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Fluoride uptake in situ after the use of dental floss with fluoride.

The possibility of having a commercial product such as waxed floss with an additional agent for controlling and preventing caries is promising. The aim of this research was to determine the uptake of fluoride on tooth enamel in situ after the utilization of a dental floss with fluoride incorporated into the wax. One hundred blocks of bovine enamel were artificially demineralized and randomly separated into a Control Group (C) and a Test Group (T). The dental blocks in group T were mounted two-by-two simulating proximal contacts and were fixed into intra-oral lower arch devices. Eight volunteers with a similar salivary flow and buffer capacity wore devices with the enamel blocks for eight days. During this period of time the subjects applied a 25 cm long portion of a mint waxed floss with fluoride (0.15 mgF/m, Oral-B) between the blocks, 3 times a day for 2 minutes after each meal. At the same time, brushing was carried out with a fluoride-free toothpaste. The alkali-soluble fluoride (CaF2) formed on the enamel was extracted using the Caslavska et al. method and measured with the Orion 96-09 electrode-specific and the EA 720 ion analyzer. The results showed that the group that had the most CaF2 on the enamel (median, minimum and maximum in microF/cm2) was Group T (3.00, 2.11 and 4.00), which differed significantly (p < 0.01) from group C (0.26, 0.10 and 0.69). It was concluded that fluoride uptake on enamel was 11.54 times higher after use of dental floss with fluoride in this study.

Adult↗

Fluoride: a review--Part II: Topical fluorides.

Fluoride therapy continues to be the best defense in the battle against dental caries. The decision to utilize topical fluorides is no longer age dependent. Changing disease patterns require dentists to critically evaluate the caries risk of each patient and develop a fluoride treatment plan based upon the needs of the individual patient. A variety of professional and self-applied fluoride products are available and new fluoride delivery systems have recently entered the market. A critical review of literature, combined with an understanding of the advantages and disadvantages of each topical fluoride system will assist the dentist in selecting the product best suited for each patient.

Acidulated Phosphate Fluoride↗

Fluoride pharmacokinetics: its implications in the fluoride treatment of osteoporosis.

This report reviews some aspects of fluoride pharmacokinetics in relation to the treatment of osteoporosis. The bioavailability of conventional plain NaF tablets has been shown to be close to 100, for sustained-release NaF tablets close to 90%, and for enteric-coated NaF tablets 65%. The simultaneous intake of food and/or calcium tablets reduces the bioavailability by 30 to 40%. Fluoride renal clearance is influenced by both urinary pH and flow and the clinical consequences of this is discussed. Studies on plasma kinetics of fluoride during chronic fluoride intake suggests that a plasma sample taken at mid-dosage intervals will give reproducible "mean steady-state" levels. It is suggested that improvements of the clinical benefit of fluoride therapy in osteoporosis might be achieved if the dosage regimen were based on the pharmacokinetic properties of the fluoride preparation used as well as plasma fluoride monitoring.

Biological Availability↗

A fluorescein-based fluorogenic probe for fluoride ion based on the fluoride-induced cleavage of tert-butyldimethylsilyl ether.

A highly sensitive and selective fluorogenic probe for fluoride ion, fluorescein di-tert-butyldimethylsilyl ether (FTBS), was designed and synthesized. FTBS was a colorless, non-fluorescent compound and was synthesized via the one-step reaction of fluorescein with tert-butyldimethylsilyl chloride. Upon incubation with fluoride ion in DMF-water solution (7 : 3, V/V), the Si-O bond of FTBS was cleaved, causing a large increase in fluorescence intensity and thereby allowing a selective detection of fluoride ion. The fluorescence increase is linearly with fluoride concentration in the range 0.1-2.0 mumol L(-1) with a detection limit of 0.041 mumol L(-1) (3sigma). The excellent selective signaling behavior of the proposed probe was found to originate from the high affinity of silicon toward fluoride ion. The method has been successfully applied to the fluoride determination in multi-trace elements injection and toothpaste samples, and the results are agreed well with those obtained by the fluoride-ion selective electrode method.

Fluorescein↗

Distribution of fluoride in calcified cartilage of a fluoride-treated osteoporotic patient.

Subchondral bone and calcified cartilage from a femoral head of a 74-year-old osteoporotic woman treated for 30 months with sodium fluoride were analyzed. The fluoride content of the calcified tissues was determined by a specific ion electrode, and the topographic distribution pattern of fluoride was determined with an electron microprobe. The fluoride content in calcified cartilage (0.39% of ash) was higher than in neighboring subchondral bone (0.28% of ash). Line scan and X-ray images indicated a high concentration of fluoride in the outer layer of calcified cartilage lining the uncalcified cartilage, as well as in the inner layer of the subcortical endosteal bone. This study shows that calcified cartilage is an important site of fluoride deposition, and suggests that the accumulation of fluoride is related to the calcification process.

Aged↗

The effect of fluoride contents in fluoridated hydroxyapatite on osteoblast behavior.

Fluoridated hydroxyapatite (FHA) discs with various fluoride contents (0-0.567 mol F(-)/mol) [corrected] have been used to investigate the effect of fluoride content on osteoblastic cell behavior. SAOS-3 rat osteosarcoma cells were cultured on FHA discs for different time periods. The cell behavior was examined in terms of cell attachment, proliferation, morphology and differentiation. The fluoride content in FHA discs strongly affected the cell activities. More cell attachment and proliferation were observed on the fluoride-containing FHA discs than on pure hydroxyapatite (HA). The fluoride content also affected the differentiation behavior of osteoblastic cells. Cells on FHA discs demonstrated a higher alkaline phosphatase (ALP) activity than those on pure HA after 2 [corrected] weeks of culturing. These results suggested that fluoride ions have a significant impact on different osteoblastic cell activities.

Alkaline Phosphatase↗

Fluoride metabolism and fluoride content of stones from children with endemic vesical stones.

Twenty children with endemic vesical stones showed normal plasma and urinary excretion of fluoride on a mean fluoride intake of 2.5 +/- 0.8 mg/24 h. The mean fluoride content of the stones obtained from these children was 315.6 +/- 264.9 micrograms/g in the nucleus and 229.9 +/- 212.8 micrograms/g in the periphery (this was not statistically significant). Calcium-containing stones had a higher fluoride content than stones containing uric acid and ammonium urate. It was concluded that children with endemic vesical stones have normal fluoride metabolism. Trace quantities of fluoride present equally in the nucleus and peripheral parts of the stones suggest that fluoride does not cause initiation or growth of the nucleus of vesical stones and is adventitiously deposited with calcium salts in these stones.

Calcium Oxalate↗

Clinical study of an amine fluoride gel and acidulated phosphate fluoride gel.

This study compared caries inhibition in children by an amine fluoride and an acidulated phosphate fluoride when administered in a topically applied gel. In addition, the effects of applying amine fluoride daily and weekly were compared. Four hundred and sixty-eight children, ages 6 to 13, were randomly assigned to one of five treatment groups and received a total of five, 5-minute treatments. The treatment and interval between each of the five treatments were as follows:(A)acidulated phosphate fluoride daily, (B) amine fluoride daily, (C) amine fluoride weekly, (D) placebo daily, and (E) placebo weekly. When the children were examined for total Decayed, Missing, and Filled Surfaces (DMFS) increments 2 years later, no significant differences were observed. However, when the data were examined for effects of DMFS for specific tooth surface, significant restriction (61%) of occlusal increment was shown in the group which was treated with amine fluoride daily for 5 consecutive days as compared with the control group.

Adolescent↗

Prevalence of enamel defects/fluorosis in fluoridated and non-fluoridated areas in Ireland.

Water fluoridation was introduced in Ireland in 1964 and in recent years the availability of fluoride from other sources had increased. As part of a National Survey of Children's Health in Ireland Dean's and the DDE indices were used to determine the prevalence of enamel fluorosis/defects in 8- and 15-yr-old children in fluoridated and non-fluoridated areas. Over 94% of the children examined in all areas were regarded as having normal enamel, as defined by Dean's index, the remainder showing evidence of either questionable, very mild or mild fluorosis. Between 52% and 63% of the children had one or more teeth affected by enamel defects when measured by the DDE index. The prevalence of enamel fluorosis/defects was similar in children living in fluoridated and non-fluoridated areas but the prevalence of diffuse opacities (DDE) was higher in the fluoridated areas.

Adolescent↗

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↗

Fluoride concentrations in saliva in relation to chewing of various supplementary fluoride preparations.

Fluoride concentrations were measured in whole saliva samples collected from 16 subjects at different intervals up to 60 min after chewing of various supplementary F preparations: chewable F tablets (0.21 mg F), plain F tablets (0.25 mg F) or F-containing chewing gum (0.25 mg F). Each of the F preparations was administered in a low dose (0.21--0.25 mg F) or in a high dose (0.42--0.50 mg F). Mean resting levels of fluoride in saliva ranged from 0.03 to 0.05 parts/10(6). Peak values averaging 15--25 parts F/10(6) in the low-dose group and 25--40 parts F/10(6) in the high-dose group were recorded within 5 min after intake. After 30 min, the salivary fluoride concentrations in both groups had decreased to levels below 1 part/10(6) and approached resting levels 60 min after intake. The availability of fluoride in saliva, as estimated from AUC values (areas under curves, relating fluoride concentrations to the time from 0 to 60 min), was similar with each of the preparations applied in the low dose. When used in the high dose, the chewing gum and also the plain tablets provided significantly more fluoride in saliva than the chewable tablets. The data may suggest that unflavored plain F tablets are equally suitable as a vehicle for fluoride aiming at a topical cariostatic effect as specially designed chewable tablets or chewing gum.

Chewing Gum↗

Fluoride concentrations in enamel and dentin of primary teeth after pre- and postnatal fluoride exposure.

The aim of this study was to determine any existing difference in the amount of fluoride incorporated in the surface, body enamel and dentin of two groups of deciduous teeth, either exposed to pre- and postnatal fluoride supplements or to postnatal fluoride only. One hundred and eighty five subjects with intact deciduous incisors were selected from a randomized, double blind study of the caries preventive efficacy of prenatal fluoride (F) supplementation. Surface and body enamel samples were obtained by the acid etch biopsy technique. Dentin microsamples were obtained by drilling to a depth of 100 microm using the microdrill biopsy technique. It was concluded that fluoride exposure during the prenatal period offered no additional measurable fluoride uptake by dental tissues other than that attributable to postnatal fluoride alone.

Cariostatic Agents↗

Effects of an acidic calcium phosphate solution and the intraoral fluoride-releasing device on dental caries and fluoride uptake in rats.

This investigation comprised two studies evaluating the effects of an acidic calcium phosphate solution (CPS) on fluoride uptake in the enamel, glycolysis of dental plaque, the incidence of dental caries and urinary fluoride concentrations of rats wearing an intraoral fluoride-releasing device (IFRD). In the first study, CPS-fluoride treatment preceded the cariogenic challenge. In the second study, the cariogenic challenge preceded the treatments. In the first study, CPS treatments increased the ability of enamel to bind fluoride. However, the enamel-bound fluoride exerted a negligible effect on plaque glycolysis as measured by the pH decrease after sucrose challenge. In the second study CPS augmented the caries inhibition for both the sulcal-morsal and buccal-lingual surfaces. In both studies the IFRD significantly restricted the development of carious enamel on the sulcal-morsal surfaces and caused elevated concentrations of fluoride in the urine independent of CPS treatments.

Actinomyces viscosus↗

Fluoride concentrations in plaque, whole saliva, and ductal saliva after application of home-use topical fluorides [published eerratum appears in J Dent Res 1993 Jan;72(1):87].

It is now well-accepted that the primary anti-caries activity of fluoride (F) is via topical action. The retention of F in the mouth after topical fluoride treatment is considered to be an important factor in the clinical efficacy of F. The purpose of this study was to evaluate F levels in ductal saliva, whole saliva, and pooled plaque after treatment with topical F agents intended for home use. Ten consenting adults, mean (SD) age 31.0 (8.2) years, participated in all aspects of the study. Two days before each test, subjects received a professional tooth cleaning and subsequently abstained from all oral hygiene procedures to permit plaque to accumulate, and from the use of F-containing dental products. Treatments consisted of a placebo dentifrice (PD), fluoride dentifrice (FD; 0.24% NaF), fluoride rinse (FR; 0.05% NaF), and fluoride gel (FG; 1.1% NaF). Unstimulated whole saliva and pooled plaque were sampled at multiple points over a 24-hour period. In a separate experimental series, stimulated parotid saliva was sampled over a two-hour period after treatment. Fluoride levels generally followed the same pattern in whole saliva and pooled plaque samples, with FG > FR > FD > PD. Night-time F application resulted in prolonged F retention in whole saliva but not in plaque. Fluoride levels in parotid saliva were only slightly higher after F treatment and returned to baseline levels within two h. The results of this study indicate that the method of F delivery, the F concentration of the agent, and the time of application (daytime vs. night-time) are important factors influencing F levels in the mouth.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

[Micro-determination of fluoride in biological samples by pyrohydrolysis and flow-injection analysis using a fluoride ion-selective electrode].

An apparatus has been developed for the isolation of fluoride in biological samples through pyrohydrolysis. With this apparatus, it is possible to determine both organic and inorganic fluorocompounds with a recovery close to 100% and precision within 5%. The high recovery rate can be expected even for highly heat-resistant compounds such as CaF2, without using WO3 as a catalyst. For determination of the isolated fluoride, a separate apparatus was developed in which flow-injection analysis was used in conjunction with a fluoride ion-selective electrode as a detector. With this apparatus, fluoride in a sample solution with a volume as small as 0.2 ml, and at a concentration as low as 0.5 microgram/l, can be determined within 3 minutes with a precision of several percent. Combined use of the two apparatuses makes it possible to determine fluoride in different biological samples within 10-15 minutes with a precision of several percent, free from external contamination. By selecting suitable conditions for analysis and using a 1 g sample, it is possible to determine fluoride at a concentration as low as 5 ng/g. By employing these apparatuses, the fluoride content in different biological samples has been determine and the effectiveness of their use confirmed.

Adult↗

Fluoride uptake by cavity walls from a fluoride-containing amalgam in vitro. An electron microprobe analysis.

The aim of this study was to register the fluoride distribution in cavity walls following exposure to a fluoride-containing amalgam in vitro. Class V cavities were prepared on buccal and lingual surfaces in ten extracted premolars and filled with a fluoride-containing (experimental) or a conventional (control) amalgam. After storing the teeth in artificial saliva for three months, the fillings were removed and the cavity walls analyzed with an electron microprobe. The cavity walls which had been exposed to the conventional amalgam did not show F concentrations above the detection limit (0.15%). In the experiment group, however, more than 60% of the analyses of the enamel walls revealed fluoride concentrations greater than 0.15%, the values ranging from 0.2 to 1.7%. In the dentin walls fluoride concentrations of 0.2 - 1.9% were measured. However, 80% of the analyses revealed values between 0.9 and 1.5%. The depth of the zone of increased F concentration in enamel and dentin walls was on the average 27 and 108 micrometer, respectively. Although the concentrations should only be regarded as semiquantitative values, they indicate that considerable amounts of fluoride are deposited in the cavity walls from the fluoride-containing amalgam.

Dental Amalgam↗

[Uptake of fluoride into enamel and its effect on acid resistance by application of fluoride-releasing sealant--Part 2. Effect of application time and immersion time into buffer after its removal].

The purpose of this study was to investigate the relationship between the amount of fluoride in the enamel, taken from a fluoride-releasing sealant (F + sealant) and acid resistance. The F + sealant was applied to the bovine enamel from 1 week to 6 months. After the removal of the F + sealant, the bovine teeth were immersed in phosphate buffer from 1 month to 6 months. At each time period, the enamel was biopsied with acid and its fluoride and calcium concentration were analyzed. Results were as follows: (1) It was suitable to immerse the teeth in 1M KOH solution for 2 days in order to remove the loosely bound fluoride produced by the fluoride application from the enamel. (2) The amount of fluoride in the surface enamel increased in proportion to the application time of F + sealant. (3) The amount of calcium dissolved from the enamel showed the significant decrease by the F + sealant application, while no difference was shown by the application time. (4) The amount of fluoride in the surface enamel acquired by the F + sealant was maintained for 6 months after the removal of the F + sealant. (5) The amount of calcium dissolved from the enamel showed no difference in the period of immersion time.

Animals↗

Cancer mortality in selected New South Wales localities with fluoridated and non-fluoridated water supplies.

The standardized cancer mortality ratios for selected localities in New South Wales with fluoridated and non-fluoridated water supplies were examined. The cancer mortality ratios for both fluoridated and non-fluoridated localities were spread along a continuum. Two localities (one fluoridated, one non-fluoridated) had standardized mortality ratios significantly lower than the New South Wales State average. No relationship was found between cancer deaths and whether water supplies had been fluoridated or not.

Australia↗