciting their Raman spectra within their ca. 6000-A charge-transfer absorption bands. The Fe-F stretching vibration at 471 cm-1 in the beta subunits shifts to 466 cm-1 in the alpha subunits and to 461 cm-1 in MbIIIF. The Fe-F bond is estimated to elongate by 0.02 A in the alpha subunits and 0.03 AZ in MbIIIF compared with that in the beta subunits. This bond elongation is interpreted to result from an increased iron displacement toward the proximal histidine side of the heme in the series MbIIIF greater than alpha greater than beta. A comparison of the isolated subunit spectra with that of tetrameric HbIIIF indicates little change occurs in isolated subunit heme geometry upon association into tetrameric HbIIIF. A correlation is found between the gamma max of the 600-A charge-transfer absorption band and the Fe-F bond length. Elongation of the Fe-F bond is associated with a shift of the absorption spectral maximum to a longer wavelength. However, the absorption spectral shift induced by the inositsol hexaphosphate induced R leads to T conversion does not result from a change in the Fe-F stretching frequency (+/- 0.5 cm-1). In contrast, frequency shifts are observed for heme macrocyclic vibrational modes. The data are interpreted to indicate that the effect of the R leads to T conversion in HbIIIF is to perturb heme macrocycle conformation without altering the heme out-of-plane iron distance or the Fe-F bond length.

Animals↗

The effect of residence and social class on dental caries experience in 15-16-year-old children living in three towns (natural fluoride, adjusted fluoride and low fluoride) in the north east of England.

Caries experience in 1374 children aged 15-16 years from three towns in the north east of England with varying concentrations of fluoride in drinking water, was determined. The mean DMFT values for 15-year-old continuous residents was 1.7 in Hartlepool (natural F 1.0-1.3 ppm), 2.5 in Newcastle (F adjusted to 1.0 ppm) and 3.3 in Middlesbrough (F = 0.2 ppm). Forty per cent of Hartlepool 15-year-olds were caries free, compared with 30% in Newcastle and 24% in Middlesbrough. Caries prevalence for both Hartlepool and Newcastle 'continuous residents' was lower than for non-continuous residents, whereas in Middlesbrough, the low fluoride area, non-continuous residents had a lower DMF value than those who had lived in Middlesbrough all their lives. There was a slight trend in both Newcastle and Middlesbrough for DMFT values to increase from social class I to social class V, but no discernable trend was observed in Hartlepool. The results for Hartlepool 15-year-olds were very similar to those reported by Weaver in 1949.

Adolescent↗

Influence of growth mode and sucrose on susceptibility of Streptococcus sanguis to amine fluorides and amine fluoride-inorganic fluoride combinations.

This study evaluated the susceptibility to amine fluorides (AmFs) of planktonic and biofilm cultures of Streptococcus sanguis grown with and without sucrose. Cultures were incubated with AmFs (250 mg of fluoride liter-1) for 1 min. The susceptibility of biofilms was less than that of the planktonic form and was further decreased by growth in the presence of sucrose.

Amines↗

Relative anti-caries efficacy of 1100, 1700, 2200, and 2800 ppm fluoride ion in a sodium fluoride dentifrice over 1 year.

There is limited evidence from clinical trials on the dose response of sodium fluoride dentifrices at concentrations above 1100 ppm fluoride ion, with respect to caries efficacy. This randomized, double-blind study examined the anti-caries effectiveness of sodium fluoride dentifrices containing 1700 ppm, 2200 ppm and 2800 ppm fluoride ion relative to an 1100 ppm fluoride ion control. A population of 5439 elementary schoolchildren, aged 6-15 years, was recruited from an urban central Ohio area with a low fluoride content water supply (<0.3 ppm). Subjects were examined by visual-tactile and radiographic examination at baseline and after 1, 2, and 3 years of using the sodium fluoride dentifrices. Subjects were stratified according to gender, age and baseline DMFS scores derived from the visual-tactile baseline examination and randomly assigned to one of four treatment groups: 0.243% sodium fluoride (1100 ppm fluoride ion), 0.376% sodium fluoride (1700 ppm fluoride ion), 0.486% sodium fluoride (2200 ppm fluoride ion), and 0.619% sodium fluoride (2800 ppm fluoride ion). All products were formulated with the same fluoride compatible silica abrasive. Results after 1 year provided evidence of a positive sodium fluoride dose response. Compared to the 1100 ppm fluoride treatment group, the 1700 ppm fluoride treatment group had an 11.0% reduction in DMFS that was not statistically significant, while the 2200 ppm and 2800 ppm fluoride treatment groups showed statistically significant (P<0.05) reductions of 18.6% and 20.4%, respectively. The reductions in caries delivered by the higher fluoride dentifrices were present across all tooth surface types, but were most pronounced for occlusal surfaces. Results at years 2 and 3 were confounded by a concurrent fluoride rinse program, which involved portions of the study population. While the trends for the higher fluoride dentifrices observed at year 1 remained at years 2 and 3, the difference observed between treatments were substantially less and failed to reach statistical significance (P<0.05). Collectively, the data demonstrate that the 2200 ppm and the 2800 ppm fluoride treatments delivered statistically significantly greater caries efficacy than the 1100 ppm fluoride treatment. This large-scale clinical trial provides evidence of a positive statistically significant dose relationship between dental caries and sodium fluoride in a dentifrice at levels above 1100 ppm fluoride at year 1.

Adolescent↗

Comparison of fluoride concentrations in unstimulated whole saliva following the use of a fluoride dentifrice and a fluoride rinse.

Recent evidence has suggested that the cariostatic effects of topical fluoride (F) are related to the presence of low concentrations of ionic F in the oral environment. The purpose of this study was to compare the retention of F in the oral environment over 24-hour periods after the use of a F dentifrice or a F rinse. Groups of ten consenting adult subjects (age 18-52 years) brushed and/or rinsed (B/R) in a standardized manner twice per day in the morning (AM) and before bed (PM) with either a placebo dentifrice (8 ppm F), NaF dentifrice (1100 ppm F), or NaF rinse (225 ppm F). Experiments were performed with placebo dentifrice only (PD); F dentifrice only (FD); F dentifrice followed by F rinse (FD/FR); placebo dentifrice followed by F rinse (PD/FR); and F rinse followed by placebo dentifrice (FR/PD). Unstimulated whole saliva samples were collected at baseline and then at 0, 15, 30, and 45 min, 1, 2, and 8 hr after B/R in the AM, after B/R in the PM and upon rising the following morning. Salivary flow rate and F were determined for each sampling interval. The results of this study suggest that: (1) F rinse may be a more effective way of delivering topical F than F dentifrice; (2) based on F retention, the combination of FD/FR was not more effective than FR only (PD/FR); (3) older individuals with gingival recession retained higher F levels; and (4) bedtime F application resulted in longer F retention than did daytime application, which may have important implications for enamel remineralization.

Adolescent↗

Fluoride intake from foods, beverages and dentifrice by young children in communities with negligibly and optimally fluoridated water: a pilot study.

UNLABELLED: While the level of fluoride intake that affords optimal cariostatic efficacy without causing dental fluorosis is not precisely known, it has been suggested that the threshold of fluoride exposure above which fluorosis may occur is between 0.05 and 0.07 mg/kg/day. OBJECTIVE: To monitor and compare fluoride intake from diet and dentifrice use (theoretical F: 0.10-0.11%) by three groups of 16- to 40-month-old children: two groups living in the negligibly water-fluoridated communities of San Juan, Puerto Rico, and Connersville, Indiana, and the third group residing in the optimally water-fluoridated region of Indianapolis, Indiana. METHODS: Fluoride intake from diet was monitored by the "duplicate plate" method, and fluoride ingested from dentifrice was determined by subtracting the amount of fluoride recovered after brushing from the amount originally placed on the child's toothbrush. RESULTS: The mean combined amount of fluoride ingested daily by children living in the negligibly fluoridated communities was not significantly different from that ingested by children in the fluoridated community. The major component of fluoride ingested by children in the negligibly fluoridated communities came from fluoridated dentifrice, and in the fluoridated area children ingested as much fluoride from toothpaste as they did from beverages. In San Juan mean daily fluoride intake was within the estimated range for safe fluoride exposure; however, in the "halo" community of Connersville and in Indianapolis, daily fluoride ingested by many of the children may have exceeded this level. CONCLUSION: Attention needs to be given, in negligibly water-fluoridated as well as in optimally water-fluoridated communities, to reducing the daily intake of fluoride by young children in order to avoid putting them at risk of developing dental fluorosis.

Analysis of Variance↗