The in vitro effect of fluoride and tetracycline on phase transformation of a calcium phosphate

Dental Fluorosis and Periodontium: an Original Research Report of In Vitro and In Vivo Institutional Studies

Fluorosis is one of the global problems that have persisted for a very long time now without any specific treatment and cure. Fluoride is known for its influence on the tooth structures like enamel and dentin, but little information exists on its effect on the surrounding periodontal structures and bone. With this background, we conducted multiple studies assessing etiological, diagnostic, therapeutic and clinical criteria in subjects with and without dental fluorosis in a single group of the population residing in high fluoride water areas (1.5-3.0 ppm) of Davangere District, Karnataka, India. These preliminary studies conducted are hereby elaborately presented and discussed in this comprehensive review article along with their important conclusions.

Solubility study of the initial formation of calcium orthophosphates from aqueous solutions at pH 5-10

In unsaturated stock solutions with various concentrations of calcium and phosphate and pH of 4-5, supersaturation with respect to brushite, hydroxy- and fluorapatite, octacalcium phosphate and amorphous tricalcium phosphate was established at 20 degrees C by increasing pH in two series of portions, one containing low concentrations of fluoride, one fluoride-free. The precipitate as identified by X-ray diffraction was compared to the ion-activity products in the liquid. Brushite and amorphous tricalcium phosphate were formed at low supersaturation with respect to the salt in question; apatite formation required a high degree of supersaturation. Octacalcium phosphate was not observed presumably due to moderate supersaturations with respect to this salt. Fluoride had no effect on brushite and tricalcium-phosphate formation; only apatite was influenced slightly through a fluorapatite precipitation. The salts were often formed in mutual competition.

Dental involvement in congenital chloride diarrhea

Dental involvement in a case of congenital chloride diarrhea (CCD) was studied using light microscopy of decalcified and undecalcified sections, microradiography and TEM. Mixed enamel lesions were found, involving gross hypoplasia at the cuspal level and hypocalcification occurring all over enamel. The hypocalcification resulted in the immature aspect of the prismatic enamel, porosities, amorphous areas, prominent incremental lines and round-ended crystallites. A marked hypocalcification suggests a temporary break of amelogenesis likely related to acute episodes of the disease. Globular calcifications were associated with enamel formation. Dentinal hypocalcification was conspicuous and diffuse all over dentine. A globular mineralization pattern was revealed by the tretracycline (TC) stain which was well preserved in decalcified sections, thus indicating that TC uptake is related to the organic matrix. It is unlikely that TC alone is responsible for the hypocalcified areas which extended widely beyond the TC-stained bands. It is suggested that TC uptake only adds to dental defects induced by the metabolic troubles of CCD.

Structural changes induced by tetracycline in secretory ameloblasts in young rats

The effects of tetracycline hydrochloride (TC) on secretory ameloblasts in mandibular incisors and first molars in young rats were investigated. The pathogenesis of the TC-induced changes was examined in light and electron microscopes 6, 12, 24 and 96 h after a single intraperitoneal injection of a high dose of TC (200 mg TC/kg body wt.) into 4-d-old animals. Secretory ameloblasts from non-injected animals served as controls. Cellular changes were observed in all teeth 6 h after injection. The changes increased with the postinjection period and after 96 h they were so severe that they were considered irreversible. The incipient changes of the ameloblasts comprised altered structure and location of the mitochondria, succeeded by dilated cisternae of endoplasmic reticulum arranged in short curled formations. Later on, distorted Golgi complexes were observed. Secretory granules appeared in various numbers in the Golgi zone and in the Tomes' processes. In severely affected ameloblasts the cell nuclei showed an increased content of chromatin. Autophagic vacuoles and extracellular membrane bound fragments with cellular remnants were frequent, indicating death of some of the ameloblasts. Areas of stippled secretory material were observed along the formative enamel front and in extracellular spaces between the ameloblasts. In the 96-h group calcified bodies with a varying content of crystals were scattered between the cells. Incisors and the molars displayed similar patterns of structural changes of the secretory ameloblasts; however, the changes developed earlier and became more severe in the molars.

Effects of oxytetracycline on mineralization of bone in young rats

The metabolism of minerals and collagen in young rats receiving oxytetracycline was studied by employing double-isotope techniques. The dosage of the antibiotic was adjusted to obtain plasma concentrations comparable with human therapeutic levels. Reduced mineralization and possibly increased resorption of bone were observed after oxytetracycline administration, whereas no effect on the rate of collagen synthesis could be detected.

Disturbances and defects in enamel development

Ameloblastic disturbances are correlated with defects in enamel. Experimental disturbances created by tetracyclines, fluorides, and antimitotic drugs are emphasized. Cellular alterations are shown to interfere with both matrix production and secretion. Defects in enamel formation are characterized by abnormal crystal size and distribution. Further research in normal and particularly abnormal enamel development is needed to establish: 1. exact mode of matrix secretion and its relation to crystal nucleation and orientation 2. function of maturative ameloblast and its relation to the stratum intermedium and papillary layer during that phase 3. cause for lack of mineralization of matrix, particularly in ectopic areas.

Effects of fluoride on in vitro calcification of tendon matrix

Ca2+ and Pi uptake induced in vitro by a collagenous matrix derived from bovine tendon is inhibited by 1 X 10(-6) to 2 X 10(-5) M NaF and stimulated by 2 X 10(-5) to 2 X 10(-3) M NaF. Fluoride uptake occurs only over the latter concentration range. The uptake of Ca2+, Pi, and F-1 progresses toward a limiting extent at which the molar Ca/P and Ca/F values are 1.6 to 1.7 and 4.5 to 5.7, respectively. Although the matrix-bound mineral, previously formed in the absence of NaF, readily undergoes dissolution when exposed to a Ca2+- and P-free medium of pH less than 7.4, the bound mineral phase formed in the presence of NaF does not. We conclude that fluoroapatite is the primary matrix-bound mineral. The uptake of fluoride, Ca2+. amd Pi by both uncalcified and previously calcified matrices is inhibited by methylenediphosphonate and by phosphonoacetate as is calcification in the absence of NaF. Kinetic studies indicate that formation of a CaP complex precedes the uptake of F-1 and suggest that F-1 and OH-1 compete for interaction with that CaP complex during the calcification process. We concluded that fluoroapatite formation induced by the collagenous matrix occurs by a multistep pathway comparable to that proposed previously for hydroxyapatite formation.

An electron microprobe analysis of osteofluorosis in the rabbit

Osteofluorosis was induced in rabbits by the ingestion of 500 ppm F in their drinking water over a period of 30 days. The tibiae from experimental and control animals were selected for macroscopic, microscopic and microradiographic observation. Transverse sections of 100 mum thickness were prepared for an electron-microprobe analysis to determine Ca, P and F concentrations and to display the topographical distribution of F as revealed by the X-ray image of its Kalpha1 radiation. Variation in amount of periosteal and endosteal deposition was observed along the length of the bone. Changes, including numerous mottled osteones, were seen in the compact zone of bone which had been formed prior to the start of the experiment. The Ca/P ratio appeared to show a variation related to the F concentration.

Chemical and morphologic alterations of rabbit bone induced by adriamycin

Long term, low dose administration of adriamycin (ADR) to young growing rabbits resulted in significant alterations in bone structure and chemistry. Morphologic changes were most pronounced at epiphyseal and metaphyseal areas of long bones. Epiphyseal cartilage plates were thin and there was derangement of growth zones. Areas of primary and secondary spongiosa were deficient in trabeculae, osteoblasts and osteoclasts. Analysis of femora, humeri and lumbar vertebrae from ADR-treated rabbits revealed increased water and fat content and significant decreases in bone density compared to age-matched controls. Cortices of long bones were roentgenographically thin and contained large irregular spaces evident microscopically. Evaluation of bone ash from ADR treated rabbits revealed significant increases in the percentage of calcium and phosphorus, although Ca/P ratios were not different from controls. Results of in vitro studies indicate that ADR binds readily to nondemineralized, but not demineralized, fresh cortical bone powder. The findings of decreased bone density, histopathologic alterations, and a paucity of osteogenic cells in ADR treated rabbits are interpreted as retardation of bone maturation. It is suggested that ADR affects adversely both the organic and inorganic fractions of bone. Due to its unique characteristics of cytostatic action, binding to metal cations and orange-red fluorescence, ADR is a novel chemical agent that may be useful in experimental bone studies.