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Álvarez-Chimal R, Rodríguez-Cruz C, Alvarez-Gayosso C, Arenas-Alatorre JA. Study of ZnO nanoparticle-doped dental adhesives on enamels with fluorosis: Electron microscopy, elemental composition and shear bond strength analysis. J Microsc 2024. [PMID: 39167362 DOI: 10.1111/jmi.13353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 07/23/2024] [Accepted: 08/09/2024] [Indexed: 08/23/2024]
Abstract
This study aimed to evaluate dental adhesives containing different concentrations of zinc oxide nanoparticles (ZnO-NPs) for their use in the treatment of dental fluorosis, observe the interaction of the adhesive on healthy enamel surfaces and with mild and moderate fluorosis, measure the adhesive strength and fluorosis, and determine the phosphorus (P) and calcium (Ca) content on these surfaces, as a reference for the potential use of this adhesive with ZnO-NPs for dental fluorosis treatment. Transmission electron microscopy (TEM) and field emission scanning electron microscopy (FESEM) were used to characterise the ZnO-NPs and analyse the weight percentages of P and Ca in the enamel using X-ray energy dispersive spectroscopy (EDS) and the adhesive strength using a universal mechanical testing machine. FESEM characterisation revealed that the ZnO-NPs were less than 100 nm in size, with quasi-spherical and hexagonal prism shapes. The synthesis of the ZnO-NPs was confirmed by TEM, revealing their hexagonal crystalline structure. The adhesive strength by the universal mechanical testing machine showed that the adhesive with a 3% wt. concentration of ZnO-NPs was better in the three groups of teeth, showing higher adhesive strength in teeth with mild (15.15 MPa) and moderate (12.76 MPa) fluorosis surfaces, and was even higher than that in healthy teeth (9.65 MPa). EDS analysis showed that teeth with mild and moderate fluorosis had the highest weight percentages of P and Ca, but there were no statistically significant differences compared to healthy teeth and teeth treated with adhesives. Lay description: This study focused on testing a new dental adhesive containing small particles called ZnO nanoparticles (ZnO-NPs). This study aimed to demonstrate whether this adhesive with ZnO-NPs could be useful for treating dental fluorosis by improving its adhesion to teeth. One of the first objectives was to determine whether the dental adhesive could adhere better to teeth affected by mild or moderate fluorosis than to healthy teeth by measuring whether the levels of two important elements for healthy teeth, calcium (Ca) and phosphorus (P), were affected by the adhesive. The size and shape of the small particles and teeth with mild or moderate fluorosis were observed using scanning electron microscopy. The nanoparticles were small (< 100 nm) and had specific quasi-spherical and hexagonal prismatic shapes. More damage to the enamel was observed in teeth with mild or moderate fluorosis than in healthy teeth. The adhesive strength test demonstrated that the dental adhesive with 3% ZnO-NPs had the best adhesion on all healthy conditions of teeth. It was particularly effective in teeth with mild or moderate fluorosis. Finally, the evaluation of the levels of P and Ca on the enamel showed that teeth with fluorosis had higher levels of these elements, but using the dental adhesive with ZnO-NPs did not change the levels of these elements significantly because the adhesive avoided greater detachment because of greater adhesion to these surfaces. In conclusion, adding these small particles to dental adhesives could be an option for treating teeth affected by fluorosis. It stuck well and did not affect the levels of the important elements in the teeth.
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Affiliation(s)
- Rafael Álvarez-Chimal
- Laboratorio de Bioingeniería de Tejidos, División de Estudios de Posgrado e Investigación, Facultad de Odontología, Universidad Nacional Autónoma de México, Ciudad Universitaria, Ciudad de México, Mexico
| | - César Rodríguez-Cruz
- Licenciatura en Estomatología, Universidad Autónoma Metropolitana Unidad Xochimilco, Ciudad de México, Mexico
| | - Carlos Alvarez-Gayosso
- Laboratorio de Materiales Dentales, División de Estudios de Posgrado e Investigación, Facultad de Odontología, Universidad Nacional Autónoma de México, Ciudad Universitaria, Ciudad de México, Mexico
| | - Jesús A Arenas-Alatorre
- Laboratorio 113 Síntesis de Nanomateriales Magnéticos, Departamento de Materia Condensada, Instituto de Física, Universidad Nacional Autónoma de México, Ciudad Universitaria, Ciudad de México, Mexico
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Alonazi MA, Algarni HA, Alqarni MNS, Almaeen SH, Iqbal A, Khattak O. Unmasking caries risk: a multi-regional study in Saudi Arabia. BMC Oral Health 2024; 24:874. [PMID: 39095892 PMCID: PMC11295304 DOI: 10.1186/s12903-024-04665-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2024] [Accepted: 07/24/2024] [Indexed: 08/04/2024] Open
Abstract
BACKGROUND Dental caries are common and troublesome and may affect individuals' health conditions. It is crucial to comprehend the caries experience for prevention, management, and enhancing oral health. Techniques such as CAMBRA can help assess an individual's risk factors for caries lesions. This study aims to assess the caries risk in five distinct regions of Saudi Arabia, utilizing the CAMBRA methodology. METHODS This multiregional cross-sectional study was conducted at university dental clinics across the five regions of Saudi Arabia, using a Caries Management by Risk Assessment (CAMBRA) tool. This study used binary logistic regression analysis, the Pearson Chi-square test, and descriptive analysis as statistical methods. RESULTS A total of 551 respondents participated in the study, with 59.7% being male and 40.3% being female. The age group with the highest proportion was 20-29, making up 31.6% of the participants. All participants exhibited at least one caries lesion (100%), with white spots (66.4%) and enamel lesions (56.1%) being the most prevalent. The moderate-risk category encompassed the largest proportion of participants, accounting for 60% of the total. High caries risk had a significant association with age group (P < 0.001), education (P < 0.001), profession (P < 0.001), and socio-economic status (P < 0.001). Furthermore, only age and socio-economic status showed a significant relationship with high caries risk in the multiple logistic regression. CONCLUSION The CAMBRA tool indicates a high prevalence of moderate risk across the five regions of Saudi Arabia, identifying age and socio-economic status as significant predictors of caries risk.
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Affiliation(s)
- Meshal Aber Alonazi
- Department of Restorative Dental Sciences, College of Dentistry, Jouf University, Sakaka, 72345, Saudi Arabia
| | - Hmoud Ali Algarni
- Department of Restorative Dental Sciences, College of Dentistry, Jouf University, Sakaka, 72345, Saudi Arabia
| | | | - Saud Hamdan Almaeen
- Department of Preventive Dental Sciences, College of Dentistry, Jouf University, Sakaka, 72345, Saudi Arabia
| | - Azhar Iqbal
- Department of Restorative Dental Sciences, College of Dentistry, Jouf University, Sakaka, 72345, Saudi Arabia.
| | - Osama Khattak
- Department of Restorative Dental Sciences, College of Dentistry, Jouf University, Sakaka, 72345, Saudi Arabia
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Khadatkar P, Niranjan B, Bansal A, Sundaramurthy S, Choudhary K, Sijeria P. A comparative evaluation of fluoride release and rechargeability in conventional GIC (type II), pediatric GIC (type IX), and Cention-N: an in vitro study. Eur Arch Paediatr Dent 2024; 25:161-168. [PMID: 38334867 DOI: 10.1007/s40368-023-00856-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Accepted: 11/15/2023] [Indexed: 02/10/2024]
Abstract
PURPOSE A comparative evaluation of fluoride release and re-chargeability in conventional glass ionomer cement (GIC) (type II), Pediatric GIC (type IX), and Cention-N-an in vitro study at an interval of first, fourteenth, and twenty first days. METHODS Three groups of test materials, each with twenty samples, were prepared. Measurements of the cumulative fluoride release [parts per million (ppm)] and re-release measured on the first, fourteenth, and twenty first days. Analysis of variance (ANOVA) was used to compare the means for different readings, and Tukey's post hoc analysis was used to compare each group with each other. RESULTS Initial and subsequent fluoride release of Cention-N at days one, fourteen, and twenty-one were all noticeably higher than those of conventional and pediatric GIC. CONCLUSION Compared to the Conventional and Pediatric GIC restorative materials, Cention-N was more effective in the initial and fluoride re-release.
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Affiliation(s)
- P Khadatkar
- Department of Pediatric and Preventive Dentistry, Rishiraj College of Dental Sciences and Research Center, Bhopal, Madhya Pradesh, India
| | - B Niranjan
- Department of Pediatric and Preventive Dentistry, Rishiraj College of Dental Sciences and Research Center, Bhopal, Madhya Pradesh, India.
| | - A Bansal
- Department of Pediatric and Preventive Dentistry, Rishiraj College of Dental Sciences and Research Center, Bhopal, Madhya Pradesh, India
| | - S Sundaramurthy
- Department of Chemical Engineering, Maulana Azad National Institute of Technology, Bhopal, Madhya Pradesh, 462003, India
| | - K Choudhary
- Department of Pediatric and Preventive Dentistry, Rishiraj College of Dental Sciences and Research Center, Bhopal, Madhya Pradesh, India
| | - P Sijeria
- Department of Pediatric and Preventive Dentistry, Rishiraj College of Dental Sciences and Research Center, Bhopal, Madhya Pradesh, India
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Hertel S, Basche S, Schmidt V, Staszyk C, Hannig C, Sterzenbach T, Hannig M. Erosion behaviour of human, bovine and equine dental hard tissues. Sci Rep 2023; 13:19617. [PMID: 37949920 PMCID: PMC10638419 DOI: 10.1038/s41598-023-46759-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Accepted: 11/04/2023] [Indexed: 11/12/2023] Open
Abstract
Dental hard tissues from different species are used in dental research, but little is known about their comparability. The aim of this study was to compare the erosive behaviour of dental hard tissues (enamel, dentin) obtained from human, bovine and equine teeth. In addition, the protective effect of the pellicle on each hard tissue under erosive conditions was determined. In situ pellicle formation was performed for 30 min on enamel and dentin samples from all species in four subjects. Calcium and phosphate release was assessed during 120 s of HCl incubation on both native and pellicle-covered enamel and dentin samples. SEM and TEM were used to examine surface changes in native enamel and dentin samples after acid incubation and the ultrastructure of the pellicle before and after erosive exposure. In general, bovine enamel and dentin showed the highest degree of erosion after acid exposure compared to human and equine samples. Erosion of human primary enamel tended to be higher than that of permanent teeth, whereas dentin showed the opposite behaviour. SEM showed that eroded equine dentin appeared more irregular than human or bovine dentin. TEM studies showed that primary enamel appeared to be most susceptible to erosion.
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Affiliation(s)
- S Hertel
- Clinic of Operative Dentistry, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Germany.
| | - S Basche
- Clinic of Operative Dentistry, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Germany
| | - V Schmidt
- Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, University Hospital, Saarland University, 66421, Homburg, Germany
| | - C Staszyk
- Institute for Veterinary-Anatomy, -Histology and -Embryology, Faculty for Veterinary Medicine, Justus-Liebig-University Giessen, Frankfurter Str. 98, 35392, Giessen, Germany
| | - C Hannig
- Clinic of Operative Dentistry, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Germany
| | - T Sterzenbach
- Clinic of Operative Dentistry, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Germany
| | - M Hannig
- Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, University Hospital, Saarland University, 66421, Homburg, Germany
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Silva CAM, de Sousa FB, Martinez-Mier EA, Vieira BR, do Nascimento JM, Hara AT. Fluorotic Enamel Susceptibility to Dental Erosion and Fluoride Treatment. Braz Dent J 2023; 34:75-81. [PMID: 38133094 PMCID: PMC10742357 DOI: 10.1590/0103-6440202305595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Accepted: 11/13/2023] [Indexed: 12/23/2023] Open
Abstract
The purpose of this in vitro study was to test the hypothesis that fluoride treatment can prevent dental erosion on fluorotic enamel of different severities. It followed a 3×2 factorial design, considering a) fluorosis severity: sound (TF0, Thylstrup-Fejerskov Index), mild (TF1-2), moderate (TF3-4); and b) fluoride treatment: 0 (negative control) and 1150ppmF. Human molars with the three fluorosis severities (n=16, each) were selected and randomly assigned to the two fluoride treatments (n=8). Enamel blocks (4×4mm) were prepared from each tooth and subjected to a dental erosion cycling model, for 10 days. The daily cycling protocol consisted of erosive challenges (1% citric acid, pH 2.4), interspersed by periods of immersion in artificial saliva, and three 2-minute treatments with either 0 or 1150ppm F. The enamel volume loss (mm3) was calculated by subtracting values obtained by microtomography before and after cycling. Two-Way ANOVA showed no significant interaction between fluorosis severity and fluoride treatment (p=0.691), and no significant effect for either fluorosis severity (TF0 mean±standard-deviation: 13.5(10-2±0.42(10-2, TF1-2: 1.50(10-2±0.52(10-2, TF3-4: 1.24(10-2±0.52(10-2, p=0.416) or treatment (0ppmF: 1.49(10-2±0.53(10-2; 1150ppmF: 1.21(10-2±0.42(10-2; p=0.093), when evaluated independently. Considering the limitations of this in vitro study, the presence and severity of fluorosis in enamel do not appear to affect its susceptibility to dental erosion. Fluoride treatment was not effective in preventing the development of dental erosion in both sound and fluorotic enamel substrates under our experimental conditions.
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Affiliation(s)
| | - Frederico Barbosa de Sousa
- Department of Morphology, Health Sciences Center, Federal University of Paraiba, Joao Pessoa, Paraíba, Brazil
| | - Esperanza Angeles Martinez-Mier
- Department of Cariology, Operative Dentistry and Dental Public Health, Indiana University School of Dentistry, Indianapolis, IN, USA
| | | | | | - Anderson Takeo Hara
- Department of Cariology, Operative Dentistry and Dental Public Health, Indiana University School of Dentistry, Indianapolis, IN, USA
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Houari S, DeRocher K, Thuy TT, Coradin T, Srot V, van Aken PA, Lecoq H, Sauvage T, Balan E, Aufort J, Calemme M, Roubier N, Bosco J, Jedeon K, Berdal A, Joester D, Babajko S. Multi-scale characterization of Developmental Defects of Enamel and their clinical significance for diagnosis and treatment. Acta Biomater 2023; 169:155-167. [PMID: 37574156 DOI: 10.1016/j.actbio.2023.08.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 07/18/2023] [Accepted: 08/08/2023] [Indexed: 08/15/2023]
Abstract
Developmental Defects of Enamel (DDE) such as Dental Fluorosis (DF) and Molar Incisor Hypomineralization (MIH) are a major public health problem. Their clinical aspects are extremely variable, challenging their early and specific diagnosis and hindering progresses in restorative treatments. Here, a combination of macro-, micro- and nano-scale structural and chemical methods, including, among others, Atom Probe Tomography recently applied on tooth enamel, were used to study and compare MIH, DF and healthy teeth from 89 patients. Globally, we show that DF is characterized by an homogenous loss of mineral content and crystallinity mainly disrupting outside layer of enamel, whereas MIH is associated with localized defects in the depth of enamel where crystalline mineral particles are embedded in an organic phase. Only minor differences in elemental composition of the mineral phase could be detected at the nanoscale such as increased F and Fe content in both severe DDE. We demonstrate that an improved digital color measurement of clinical relevance can discriminate between DF and MIH lesions, both in mild and severe forms. Such discriminating ability was discussed in the light of enamel composition and structure, especially its microstructure, organics presence and metal content (Fe, Zn). Our results offer additional insights on DDE characterization and pathogenesis, highlight the potentiality of colorimetric measurements in their clinical diagnosis and provide leads to improve the performance of minimally invasive restorative strategies. STATEMENT OF SIGNIFICANCE: Developmental Defects of Enamel (DDE) are associated to caries and tooth loose affecting billions of people worldwide. Their precise characterization for adapted minimally invasive care with optimized materials is highly expected. Here In this study, first we propose the use of color parameters measured by a spectrophotometer as a means of differential clinical diagnosis. Second, we have used state-of-the-art techniques to systematically characterize the structure, chemical composition and mechanical optical properties of dental enamel teeth affected by two major DDE, Dental Fluorosis (DF) or Molar Incisor Hypomineralization (MIH). We evidence specific enamel structural and optical features for DF and MIH while chemical modifications of the mineral nanocrystals were mostly correlated with lesion severity. Our results pave the way of the concept of personalized dentistry. In the light of our results, we propose a new means of clinical diagnosis for an adapted and improved restoration protocol for these patients.
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Affiliation(s)
- Sophia Houari
- Laboratoire de Pathophysiologie Orale Moleculaire, Centre de Recherche des Cordeliers, INSERM UMRS, Université Paris Cité, Sorbonne Université, Paris 1138, France; Unité de Formation et de Recherche d'Odontologie, Université Paris Cité, APHP, Service d'Odontologie - Hôpital La pitié-Salpetrière, Paris, France; Fédération Hospitalo-Universitaire DDS-ParisNet, INSERM, Université Paris Cité, Assistance Publique-Hôpitaux de Paris, France.
| | - Karen DeRocher
- Department of Materials Science and Engineering, Northwestern University, IL, USA
| | - Tran Thu Thuy
- Faculty of Odonto-stomatology, HochiMinh University of Medicine and Pharmacology, HôchiMinh Ville, Viet Nam
| | - Thibaud Coradin
- Laboratoire de Chimie de la Matière Condensée, Sorbonne Université, CNRS, Paris, France
| | - Vesna Srot
- Stuttgart Center for Electron Microscopy, Max Planck Institute for Solid State Research, Stuttgart, Germany
| | - Peter A van Aken
- Stuttgart Center for Electron Microscopy, Max Planck Institute for Solid State Research, Stuttgart, Germany
| | - Hélène Lecoq
- CNRS UPR3079, Université d'Orléans, Conditions Extrêmes et Matériaux: Haute Température et Irradiation, Orléans, France
| | - Thierry Sauvage
- CNRS UPR3079, Université d'Orléans, Conditions Extrêmes et Matériaux: Haute Température et Irradiation, Orléans, France
| | - Etienne Balan
- Sorbonne Université, CNRS, Institut de Recherche pour le Developpement, Museum National d'Histoire Naturelle, Institut de Minéralogie, Physique des Matériaux et Cosmochimie, Paris, France
| | - Julie Aufort
- Sorbonne Université, CNRS, Institut de Recherche pour le Developpement, Museum National d'Histoire Naturelle, Institut de Minéralogie, Physique des Matériaux et Cosmochimie, Paris, France
| | | | - Nicolas Roubier
- Laboratoire de Mécanique Paris-Saclay, CNRS, Centrale-Supélec, Université Paris-Saclay, Châtenay-Malabry, France
| | - Julia Bosco
- Unité de Formation et de Recherche d'Odontologie, Université Paris Cité, APHP, Service d'Odontologie - Hôpital La pitié-Salpetrière, Paris, France
| | - Katia Jedeon
- Laboratoire de Pathophysiologie Orale Moleculaire, Centre de Recherche des Cordeliers, INSERM UMRS, Université Paris Cité, Sorbonne Université, Paris 1138, France; Fédération Hospitalo-Universitaire DDS-ParisNet, INSERM, Université Paris Cité, Assistance Publique-Hôpitaux de Paris, France
| | - Ariane Berdal
- Laboratoire de Pathophysiologie Orale Moleculaire, Centre de Recherche des Cordeliers, INSERM UMRS, Université Paris Cité, Sorbonne Université, Paris 1138, France; Fédération Hospitalo-Universitaire DDS-ParisNet, INSERM, Université Paris Cité, Assistance Publique-Hôpitaux de Paris, France
| | - Derk Joester
- Department of Materials Science and Engineering, Northwestern University, IL, USA
| | - Sylvie Babajko
- Laboratoire de Pathophysiologie Orale Moleculaire, Centre de Recherche des Cordeliers, INSERM UMRS, Université Paris Cité, Sorbonne Université, Paris 1138, France; Fédération Hospitalo-Universitaire DDS-ParisNet, INSERM, Université Paris Cité, Assistance Publique-Hôpitaux de Paris, France; UR2496, Biomedical research in Odontology, Université Paris Cité, Montrouge, France
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Silva CAM, Sousa FBD, Martinez-Mier EA, Kelly AB, Eckert GJ, Hara AT. Susceptibility of fluorotic enamel to dental erosion-abrasion. Braz Oral Res 2023; 37:e068. [PMID: 37436291 DOI: 10.1590/1807-3107bor-2023.vol37.0068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 03/14/2023] [Indexed: 07/13/2023] Open
Abstract
Dental hard tissue conditions can be of pre- or post-eruptive nature, such as enamel fluorosis and erosive tooth wear (ETW), respectively. Dental enamel fluorosis is caused by the chronic and excessive intake of fluoride during enamel development, leading to increased fluoride concentration and increased porosity. ETW has become a common clinical condition and often impairs dental function and aesthetics. This in vitro study tested the hypothesis that fluorotic enamel presents different susceptibility to dental erosion-abrasion. It consisted of a 3×3×2 factorial design, considering a) fluorosis severity: sound (TF0), mild (TF1-2), moderate (TF3-4); b) abrasive challenge: low, medium, and high; and c) erosive challenge: yes or no. A total of 144 human teeth were selected according to the three fluorosis severity levels (n=48), and subdivided into six groups (n = 8) generated by the association of the different erosive and abrasive challenges. Enamel blocks (4×4 mm) were prepared from each tooth and their natural enamel surfaces subjected to an erosion-abrasion cycling model. After cycling, the depth of the lesions in enamel was assessed by profilometry. ANOVA showed that the three-way and two-way interactions among the factors were not significant (p > 0.20). Enamel fluorosis level (p=0.638) and abrasion level (p = 0.390) had no significant effect on lesion depth. Acid exposure caused significantly more enamel surface loss than water (p < 0.001). Considering the limitations of this in vitro study, fluorosis did not affect the susceptibility of enamel to dental erosion-abrasion.
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Affiliation(s)
- Cristiane Araújo Maia Silva
- Universidade Federal da Paraíba - UFPB, Health Sciences Center, Department of Morphology, Federal University of Paraiba, João Pessoa, PB, Brazil
| | - Frederico Barbosa de Sousa
- Universidade Federal da Paraíba - UFPB, Health Sciences Center, Department of Morphology, Federal University of Paraiba, João Pessoa, PB, Brazil
| | - Esperanza Angeles Martinez-Mier
- Indiana University School of Dentistry, Department of Cariology, Operative Dentistry and Dental Public Health, Indianapolis, IN, USA
| | - Adam Benjamin Kelly
- Indiana University School of Dentistry, Department of Cariology, Operative Dentistry and Dental Public Health, Indianapolis, IN, USA
| | - George J Eckert
- Indiana University School of Medicine, Department of Biostatistics and Health Data Science, Indianapolis, IN, USA
| | - Anderson Takeo Hara
- Indiana University School of Dentistry, Department of Cariology, Operative Dentistry and Dental Public Health, Indianapolis, IN, USA
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Goodwin M, Emsley R, Kelly MP, Sutton M, Tickle M, Walsh T, Whittaker W, Pretty IA. Evaluation of water fluoridation scheme in Cumbria: the CATFISH prospective longitudinal cohort study. PUBLIC HEALTH RESEARCH 2022. [DOI: 10.3310/shmx1584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background
Water fluoridation was introduced in the UK against a background of high dental decay within the population. Levels of decay have dramatically reduced over the last 40 years following widespread use of fluoride toothpaste.
Objective
The aim of the CATFISH (Cumbrian Assessment of Teeth a Fluoride Intervention Study for Health) study was to address the question of whether or not the addition of fluoride to community drinking water, in a contemporary population, lead to a reduction in the number of children with caries and, if so, is this reduction cost-effective?
Design
A longitudinal prospective cohort design was used in two distinct recruited populations: (1) a birth cohort to assess systemic and topical effects of water fluoridation and (2) an older school cohort to assess the topical effects of drinking fluoridated water.
Setting
The study was conducted in Cumbria, UK. Broadly, the intervention group (i.e. individuals receiving fluoridated drinking water) were from the west of Cumbria and the control group were from the east of Cumbria.
Participants
Children who were lifetime residents of Cumbria were recruited. For the birth cohort, children were recruited at birth (2014–15), and followed until age 5 years. For the older school cohort, children were recruited at age 5 years (2013–14) and followed until the age of 11 years.
Intervention
The provision of a ‘reintroduced fluoridated water scheme’.
Main outcome measures
The primary outcome measure was the presence or absence of decay into dentine in the primary teeth (birth cohort) and permanent teeth (older school cohort). The cost per quality-adjusted life-year was also assessed.
Results
In the birth cohort (n = 1444), 17.4% of children in the intervention group had decay into dentine, compared with 21.4% of children in the control group. The evidence, after adjusting for deprivation, age and sex, with an adjusted odds ratio of 0.74 (95% confidence interval 0.56 to 0.98), suggested that water fluoridation was likely to have a modest beneficial effect. There was insufficient evidence of difference in the presence of decay in children in the older school cohort (n = 1192), with 19.1% of children in the intervention group having decay into dentine, compared with 21.9% of children in the control group (adjusted odds ratio 0.80, 95% confidence interval 0.58 to 1.09). The intervention was found to be likely to be cost-effective for both the birth cohort and the older school cohort at a willingness-to-pay threshold of £20,000 per quality-adjusted life-year. There was no significant difference in the performance of water fluoridation on caries experience across deprivation quintiles.
Conclusions
The prevalence of caries and the impact of water fluoridation was much smaller than previous studies have reported. The intervention was effective in the birth cohort group; however, the importance of the modest absolute reduction in caries (into dentine) needs to be considered against the use of other dental caries preventative measures. Longer-term follow-up will be required to fully understand the balance of benefits and potential risks (e.g. fluorosis) of water fluoridation in contemporary low-caries populations.
Limitations
The low response rates to the questionnaires reduced their value for generalisations. The observed numbers of children with decay and the postulated differences between the groups were far smaller than anticipated and, consequently, the power of the study was affected (i.e. increasing the uncertainty indicated in the confidence intervals).
Study registration
This study is registered as Integrated Research Application System 131824 and 149278.
Funding
This project was funded by the National Institute for Health and Care Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 10, No. 11. See the NIHR Journals Library website for further project information.
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Affiliation(s)
- Michaela Goodwin
- Division of Dentistry, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Richard Emsley
- Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
| | - Michael P Kelly
- Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
| | - Matt Sutton
- Division of Population Health, Health Services Research and Primary Care, The University of Manchester, Manchester, UK
| | - Martin Tickle
- Division of Dentistry, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Tanya Walsh
- Division of Dentistry, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - William Whittaker
- Division of Population Health, Health Services Research and Primary Care, The University of Manchester, Manchester, UK
| | - Iain A Pretty
- Division of Dentistry, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
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Ba Y, Yang S, Yu S, Hou X, Du Y, Gao M, Zuo J, Sun L, Fu X, Li Z, Huang H, Zhou G, Yu F. Role of Glycolysis/Gluconeogenesis and HIF-1 Signaling Pathways in Rats with Dental Fluorosis Integrated Proteomics and Metabolomics Analysis. Int J Mol Sci 2022; 23:ijms23158266. [PMID: 35897842 PMCID: PMC9332816 DOI: 10.3390/ijms23158266] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Revised: 07/23/2022] [Accepted: 07/25/2022] [Indexed: 02/07/2023] Open
Abstract
Fluoride is widely distributed, and excessive intake will lead to dental fluorosis. In this study, six offspring rats administrated 100 mg/L sodium fluoride were defined as the dental fluorosis group, and eight offspring rats who received pure water were defined as the control group. Differentially expressed proteins and metabolites extracted from peripheral blood were identified using the liquid chromatography tandem mass spectrometry and gas chromatography mass spectrometry, with the judgment criteria of fold change >1.2 or <0.83 and p < 0.05. A coexpression enrichment analysis using OmicsBean was conducted on the identified proteins and metabolites, and a false discovery rate (FDR) < 0.05 was considered significant. Human Protein Atlas was used to determine the subcellular distribution of hub proteins. The Gene Cards was used to verify results. A total of 123 up-regulated and 46 down-regulated proteins, and 12 up-regulated and 2 down-regulated metabolites were identified. The significant coexpression pathways were the HIF-1 (FDR = 1.86 × 10−3) and glycolysis/gluconeogenesis (FDR = 1.14 × 10−10). The results of validation analysis showed the proteins related to fluorine were mainly enriched in the cytoplasm and extrinsic component of the cytoplasmic side of the plasma membrane. The HIF-1 pathway (FDR = 1.01 × 10−7) was also identified. Therefore, the HIF-1 and glycolysis/gluconeogenesis pathways were significantly correlated with dental fluorosis.
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10
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Saad H, Escoube R, Babajko S, Houari S. Fluoride Intake Through Dental Care Products: A Systematic Review. FRONTIERS IN ORAL HEALTH 2022; 3:916372. [PMID: 35757442 PMCID: PMC9231728 DOI: 10.3389/froh.2022.916372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Accepted: 05/04/2022] [Indexed: 11/24/2022] Open
Abstract
Fluoride (F) is added to many dental care products as well as in drinking water to prevent dental decay. However, recent data associating exposure to F with some developmental defects with consequences in many organs raise concerns about its daily use for dental care. This systematic review aimed to evaluate the contribution of dental care products with regard to overall F intake through drinking water and diet with measurements of F excretion in urine used as a suitable biomarker. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines using keywords related to chronic exposure to F in the human population with measurements of F levels in body fluids, 1,273 papers published between 1995 and 2021 were screened, and 28 papers were finally included for data extraction concerning daily F intake. The contribution of dental care products, essentially by toothbrushing with kinds of toothpaste containing F, was 38% in the mean regardless of the F concentrations in drinking water. There was no correlation between F intake through toothpaste and age, nor with F levels in water ranging from 0.3 to 1.5 mg/L. There was no correlation between F intake and urinary F excretion levels despite an increase in its content in urine within hours following exposure to dental care products (toothpastes, varnishes, or other dental care products). The consequences of exposure to F on health are discussed in the recent context of its suspected toxicity reported in the literature. The conclusions of the review aim to provide objective messages to patients and dental professionals worried about the use of F-containing materials or products to prevent initial caries or hypomineralized enamel lesions, especially for young children.
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Affiliation(s)
- Hanan Saad
- Laboratory of Molecular Oral Physiopathology, Centre de Recherche des Cordeliers, INSERM, Université Paris Cité, Sorbonne Université, Paris, France
- AP-HP, Dental Medicine Department, Pitié-Salpétrière Hospital, GHN-Université Paris Cité, Paris, France
| | - Raphaëlle Escoube
- Laboratoire de Géologie de Lyon, UM R5276, CNRS, Université Lyon 1, École Normale Supérieure de Lyon 46, Lyon, France
| | - Sylvie Babajko
- Laboratory of Molecular Oral Physiopathology, Centre de Recherche des Cordeliers, INSERM, Université Paris Cité, Sorbonne Université, Paris, France
- *Correspondence: Sylvie Babajko
| | - Sophia Houari
- Laboratory of Molecular Oral Physiopathology, Centre de Recherche des Cordeliers, INSERM, Université Paris Cité, Sorbonne Université, Paris, France
- AP-HP, Dental Medicine Department, Pitié-Salpétrière Hospital, GHN-Université Paris Cité, Paris, France
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11
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Hossain M, Patra PK, Ghosh B, Khatun A, Nayek S. Sensitive assessment of groundwater-associated, multi-exposure health hazards in a fluoride-enriched region of West Bengal, India. ENVIRONMENTAL GEOCHEMISTRY AND HEALTH 2021; 43:4515-4532. [PMID: 33893897 DOI: 10.1007/s10653-021-00942-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Accepted: 04/12/2021] [Indexed: 06/12/2023]
Abstract
Ninety groundwater samples were collected from Khayrasole and Rajnagar blocks of Birbhum district, West Bengal, India, during pre-monsoon and post-monsoon in 2016 to assess the hazards of fluoride in groundwater. Fluoride concentration fluctuated from 0.3 to 17.6 mg/L, with 70% of samples reported beyond the modified regional optimal fluoride level (0.7 mg/L) with a statistically significant level of p < 1.7E-24. The average cation and anion concentrations exhibited a descending order of Ca2+ > Mg2+ > Na+ > K+ and HCO3- > Cl- > SO42- > NO3- > F-, respectively. Notably, groundwater quality in 50% of the places ranged from poor to unfit for drinking purposes in terms of water quality index. The mean total hazard index (THI) was 1.1 for adults and 1.9 for children, signifying a greater chance of non-carcinogenic threats to both age groups. In calculating the THI, ingestion and dermal pathways accounted for approximately 96% and 3% health hazards, respectively. The Monte Carlo simulation and sensitivity analysis identified that the diurnal water ingestion rate, exposure duration, and fluoride concentration were the significant sensitive variables that triggered most groundwater-associated non-carcinogenic health issues, signifying more risks among children. Further, dental health surveys (N = 746), following Dean's norms for classification based on regional optimal fluoride level, designated the borderline grade of the community dental hazard. The subsequent hydrogeochemical characterization directed that dissolution from fluoride-bearing minerals and water-rock interaction, such as halite dissolution and calcite-dolomite precipitation, were the governing factors for F- enrichment in groundwater. This study will serve as baseline data for delineating fluoride-induced dental and other health hazards through sensitivity and spatial analysis in the GIS platform for hazard zonation and effective groundwater quality management.
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Affiliation(s)
- Mobarok Hossain
- Department of Environmental Studies, Institute of Science, Visva-Bharati, Santiniketan, Birbhum, West Bengal, 731235, India.
| | - Pulak Kumar Patra
- Department of Environmental Studies, Institute of Science, Visva-Bharati, Santiniketan, Birbhum, West Bengal, 731235, India
| | - Buddhadev Ghosh
- Department of Environmental Studies, Institute of Science, Visva-Bharati, Santiniketan, Birbhum, West Bengal, 731235, India
| | - Amina Khatun
- Department of Environmental Studies, Institute of Science, Visva-Bharati, Santiniketan, Birbhum, West Bengal, 731235, India
| | - Sukanta Nayek
- Department of Environmental Studies, Institute of Science, Visva-Bharati, Santiniketan, Birbhum, West Bengal, 731235, India
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12
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Diagnosis of Dental Fluorosis Using Micro-Raman Spectroscopy Applying a Principal Component-Linear Discriminant Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182010572. [PMID: 34682316 PMCID: PMC8535615 DOI: 10.3390/ijerph182010572] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 10/06/2021] [Accepted: 10/07/2021] [Indexed: 12/11/2022]
Abstract
Dental fluorosis is an irreversible condition caused by excessive fluoride consumption during tooth formation and is considered a public health problem in several world regions. The objective of this study was to evaluate the capability of micro-Raman spectroscopy to classify teeth of different fluorosis severities, applying principal component analysis and linear discriminant analysis (PCA-LDA), and estimate the model cross-validation accuracy. Forty teeth of different fluorosis severities and a control group were analyzed. Ten spectra were captured from each tooth and a total of 400 micro-Raman spectra were acquired in the wavenumber range of 250 to 1200 cm−1, including the bands corresponding to stretching and bending internal vibrational modes ν1, ν2, ν3, and ν4 (PO43−). From the analysis of the micro-Raman spectra an increase in B-type carbonate ion substitution into the phosphate site of the hydroxyapatite as fluorosis severity increases was identified. The PCA-LDA model showed a sensitivity and specificity higher than 94% and 93% for the different fluorosis severity groups, respectively. The cross-validation accuracy was higher than 90%. Micro-Raman spectroscopy combined with PCA-LDA provides an adequate tool for the diagnosis of fluorosis severity. This is a non-invasive and non-destructive technique with promising applications in clinical and epidemiological fields.
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13
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Li Q, Shen J, Qin T, Zhou G, Li Y, Chen Z, Li M. A Qualitative and Comprehensive Analysis of Caries Susceptibility for Dental Fluorosis Patients. Antibiotics (Basel) 2021; 10:antibiotics10091047. [PMID: 34572628 PMCID: PMC8464924 DOI: 10.3390/antibiotics10091047] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 08/25/2021] [Accepted: 08/25/2021] [Indexed: 12/04/2022] Open
Abstract
Dental fluorosis (DF) is an endemic disease caused by excessive fluoride exposure during childhood. Previous studies mainly focused on the acid resistance of fluorotic enamel and failed to reach a consensus on the topic of the caries susceptibility of DF patients. In this review, we discuss the role of DF classification in assessing this susceptibility and follow the “four factors theory” in weighing the pros and cons of DF classification in terms of host factor (dental enamel and saliva), food factor, bacteria factor, and DF treatment factor. From our analysis, we find that susceptibility is possibly determined by various factors such as the extent of structural and chemical changes in fluorotic enamel, eating habits, fluoride levels in diets and in the oral cavity, changes in quantity and quality of saliva, and/or oral hygiene. Thus, a universal conclusion regarding caries susceptibility might not exist, instead depending on each individual’s situation.
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Affiliation(s)
- Qianrui Li
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu 610041, China; (Q.L.); (J.S.); (T.Q.); (G.Z.); (Y.L.)
| | - Jiaqi Shen
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu 610041, China; (Q.L.); (J.S.); (T.Q.); (G.Z.); (Y.L.)
| | - Tao Qin
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu 610041, China; (Q.L.); (J.S.); (T.Q.); (G.Z.); (Y.L.)
| | - Ge Zhou
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu 610041, China; (Q.L.); (J.S.); (T.Q.); (G.Z.); (Y.L.)
| | - Yifeng Li
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu 610041, China; (Q.L.); (J.S.); (T.Q.); (G.Z.); (Y.L.)
| | - Zhu Chen
- Key Laboratory of Oral Disease Research, School of Stomatology, Zunyi Medical University, Zunyi 563000, China;
| | - Mingyun Li
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu 610041, China; (Q.L.); (J.S.); (T.Q.); (G.Z.); (Y.L.)
- Correspondence:
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Han J, Kiss L, Mei H, Remete AM, Ponikvar-Svet M, Sedgwick DM, Roman R, Fustero S, Moriwaki H, Soloshonok VA. Chemical Aspects of Human and Environmental Overload with Fluorine. Chem Rev 2021; 121:4678-4742. [PMID: 33723999 PMCID: PMC8945431 DOI: 10.1021/acs.chemrev.0c01263] [Citation(s) in RCA: 148] [Impact Index Per Article: 49.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Indexed: 12/24/2022]
Abstract
Over the last 100-120 years, due to the ever-increasing importance of fluorine-containing compounds in modern technology and daily life, the explosive development of the fluorochemical industry led to an enormous increase of emission of fluoride ions into the biosphere. This made it more and more important to understand the biological activities, metabolism, degradation, and possible environmental hazards of such substances. This comprehensive and critical review focuses on the effects of fluoride ions and organofluorine compounds (mainly pharmaceuticals and agrochemicals) on human health and the environment. To give a better overview, various connected topics are also discussed: reasons and trends of the advance of fluorine-containing pharmaceuticals and agrochemicals, metabolism of fluorinated drugs, withdrawn fluorinated drugs, natural sources of organic and inorganic fluorine compounds in the environment (including the biosphere), sources of fluoride intake, and finally biomarkers of fluoride exposure.
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Affiliation(s)
- Jianlin Han
- Jiangsu
Co-Innovation Center of Efficient Processing and Utilization of Forest
Resources, College of Chemical Engineering, Nanjing Forestry University, Nanjing 210037, China
| | - Loránd Kiss
- University
of Szeged, Institute of Pharmaceutical Chemistry
and Interdisciplinary Excellence Centre, Eötvös u. 6, 6720 Szeged, Hungary
| | - Haibo Mei
- Jiangsu
Co-Innovation Center of Efficient Processing and Utilization of Forest
Resources, College of Chemical Engineering, Nanjing Forestry University, Nanjing 210037, China
| | - Attila Márió Remete
- University
of Szeged, Institute of Pharmaceutical Chemistry
and Interdisciplinary Excellence Centre, Eötvös u. 6, 6720 Szeged, Hungary
| | - Maja Ponikvar-Svet
- Department
of Inorganic Chemistry and Technology, Jožef
Stefan Institute, Jamova
cesta 39, 1000 Ljubljana, Slovenia
| | - Daniel Mark Sedgwick
- Departamento
de Química Orgánica, Universidad
de Valencia, 46100 Burjassot, Valencia Spain
| | - Raquel Roman
- Departamento
de Química Orgánica, Universidad
de Valencia, 46100 Burjassot, Valencia Spain
| | - Santos Fustero
- Departamento
de Química Orgánica, Universidad
de Valencia, 46100 Burjassot, Valencia Spain
| | - Hiroki Moriwaki
- Hamari
Chemicals Ltd., 1-19-40, Nankokita, Suminoe-ku, Osaka 559-0034, Japan
| | - Vadim A. Soloshonok
- Department
of Organic Chemistry I, Faculty of Chemistry, University of the Basque Country UPV/EHU, 20018 San Sebastian, Spain
- IKERBASQUE,
Basque Foundation for Science, 48011 Bilbao, Spain
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15
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Weng Q, Yi F, Yu Y, Ge S, Liu S, Zhang Y. Altered miRNA expression profiling in enamel organ of fluoride affected rat embryos. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2021; 210:111876. [PMID: 33418158 DOI: 10.1016/j.ecoenv.2020.111876] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Revised: 12/21/2020] [Accepted: 12/26/2020] [Indexed: 06/12/2023]
Abstract
Evidence has shown that miRNAs could play a role in dental fluorosis, but there is no study has investigated the global expression miRNA profiles of fluoride-exposed enamel organ. In this study, we analysed the differentially expressed (DE) miRNAs between fluoride-treated and control enamel organ for the first time and found several candidate miRNAs and signaling pathways worthy of further research. Thirty Wistar rats were randomly distributed into three groups and exposed to drinking water with different fluoride contents for 10 weeks and during the gestation. The three groups were a control group (distilled water), medium fluoride group (75 mg/L NaF), and high fluoride group (150 mg/L NaF). On the embryonic day 19.5, the mandible was dissected for histological analysis, and the enamel organ of the mandibular first molar tooth germ was collected for miRNA sequencing (miRNA-seq) and quantitative real-time PCR analysis (qRT-PCR). Typical dental fluorosis was observed in the incisors of the prepregnant rats. In addition to the disorganized structure of enamel organ cells, 39 DE miRNAs were identified in the fluoride groups compared with the control group, and good agreement between the miRNA-seq data and qRT-PCR data was found. The functional annotation of the target genes of 39 DE miRNAs showed significant enrichment in metabolic process, cell differentiation, calcium signaling pathway, and mitogen-activated protein kinase(MAPK) signaling pathway terms. This study provides a theoretical reference for an extensive understanding of the mechanism of fluorosis and potential valuable miRNAs as therapeutic targets in fluorosis.
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Affiliation(s)
- Qingqing Weng
- Department of Preventive Dentistry, Shanghai Stomatological Hospital, Fudan University, Shanghai, China; Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai, China
| | - Fangyu Yi
- Department of Preventive Dentistry, Shanghai Stomatological Hospital, Fudan University, Shanghai, China; Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai, China
| | - Ying Yu
- Department of Preventive Dentistry, Shanghai Stomatological Hospital, Fudan University, Shanghai, China; Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai, China
| | - Suyu Ge
- Department of Preventive Dentistry, Shanghai Stomatological Hospital, Fudan University, Shanghai, China; Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai, China
| | - Shangfeng Liu
- Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai, China
| | - Ying Zhang
- Department of Preventive Dentistry, Shanghai Stomatological Hospital, Fudan University, Shanghai, China; Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai, China.
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16
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Huilcapi M, Armas-Vega A, Cardenas AFM, Araujo LCR, Ocampo JB, Bandeca MC, Siqueira FSFD, Loguercio A. Effect of surface treatments on the adhesive properties of metallic brackets on fluorotic enamel. Dental Press J Orthod 2020; 25:59-67. [PMID: 32965388 PMCID: PMC7510489 DOI: 10.1590/2177-6709.25.4.059-067.oar] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Accepted: 04/20/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To compare the effectiveness of the pretreatment with sandblasting and deproteinization with NaOCl on bond strength (SBS), in situ conversion degree (CD) of brackets in fluorotic enamel, and enamel etching pattern. METHODS A total of 90 non-carious maxillary premolars were used. The teeth were then assigned to six experimental groups according to: enamel surface (sound and fluorotic enamel); surface treatment (Regular etch with 37% phosphoric acid [RE]; 5.2% sodium hypochlorite + phosphoric acid [NaOCl + RE]; sandblasting + phosphoric acid [sandblasting + RE]). After storage in distilled water (37°C/24h), the specimens were tested at 1 mm/min until failure (SBS). Enamel-resin cement interfaces were evaluated for CD using micro-Raman spectroscopy. The enamel-etching pattern was evaluated under a scanning electron microscope. Data from SBS and in situ CD values were analyzed using ANOVA two-away and Tukey test (α=0.05). The enamel etching pattern was evaluated only qualitatively. RESULTS For sound enamel, RE showed the highest SBS values, when compared to NaOCl + RE and Sandblasting + RE groups (p< 0.01). Regarding CD, only NaOCl + RE significantly compromised the mean DC, in comparison with other groups (p= 0.002). For fluorotic enamel, the Sandblasting + RE group significantly increased the mean SBS values, in comparison with RE group (p= 0.01) and no significant change was observed for CD (p> 0.52). CONCLUSIONS The application of NaOCl or sandblasting associated to phosphoric acid improved the SBS of the brackets in fluorotic enamel without compromising the CD of the resin cement, with improving of enamel interprismatic conditioning.
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Affiliation(s)
- Mariana Huilcapi
- Escuela Odontologia, Facultad de Ciencias de la Salud "Eugenio Espejo", Universidad UTE (Quito, Ecuador)
| | - Ana Armas-Vega
- Escuela Odontologia, Facultad de Ciencias de la Salud "Eugenio Espejo", Universidad UTE (Quito, Ecuador)
| | | | | | - Jessica Bedoya Ocampo
- Universidade Estadual de Ponta Grossa, Departamento de Odontologia Restauradora (Ponta Grossa/PR, Brazil)
| | | | | | - Alessandro Loguercio
- Escuela Odontologia, Facultad de Ciencias de la Salud "Eugenio Espejo", Universidad UTE (Quito, Ecuador)
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17
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Do LG, Ha DH, Roberts-Thomson KF, Spencer AJ. Dental fluorosis in the Australian adult population. Aust Dent J 2020; 65 Suppl 1:S47-S51. [PMID: 32583583 DOI: 10.1111/adj.12764] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND The use of fluoride involves a balance between protection against caries and risk of dental fluorosis. Prevalence and trend of dental fluorosis in the adult population are not frequently reported. OBJECTIVE To describe the prevalence of dental fluorosis in the Australian adult population. METHOD Data from the National Study of Adult Oral Health (NSAOH) 2004-06 and 2017-18 were used. Prevalence of fluorosis was reported using data from the NSAOH 2017-18. Case definitions of fluorosis were as follows: having a TF score of 2+ (TF2+) or a TF score of 3+ (TF3+) on one or more maxillary central incisors. Synthetic cohorts were constructed by year of birth allowing for time trend analysis. RESULTS One in ten Australian adults were found to have dental fluorosis at TF2+. The prevalence of TF3 + was low. Time trend analysis revealed an increase in the prevalence and severity of fluorosis among those born during 1970s to 1980s decade. Such prevalence declined among those who were born after measures were introduced in early 1990s to reduce exposure to discretionary fluorides. CONCLUSION The prevalence of dental fluorosis in the Australian adult population was found to be related to population-level changes in fluoride exposure.
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Affiliation(s)
- Loc G Do
- Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, SA, Australia
| | - Diep H Ha
- Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, SA, Australia
| | - Kaye F Roberts-Thomson
- Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, SA, Australia
| | - A John Spencer
- Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, SA, Australia
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18
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Aswin PS, Vandana KL. A comparative assessment of clinical parameters, sialic acid, and glycosaminoglycans levels in periodontitis patients with and without dental fluorosis: A clinical and biochemical study. J Indian Soc Periodontol 2020; 24:237-243. [PMID: 32773974 PMCID: PMC7307471 DOI: 10.4103/jisp.jisp_214_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2019] [Revised: 12/22/2019] [Accepted: 01/20/2020] [Indexed: 11/25/2022] Open
Abstract
Aim: This study was aimed to evaluate and compare the clinical parameters and the gingival crevicular fluid (GCF) levels of sialic acid (SA) and chondroitin sulfate (CS) in dental fluorosed and nonfluorosed (NF) gingivitis and periodontitis patients. Materials and Methods: A total of 100 patients were divided into two control (healthy) and four test (diseased) groups of gingivitis and periodontitis patients with and without dental fluorosis. The GCF-SA and chondrotin sulphate levels were measured using the conventional method and enzyme-linked immuno sorbent assay, respectively. Results: The plaque levels (2.9 ± 0.44), gingival bleeding levels (2.75 ± 0.55), and clinical attachment loss (0.44 ± 0.45) between dental fluorosed participants with chronic periodontitis (fluorosed periodontitis [FP]) and NF participants with chronic periodontitis (nonfluorosed periodontitis [NFP]) groups showed no statistically significant difference. Higher probing pocket depth by community periodontal index (CPI) scores of 4 and clinical attachment level CPI score of 1 (75%) was found in FP group when compared to a score of 3 (FP: 24.5% and NFP: 73.5%) of the NFP group. The GCF SA levels (679.05 ± 101.06) were significantly higher in FP group than NFP group (553.80 ± 49.40) (P = 0.048). Similarly, the GCF CS showed highly significant levels in fluorosis periodontitis (48.08 ± 18.13) group than the NFP group (26.95 ± 8.69). Conclusion: Increased pocket depth score, GCF–SA, and CS levels in the dental fluorosed group were observed when compared with NF group. The diagnostic ability of clinical examination is most often supported by the relevant biochemical parameters that are applicable in this study. The newer diagnostic ability of SA is found to be contributory in this study. The diagnostic ability of CS representing tissue destruction served as an important GCF marker along with SA. Clinical Relevance: In dental fluorosis, estimation of SA and CS is recommended in periodontitis patients.
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19
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Babajko S, Gayrard V, Houari S, Thu Bui A, Barouki R, Niederreither K, Fini JB, Dursun E, Coumoul X. [Oral cavity as a target and a marker of environmental exposures: developmental dental defects]. Med Sci (Paris) 2020; 36:225-230. [PMID: 32228840 DOI: 10.1051/medsci/2020024] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
The oral cavity is one of the main route for environmental contaminations associated to many chronic diseases (cancers, fertility and behavior disorders for example) via alimentation, medications and respiration. These environmental factors including, among others, endocrine disruptors and excessive fluoride can disrupt dental development and thus generate irreversible enamel defects. These defects are then treated with materials that may release molecules capable of generating these defects, leading to a vicious circle, particularly in pregnant women and young children. The present paper aims to review the state of knowledge, questions and controversies on common environmental factors in contact with the oral cavity. It also reviews their mechanisms of action and the mediators involved in enamel pathologies associated with environmental conditions. Dental tissues can not only be targeted by environmental factors but can also serve as early and easily accessible markers of exposure to these agents. Understanding and characterizing the environmental impact in the oral cavity will help to prevent multiple diseases, oral and distant, whose link with oral homeostasis is just being explored.
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Affiliation(s)
- Sylvie Babajko
- Centre de Recherche des Cordeliers, Inserm UMRS 1138, Université de Paris, Sorbonne Université, 15 rue de l'École de Médecine, 75006, Paris, France
| | | | - Sophia Houari
- Centre de Recherche des Cordeliers, Inserm UMRS 1138, Université de Paris, Sorbonne Université, 15 rue de l'École de Médecine, 75006, Paris, France
| | - Ai Thu Bui
- Centre de Recherche des Cordeliers, Inserm UMRS 1138, Université de Paris, Sorbonne Université, 15 rue de l'École de Médecine, 75006, Paris, France
| | - Robert Barouki
- Inserm UMRS 1124, Université de Paris, 75006 Paris, France
| | | | - Jean-Baptiste Fini
- Muséum National d'Histoire Naturelle, CNRS UMR 7221, 75006 Paris, France
| | - Elisabeth Dursun
- Unité de Recherche en Biomatériaux Innovants et Interfaces EA4462, Université Paris Descartes, Montrouge ; Hôpital Henri Mondor, AP-HP, 94010 Créteil, France
| | - Xavier Coumoul
- Inserm UMRS 1124, Université de Paris, 75006 Paris, France
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Hossain M, Patra PK. Hydrogeochemical characterisation and health hazards of fluoride enriched groundwater in diverse aquifer types. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2020; 258:113646. [PMID: 31796320 DOI: 10.1016/j.envpol.2019.113646] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Revised: 11/16/2019] [Accepted: 11/17/2019] [Indexed: 06/10/2023]
Abstract
High concentration of fluoride (up to 20.9 mg/L) in groundwater with significant variation (p = 5.9E-128) among samples was reported from Birbhum district, an acknowledged fluoride endemic region in India. The groundwater samples (N = 368) were grouped based on their hydrochemical properties and aquifer geology for hydro-geochemical characterization. Friedman's test showed p < 0.0001 confidence level which indicates that fluoride concentration among geological groups and water groups are independent. Bland-Altman plot was used to study the inter-relationships among the groups through bias value (∂) and limit of agreement (LoA). Among the geological groups, laterites and granite-gneiss groups exhibited statistically significantly difference in fluoride geochemistry; whereas the younger and older alluvium groups displayed similar characteristics. The fluoride concentration was found to be in the order Lateritic > Granite-gneiss > Older alluvium ≥ Younger alluvium. Dissolution of minerals (such as fluorite, biotite) in laterite sheeted basalt, and granite-gneiss is the main source of groundwater fluoride in the region. Fluoride concentration is also influenced by depth of water table. Hydrochemical study indicated that fluoride concentration was higher in Na-HCO3 than in Ca-SO4 and Ca-HCO3 type of groundwater. The fluoride concentration were positively correlated with Na+ and pH and negatively correlated with the Ca2+ and Mg2+ signifying linkage with halite dissolution and calcite, dolomite precipitation. Geostatistical mapping of WQI through empirical bayesian kriging (EBK) with respect to regional optimal guideline value (0.73 mg/L) classified that groundwater in some parts of the district are unfit for drinking purpose. Health survey (N = 1767) based on Dean's criteria for dental fluorosis indicated presence of slight to moderate dental hazard. Besides, providing baseline data for management of groundwater quality in the study area, the study demonstrated the applicability of Bland-Altman analysis and empirical bayesian kriging (EBK) in delineation and interpolation of fluoride contaminated region.
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Affiliation(s)
- Mobarok Hossain
- Department of Environmental Studies, Institute of Science, Visva-Bharati, Santiniketan, 731235, Birbhum, West Bengal, India
| | - Pulak Kumar Patra
- Department of Environmental Studies, Institute of Science, Visva-Bharati, Santiniketan, 731235, Birbhum, West Bengal, India.
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Nevárez-Rascón M, Molina-Frechero N, Adame E, Almeida E, Soto-Barreras U, Gaona E, Nevárez-Rascón A. Effectiveness of a microabrasion technique using 16% HCL with manual application on fluorotic teeth: A series of studies. World J Clin Cases 2020; 8:743-756. [PMID: 32149058 PMCID: PMC7052564 DOI: 10.12998/wjcc.v8.i4.743] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Revised: 01/10/2020] [Accepted: 01/14/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Dental fluorosis is caused by excessive fluoride ingestion during tooth formation. As a consequence, there is a higher porosity on the enamel surface, which causes an opaque look.
AIM The aim of this study was to identify a dental intervention to improve the smile in patients with tooth fluorosis. Additional aims were to relate the stain size on fluorotic teeth with the effectiveness of stain removal, enamel loss and procedure time using a manual microabrasion technique with 16% hydrochloric acid (HCL).
METHODS An experimental study was carried out on 84 fluorotic teeth in 57 adolescent patients, 33 females and 24 males, with moderate to severe fluorosis. The means, standard deviations and percentages were analyzed using nonparametric statistics and ArchiCAD 15 software was used for the variables including stain size and effectiveness of stain removal.
RESULTS The average enamel loss was 234 µm and was significantly related to the procedure time categorized as 1-4 min and 4.01-6 min, resulting in a P > 0.000. The microabrasion technique using 16% HCL was effective in 90.6% of patients and was applied manually on superficial stains in moderate and severe fluorosis. Procedure time was less than 6 min and enamel loss was within the acceptable range.
CONCLUSION Microabrasion is a first-line treatment; however, the clinician should measure the average enamel loss to ensure that it is within the approximate range of 250 µm in order to avoid restorative treatment.
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Affiliation(s)
- Martina Nevárez-Rascón
- Facultad de Odontología, Maestría en Estomatología, Universidad Autónoma de Chihuahua, Chihuahua 31000, México
| | - Nelly Molina-Frechero
- División de Ciencias Biológicas y de la Salud, Universidad Autónoma Metropolitana, Xochimilco 04960, México
| | - Edith Adame
- Facultad de Odontología, Maestría en Estomatología, Universidad Autónoma de Chihuahua, Chihuahua 31000, México
| | - Ethel Almeida
- Facultad de Odontología, Maestría en Estomatología, Universidad Autónoma de Chihuahua, Chihuahua 31000, México
| | - Uriel Soto-Barreras
- Facultad de Odontología, Maestría en Estomatología, Universidad Autónoma de Chihuahua, Chihuahua 31000, México
| | - Enrique Gaona
- División de Ciencias Biológicas y de la Salud, Universidad Autónoma Metropolitana, Xochimilco 04960, México
| | - Alfredo Nevárez-Rascón
- Facultad de Odontología, Maestría en Estomatología, Universidad Autónoma de Chihuahua, Chihuahua 31000, México
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22
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Sekundo C, Frese C. Underlying Resin Infiltration and Direct Composite Veneers for the Treatment of Severe White Color Alterations of the Enamel: Case Report and 13-Month Follow-Up. Oper Dent 2020; 45:10-18. [PMID: 31373889 DOI: 10.2341/18-242-l] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Pronounced white color alterations due to structural anomalies of the enamel are often insufficiently masked by bleaching techniques or resin infiltration procedures alone. This frequently leads to the choice of more invasive prosthetic restorations in order to correct tooth color and form. This article describes a minimally invasive treatment option for esthetic and functional rehabilitation in the case of a 13-year-old female patient with suspected severe fluorosis and misalignment of the anterior teeth. The restorations were performed using underlying resin infiltration to homogenize the tooth shade. In a second step, direct composite veneers were applied on top to attain a natural tooth color and adjust tooth alignment and form. By joining the two minimally and noninvasive techniques, this treatment option combines the directive for preservation of hard tooth structure while treating adolescents with the benefits of easy adaptation and repair when the occlusion is still in adjustment.
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23
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Cardenas AFM, Armas-Veja A, Rodriguez Villarreal JP, Siqueira FSFD, Muniz LP, Campos VS, Reis A, Loguercio AD. Influence of the mode of application of universal adhesive systems on adhesive properties to fluorotic enamel. Braz Oral Res 2019; 33:e120. [PMID: 31778475 DOI: 10.1590/1807-3107bor-2019.vol33.0120] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2018] [Accepted: 08/20/2019] [Indexed: 11/21/2022] Open
Abstract
The objective of this study is to compare the resin-enamel bond strength (mμSBS), in-situ degree of conversion (DC), and the enamel-etching pattern (SEM/EDX) of universal adhesive systems when applied to sound and fluorotic enamel. Ninety-eight human molars were sectioned into 4 parts and divided into 24 groups according to 1) enamel surface (sound or fluorotic enamel), 2) adhesive system (Clearfil Universal Bond [CUB], Futurabond U [FBU], iBond Universal [IBU], and Scotchbond Universal [SBU]), and 3) application mode (etch-and-rinse [ER], active self-etch [Active-SE], and passive self-etch [Passive-SE]). Specimens were stored at 37 °C, for 24 hours and tested at 1.0 mm/min (μSBS). Enamel-resin interfaces were evaluated for in-situ DC. The enamel-etching pattern was evaluated under a SEM/EDX. Data from mμSBS and in-situ DC was analyzed using a three-way ANOVA and Tukey's test at 5 % level of significance. For all adhesives, the ER resulted in a statistically significant higher mean mμSBS than the passive-SE in both substrates (p < 0.001). For all adhesives, active-SE resulted in mean mμSBS (p > 0.31) and in-situ DC (p > 0.45) that were statistically similar to those obtained with the ERs in both substrates. A statistically significant, higher mean mμSBS and in-situ DC were obtained in sound enamel (p < 0.001) than in fluorotic enamel. In general, SBU showed higher mean values for mμSBS and in-situ DC compared to those of CUB and IBU (p < 0.001). ER and active-SE showed the deepest enamel-etching pattern in both substrates. A higher amount of fluor was observed in fluorotic enamel. The active application of universal adhesives in the SE-mode may be a viable alternative to increase the adhesive properties in sound and fluorotic enamel.
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Affiliation(s)
| | - Ana Armas-Veja
- Universidad Tecnológica Equinoccial - UTE, Facultad de Ciencias de la Salud Eugenio Espejo, Quito, Ecuador
| | | | | | - Luana Paraiso Muniz
- Universidade CEUMA, Department of Postgraduate Program in Dentistry, São Luis, Maranhão, Brazil
| | - Veridiana Silva Campos
- Universidade Estadual de Ponta Grossa - UEPG, Department of Restorative Dentistry, Uvaranas, PR, Brazil
| | - Alessandra Reis
- Universidade Estadual de Ponta Grossa - UEPG, Department of Restorative Dentistry, Uvaranas, PR, Brazil
| | - Alessandro Dourado Loguercio
- Universidad Tecnológica Equinoccial - UTE, Facultad de Ciencias de la Salud Eugenio Espejo, Quito, Ecuador.,Universidade Estadual de Ponta Grossa - UEPG, Department of Restorative Dentistry, Uvaranas, PR, Brazil
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24
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Gupta R, Bharadwaj S, Singh A. Smile Makeover by Veneers – Case Report. JOURNAL OF ORAL RESEARCH 2019. [DOI: 10.17126/joralres.2019.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Ceramic veneers have evolved in the last few years as an aesthetic restoration in the field of aesthetic dentistry. It is a conservative option as compared to full coverage crowns for improving the patients smile. Ceramic veneers are widely used for smile designing in patients with fluorosis, midline diastema, hypoplastic teeth, and peg shape laterals. Clinical relevance: This article highlights the smile designing of a young patient with fluorosis using ceramic veneers, which not only improves the smile of the patient but has positive psychological benefits.
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25
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Houari S, Picard E, Wurtz T, Vennat E, Roubier N, Wu T, Guerquin-Kern J, Duttine M, Thuy T, Berdal A, Babajko S. Disrupted Iron Storage in Dental Fluorosis. J Dent Res 2019; 98:994-1001. [DOI: 10.1177/0022034519855650] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Enamel formation and quality are dependent on environmental conditions, including exposure to fluoride, which is a widespread natural element. Fluoride is routinely used to prevent caries. However, when absorbed in excess, fluoride may also lead to altered enamel structural properties associated with enamel gene expression modulations. As iron plays a determinant role in enamel quality, the aim of our study was to evaluate the iron metabolism in dental epithelial cells and forming enamel of mice exposed to fluoride, as well as its putative relation with enamel mechanical properties. Iron storage was investigated in dental epithelial cells with Perl’s blue staining and secondary ion mass spectrometry imaging. Iron was mainly stored by maturation-stage ameloblasts involved in terminal enamel mineralization. Iron storage was drastically reduced by fluoride. Among the proteins involved in iron metabolism, ferritin heavy chain (Fth), in charge of iron storage, appeared as the preferential target of fluoride according to quantitative real-time polymerase chain reaction, Western blotting, and immunohistochemistry analyses. Fluorotic enamel presented a decreased quantity of iron oxides attested by electron spin resonance technique, altered mechanical properties measured by nanoindentation, and ultrastructural defects analyzed by scanning electron microscopy and energy dispersive x-ray spectroscopy. The in vivo functional role of Fth was illustrated with Fth+/-mice, which incorporated less iron into their dental epithelium and exhibited poor enamel quality. These data demonstrate that exposure to excessive fluoride decreases ameloblast iron storage, which contributes to the defective structural and mechanical properties in rodent fluorotic enamel. They raise the question of fluoride’s effects on iron storage in other cells and organs that may contribute to its effects on population health.
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Affiliation(s)
- S. Houari
- Centre de Recherche des Cordeliers, INSERM UMRS 1138, Université de Paris, Sorbonne Université, Laboratory of Molecular Oral Pathophysiology, Paris, France
- Garancière Dental Faculty, Université de Paris, Paris, France
| | - E. Picard
- Centre de Recherche des Cordeliers INSERM UMRS 1138 Université de Paris, Sorbonne Université, Physiopathology of Ocular Diseases to Clinical Development, Paris, France
| | - T. Wurtz
- Centre de Recherche des Cordeliers, INSERM UMRS 1138, Université de Paris, Sorbonne Université, Laboratory of Molecular Oral Pathophysiology, Paris, France
| | - E. Vennat
- Laboratory of Mechanics of Soils, Structures and Materials, CNRS, Centrale-Supélec, Université Paris-Saclay, Châtenay-Malabry, France
| | - N. Roubier
- Laboratory of Mechanics of Soils, Structures and Materials, CNRS, Centrale-Supélec, Université Paris-Saclay, Châtenay-Malabry, France
| | - T.D. Wu
- Institut Curie, INSERM U1196, Université Paris-Saclay, Orsay, France
- Université Paris-Sud, Université Paris-Saclay, CNRS UMR 9187, Orsay, France
| | - J.L. Guerquin-Kern
- Institut Curie, INSERM U1196, Université Paris-Saclay, Orsay, France
- Université Paris-Sud, Université Paris-Saclay, CNRS UMR 9187, Orsay, France
| | - M. Duttine
- CNRS UPR 9048, Université de Bordeaux, Institute of Chemistry and Condensed Matter of Bordeaux, Pessac, France
| | - T.T. Thuy
- Faculty of Odonto-stomatology, HochiMinh University of Medicine and Pharmacology, HôchiMinh Ville, Vietnam
| | - A. Berdal
- Centre de Recherche des Cordeliers, INSERM UMRS 1138, Université de Paris, Sorbonne Université, Laboratory of Molecular Oral Pathophysiology, Paris, France
- Garancière Dental Faculty, Université de Paris, Paris, France
- Reference Center for Oral and Dental Rare Diseases, Rothschild Hospital, Paris, France
| | - S. Babajko
- Centre de Recherche des Cordeliers, INSERM UMRS 1138, Université de Paris, Sorbonne Université, Laboratory of Molecular Oral Pathophysiology, Paris, France
- Garancière Dental Faculty, Université de Paris, Paris, France
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26
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Zhang R, Cheng L, Zhang T, Xu T, Li M, Yin W, Jiang Q, Yang Y, Hu T. Brick tea consumption is a risk factor for dental caries and dental fluorosis among 12-year-old Tibetan children in Ganzi. ENVIRONMENTAL GEOCHEMISTRY AND HEALTH 2019; 41:1405-1417. [PMID: 30483920 DOI: 10.1007/s10653-018-0216-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2018] [Accepted: 11/08/2018] [Indexed: 06/09/2023]
Abstract
Brick tea contains high concentration of fluoride. The aim of the present work was to explore whether and how the brick tea is a risk factor for dental caries and dental fluorosis among Tibetan children in Ganzi. A cross-sectional study was conducted with 368 12-year-old Tibetan children in Ganzi. Dental caries was measured by DMFT index, and dental fluorosis severity was measured by Dean's Index. Community Fluorosis Index was used to estimate public health significance of dental fluorosis. Oral health-related behaviors and awareness, dietary habits and socioeconomic status were determined by a questionnaire. Bivariate and multivariate analyses were used to determine risk factors associated with dental caries and dental fluorosis. Dental caries prevalence was 37.50%, mean DMFT was 0.84 ± 1.53, while dental fluorosis prevalence was 62.23%. Community Fluorosis Index was 1.35, indicating a medium prevalent strength of dental fluorosis. Dental fluorosis was associated with mother's regular consumption of brick tea and residence altitude, and dental caries was associated with mother's regular consumption of brick tea. Mother's regular consumption of brick tea was a risk factor for both dental fluorosis and dental caries among children. Reducing mother's brick tea consumption during pregnancy and lactation may improve oral health status of their children.
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Affiliation(s)
- Rui Zhang
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Preventive Dentistry, West China Hospital of Stomatology, Sichuan University, 14#, 3rd section, Renmin South Road, Chengdu, 610041, Sichuan, China
| | - Li Cheng
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Preventive Dentistry, West China Hospital of Stomatology, Sichuan University, 14#, 3rd section, Renmin South Road, Chengdu, 610041, Sichuan, China
| | - Tao Zhang
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Preventive Dentistry, West China Hospital of Stomatology, Sichuan University, 14#, 3rd section, Renmin South Road, Chengdu, 610041, Sichuan, China
| | - Ting Xu
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Preventive Dentistry, West China Hospital of Stomatology, Sichuan University, 14#, 3rd section, Renmin South Road, Chengdu, 610041, Sichuan, China
| | - Meng Li
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Preventive Dentistry, West China Hospital of Stomatology, Sichuan University, 14#, 3rd section, Renmin South Road, Chengdu, 610041, Sichuan, China
| | - Wei Yin
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Preventive Dentistry, West China Hospital of Stomatology, Sichuan University, 14#, 3rd section, Renmin South Road, Chengdu, 610041, Sichuan, China
| | - Qingling Jiang
- West China School of Public Health, Sichuan University, Chengdu, China
| | - Yingming Yang
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Preventive Dentistry, West China Hospital of Stomatology, Sichuan University, 14#, 3rd section, Renmin South Road, Chengdu, 610041, Sichuan, China.
| | - Tao Hu
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Preventive Dentistry, West China Hospital of Stomatology, Sichuan University, 14#, 3rd section, Renmin South Road, Chengdu, 610041, Sichuan, China.
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27
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Abstract
Background: The dentist has a responsibility to provide nutritional counseling and fluoride consumption recommendations. The purpose of this study was to measure and compare the concentrations of fluoride in a large number of alternative milk beverages and bovine milk. Study design: Thirty-three milk alternatives, including 9 diverse types and 11 different brands, were analyzed using a fluoride ion-selective electrode (ISE) and an ISE meter. Fluoride concentrations were then compared among different types and between different brands. Results: Fluoride concentration ranged from 0.01 ppm (Malk® Pure Cashew Milk) to 0.80 ppm (Almond Breeze® Original Unsweetened Almond Milk) with a mean concentration of 0.32 ppm. When compared, bovine whole milk (0.03±0.00 ppm) was found to be significantly lower in fluoride than all samples analyzed except Malk Pure Cashew Milk, Soy Milk Vanilla, Rice Milk, and Pecan Milk. Major differences also existed between the same milk alternative types of different brands. Conclusion: The amount of fluoride varies among different types of milk alternatives and different brands. To ensure that the dental team can provide proper recommendations regarding fluoride use, manufacturers should consider placing fluoride concentrations on nutrition labels.
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28
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Min J, Yu P, Xu Z, Li Z, Zhang Q, Yu H, Gao S. Investigation on the Gradient Nanomechanical Behavior of Dental Fluorosis Enamel. NANOSCALE RESEARCH LETTERS 2018; 13:347. [PMID: 30377848 PMCID: PMC6207606 DOI: 10.1186/s11671-018-2768-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/07/2018] [Accepted: 10/18/2018] [Indexed: 02/05/2023]
Abstract
This study aims to investigate the gradient nanomechanical behavior of dental fluorosis enamel and provide appropriate selection criteria for restorative materials. The nanomechanical properties of the outer, middle, and inner layers of normal tooth enamel, mild dental fluorosis enamel, and severe dental fluorosis enamel were tested by nanoindentation under an applied load of 2000 μN and holding time of 30 s. The nanotribological properties were then evaluated through nanoscratch tests under an applied load of 1000 μN. In addition, the nanotribological property of the outer layer of dental fluorosis enamel was compared with that of four restorative materials, namely, lithium disilicate glass-ceramic (IPS e.max CAD), polymer-infiltrated-ceramic network (PICN), composite resin block (Lava™ ultimate), and conventional composite resin (Fltek™ Z350XT). The nanohardness and elastic modulus of mild dental fluorosis enamel increased from the outer to the middle layers and then decreased from the middle to the inner layers. By contrast, the changed displacement, friction coefficient, and nanoscratch depth and width decreased from the outer to the middle layers and then increased from the middle to the inner layers. In severe dental fluorosis enamel, nanohardness and elastic modulus increased from the outer to the inner layers, but the changed displacement, friction coefficient, and nanoscratch depth and width decreased from the outer to the inner layers. The nanoscratch depth and width of Lava™ ultimate were similar to those of the outer layer of the mild dental fluorosis enamel. The gradient nanomechanical behavior of dental fluorosis enamel significantly differed from that of normal tooth enamel. Dental materials with a wear resistance similar to that of the opposing enamel are a good choice for restoring dental fluorosis (trial registration: WCHSIRB-D-2014-126, registered 25 December 2014).
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Affiliation(s)
- Jie Min
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Ping Yu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Zhou Xu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Zhi Li
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Qianqian Zhang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Haiyang Yu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Shanshan Gao
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
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29
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Kim JM, Choi JS, Choi YH, Kim HE. Simplified Prediction Model for Accurate Assessment of Dental Caries Risk among Participants Aged 10-18 Years. TOHOKU J EXP MED 2018; 246:81-86. [PMID: 30333362 DOI: 10.1620/tjem.246.81] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Dental caries assessment needs to be targeted at specific age groups, as many risk factors are related to patient age. Pre-teen and teenage patients, who are still at risk of occurrence of new carious lesions, need more individualized caries management strategies. Therefore, this study aimed to identify caries-related risk factors and develop a simplified risk prediction model for dental caries. Risk factors for caries were assessed in 171 participants aged 10-18 years, based on a questionnaire survey, previous history of caries, oral hygiene, microorganism colonization, saliva secretion, saliva buffer capacity examinations, and the acidogenicity of dental biofilms. These risk factors were entered into a computer-based risk assessment program (the Cariogram), and correlations between these factors and Cariogram scores were investigated. Significant risk predictors were used to develop a simplified risk prediction model. The performance of this model in predicting dental caries incidence was evaluated using receiver operating characteristic analysis, to determine its applicability to the management of caries. Our simplified prediction model included three predictors that were significantly associated with caries incidence: use of fluoride-containing toothpaste, the acidogenicity of dental biofilms, and saliva secretion (p < 0.001). The resulting model had a sensitivity and specificity of 60.5 and 85.0%, respectively, with a cut-off value of 69.41 as the threshold. The area under the curve of this model was 0.782 (95% confidence interval = 0.681-0.884, p < 0.001). Our new caries risk prediction model is expected to allow clinicians to accurately and easily predict patients' risk of occurrence of new caries.
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Affiliation(s)
- Jung-Min Kim
- Gachon University Graduate School of Public Health
| | - Jun-Seon Choi
- Gachon University Graduate School of Public Health.,Department of Dental Hygiene, Gachon University College of Health Science
| | - Yoon-Hyeong Choi
- Department of Preventive Medicine, Gachon University College of Medicine
| | - Hee-Eun Kim
- Gachon University Graduate School of Public Health.,Department of Dental Hygiene, Gachon University College of Health Science
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30
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Macey R, Tickle M, MacKay L, McGrady M, Pretty IA. A comparison of dental fluorosis in adult populations with and without lifetime exposure to water fluoridation. Community Dent Oral Epidemiol 2018; 46:608-614. [PMID: 30178518 DOI: 10.1111/cdoe.12411] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Revised: 07/09/2018] [Accepted: 07/10/2018] [Indexed: 11/28/2022]
Abstract
OBJECTIVES There is a lack of evidence on the proportion and severity of fluorosis in adult populations exposed and not exposed to fluoridated water over their lifetimes. The aim of this study was to compare the proportion and severity of fluorosis in adults with lifetime exposure to water fluoridation with a nonexposed sample. A secondary aim was to report the gradient of fluorosis severity by age. METHODS A cross-sectional study recruited a sample with lifetime exposure to water fluoridation and a matched, nonexposed group. 580 participants, aged 18-52 years (mean 34.3, SD 9.4) and 64% female, were recruited in general dental practices located in fluoridated (Birmingham and County Durham) and nonfluoridated areas (Manchester). Three digital images were taken of their incisors and an experienced examiner who was blind to exposure status viewed the images remotely and allocated fluorosis scores using the Thylstrup and Fejerskov (TF) scale. RESULTS At TF ≥ 1 (any fluorosis), a significantly higher proportion of participants from the fluoridated area had fluorosis (F 39% NF 21.3%, P < 0.001), at the threshold TF ≥ 3 ("aesthetic concern"), the difference was no longer statistically significant (F 4.1%, NF 2.2%, P = 0.25). There was a gradient by age, whereby fluorosis was highest in the youngest and lowest in the oldest age group. CONCLUSIONS Although fluorosis is more common in adults with lifetime exposure to water fluoridation than those with no exposure, the aesthetic impact of fluorosis seems to diminish with age.
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Affiliation(s)
- Richard Macey
- Division of Dentistry, School of Medical Sciences, The University of Manchester, Manchester, UK
| | - Martin Tickle
- Division of Dentistry, School of Medical Sciences, The University of Manchester, Manchester, UK
| | - Laura MacKay
- Division of Dentistry, School of Medical Sciences, The University of Manchester, Manchester, UK
| | - Michael McGrady
- Division of Dentistry, School of Medical Sciences, The University of Manchester, Manchester, UK
| | - Iain A Pretty
- Division of Dentistry, School of Medical Sciences, The University of Manchester, Manchester, UK
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31
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Olayanju J, Borras T, Qaqish B, Fleischman D. Outflow Facility in Tube Shunt Fenestration. J Curr Glaucoma Pract 2018; 12:113-118. [PMID: 31354203 PMCID: PMC6647827 DOI: 10.5005/jp-journals-10028-1255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
Abstract
AIM Determination of the effect of varying fenestration technique, and simulated patch graft on outflow facility for Baerveldt tube. MATERIALS AND METHODS Silicone tubing similar to Baerveldt implant (AMO, Santa Ana, CA) with different fenestrations techniques was connected to a digital manometer in a closed system with a fluid-filled syringe on a stand to adjust pressure. The venting slits included: (A) 4 piercings with 7-0 TG140-8 needle; (B) a 2-mm slit with a 15° blade; (C) 4 piercings with a 15° blade; (D) 9-0 Nylon on CS140-6 needle with suture stenting the fenestration. RESULTS For pressures of 10, 20, 30, 40 mm Hg in groups A to D, the average outflow facility (mL/min/mm Hg) were group A: 0.11, 0.20, 0.28, 0.40; group B: 0.30, 0.69, 0.98, 0.93; group C: 0.73, 0.80, 0.81, 0.88; group D: 0.58, 0.65, 0.80, 0.87. For external compression with 10 gram weights at pressures of 10, 20, 30, 40 mm Hg, outflow were group A: 0.0, 0.18, 0.20, 0.53; group B: 0.75, 0.70, 0.97, 1.21. Group C: 0.18, 0.03, 0.57, 0.04. Group D: 0.73, 0.90, 1.13, 0.91. CONCLUSION Effectivity of venting slits in maintaining adequate IOP in the early postoperative period for non-valved glaucoma implant is variable, multifactorial and largely intraocular pressure (IOP) dependent. CLINICAL SIGNIFICANCE This study explores methods of producing fenestration and the effects on outflow at different pressures in an attempt to determine which fenestration technique has more reproducible results that can be made applicable in clinical practice. This is also the first study to evaluate the effect of external pressures similar to scleral patch graft on the tube fenestrations. HOW TO CITE THIS ARTICLE Olayanju J, Borras T, Qaqish B, Fleischman D. Outflow Facility in Tube Shunt Fenestration. J Curr Glaucoma Pract 2018;12(3):113-118.
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Affiliation(s)
- Jessica Olayanju
- Department of Ophthalmology, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Teresa Borras
- Department of Ophthalmology, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Bahjat Qaqish
- North Carolina Translational and Clinical Sciences Institute, University of North Carolina, Chapel Hill, North Carolina, USA
| | - David Fleischman
- Department of Ophthalmology, University of North Carolina, Chapel Hill, North Carolina, USA
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Aesthetic Rehabilitation of a Severe Dental Fluorosis Case with Ceramic Veneers: A Step-by-Step Guide. Case Rep Dent 2018; 2018:4063165. [PMID: 29977624 PMCID: PMC6011114 DOI: 10.1155/2018/4063165] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2018] [Revised: 04/15/2018] [Accepted: 04/22/2018] [Indexed: 11/25/2022] Open
Abstract
The selection of an appropriate treatment plan for cases of dental fluorosis depends on the severity of the condition. Ceramic veneers are considered the treatment of choice for moderate to severe cases of fluorosis given the optimum aesthetics, wear resistance, biocompatibility, and long-term results of these veneers. This case report describes a step-by-step rehabilitation of fluorosed teeth, using ceramic veneers in a 26-year-old Yemeni male. The patient presented at the restorative dentistry clinics at King Saud University complaining of an unpleasant smile and generalized tooth discoloration.
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Deng Y, Feng G, Hu B, Kuang Y, Song J. Effects of Papacarie on children with dental caries in primary teeth: a systematic review and meta-analysis. Int J Paediatr Dent 2018; 28:361-372. [PMID: 29682851 DOI: 10.1111/ipd.12364] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Caries in primary teeth hinder the child to bite and chew and influence their development. Papacarie has the characteristics of selective removal of decayed tissue and can preserve healthy dentine to the maximum, but its efficiency has not been critically evaluated compared to conventional method. AIM This review is aiming at comparing the Papacarie and traditional method in caries removal in primary dental caries with children. DESIGN Comprehensive literature searching at PubMed, Embase, Cochrane Central Register of Controlled Trials, and Web of Science to January 2018. RESULTS Six randomized controlled trials (RCTs) and four prospective controlled clinical trials (CCTs) were included. The microbiota in caries dentine was significantly reduced using the Papacarie treatment (MD = 0.57, 95% CI 0.04 to 1.09, P = 0.03), and the anxiety feeling declined more in the Papacarie group (MD = -1.01, 95% CI -1.72 to -0.30, P < 0.005). There was a greater 200.79 (MD = 200.79, 95%CI 152.50 to 249.09, P < 0.00001) increase in time taken for the Papacarie treatment compared with the conventional method. CONCLUSION Papacarie exerts a positive effect in reducing the bacteria and decreases the pain during caries removal in primary teeth although it costed a longer treatment time compared with the conventional method.
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Affiliation(s)
- Yuejia Deng
- College of Stomatology, Chongqing Medical University, Chongqing, China.,Chongqing Key Laboratory for Oral Diseases and Biomedical Sciences, Chongqing, China.,Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Ge Feng
- College of Stomatology, Chongqing Medical University, Chongqing, China.,Chongqing Key Laboratory for Oral Diseases and Biomedical Sciences, Chongqing, China.,Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Bo Hu
- College of Stomatology, Chongqing Medical University, Chongqing, China.,Chongqing Key Laboratory for Oral Diseases and Biomedical Sciences, Chongqing, China.,Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Yunchun Kuang
- College of Stomatology, Chongqing Medical University, Chongqing, China.,Chongqing Key Laboratory for Oral Diseases and Biomedical Sciences, Chongqing, China.,Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
| | - Jinlin Song
- College of Stomatology, Chongqing Medical University, Chongqing, China.,Chongqing Key Laboratory for Oral Diseases and Biomedical Sciences, Chongqing, China.,Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China
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Houari S, Babajko S, Loiodice S, Berdal A, Jedeon K. Micro-dissection of Enamel Organ from Mandibular Incisor of Rats Exposed to Environmental Toxicants. J Vis Exp 2018. [PMID: 29658923 DOI: 10.3791/57081] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Enamel defects resulting from environmental conditions and ways of life are public health concerns because of their high prevalence. These defects result from altered activity of cells responsible for enamel synthesis named ameloblasts, which present in enamel organ. During amelogenesis, ameloblasts follow a specific and precise sequence of events of proliferation, differentiation, and death. A rat continually growing incisors is a suitable experimental model to study ameloblast activity and differentiation stages in physiological and pathological conditions. Here, we describe a reliable and consistent method to micro-dissect enamel organ of rats exposed to environmental toxicants. The micro-dissected dental epithelia contain secretion- and maturation-stage ameloblasts that may be used for qualitative experiments, such as immunohistochemistry assays and in situ hybridization, as well as for quantitative analyses such as RT-qPCR, RNA-seq, and Western blotting.
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Affiliation(s)
- Sophia Houari
- Institut National de la Santé et Recherche Médicale (INSERM) UMRS 1138, Paris-Diderot University, Pierre & Marie Curie University, Paris-Descartes University, Laboratory of Molecular Oral Pathophysiology, Cordeliers Research Centre; Unit of Formation and Research (UFR) of Odontology, Paris-Diderot University
| | - Sylvie Babajko
- Institut National de la Santé et Recherche Médicale (INSERM) UMRS 1138, Paris-Diderot University, Pierre & Marie Curie University, Paris-Descartes University, Laboratory of Molecular Oral Pathophysiology, Cordeliers Research Centre; Unit of Formation and Research (UFR) of Odontology, Paris-Diderot University;
| | - Sophia Loiodice
- Institut National de la Santé et Recherche Médicale (INSERM) UMRS 1138, Paris-Diderot University, Pierre & Marie Curie University, Paris-Descartes University, Laboratory of Molecular Oral Pathophysiology, Cordeliers Research Centre; Unit of Formation and Research (UFR) of Odontology, Paris-Diderot University
| | - Ariane Berdal
- Institut National de la Santé et Recherche Médicale (INSERM) UMRS 1138, Paris-Diderot University, Pierre & Marie Curie University, Paris-Descartes University, Laboratory of Molecular Oral Pathophysiology, Cordeliers Research Centre; Unit of Formation and Research (UFR) of Odontology, Paris-Diderot University
| | - Katia Jedeon
- Institut National de la Santé et Recherche Médicale (INSERM) UMRS 1138, Paris-Diderot University, Pierre & Marie Curie University, Paris-Descartes University, Laboratory of Molecular Oral Pathophysiology, Cordeliers Research Centre; Unit of Formation and Research (UFR) of Odontology, Paris-Diderot University
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Oral Health Status of Syrian Children in the Refugee Center of Melilla, Spain. Int J Dent 2018; 2018:2637508. [PMID: 29743889 PMCID: PMC5878884 DOI: 10.1155/2018/2637508] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2017] [Accepted: 01/11/2018] [Indexed: 12/03/2022] Open
Abstract
Introduction Little is known about the state of oral health among immigrants from conflict zones, such as the refugee children from the Syrian Civil War. Aim To determine the oral health status of Syrian immigrant children refugee at the Center for Temporary Stay of Immigrants in Melilla to plan prevention and care programs. Design Using the criteria set by the World Health Organization, an exploration of the oral cavity of all Syrian children aged 5–13 living at that center was conducted in May 2015. All subjects were clinically evaluated by a calibrated and standardized examiner, accompanied by a dentist who registered the clinical variables, and translators. The sociodemographic and clinical variables were analyzed through a descriptive and analytical study, respectively. Results The prevalence of caries in both the permanent and deciduous dentition was 75% and 50% in 6- and 12-year-olds, respectively. The dft was 3.2 ± 2.9 in 6-year-old children. At 12 years old, the DMFT was 1.6 ± 2.6 teeth, the DMFM was 1.1 ± 1.7 teeth, the SiC was 3.2, and the IR was 5%. Eighty-six percent of the examined sextants were periodontally healthy. Conclusions The prevalence of caries was high in the sample population studied, confirming the need for a comprehensive primary oral health care program.
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Dehbandi R, Moore F, Keshavarzi B. Geochemical sources, hydrogeochemical behavior, and health risk assessment of fluoride in an endemic fluorosis area, central Iran. CHEMOSPHERE 2018; 193:763-776. [PMID: 29175404 DOI: 10.1016/j.chemosphere.2017.11.021] [Citation(s) in RCA: 58] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Revised: 10/26/2017] [Accepted: 11/06/2017] [Indexed: 06/07/2023]
Abstract
The present study is the first attempt to put forward the possible source(s) and health risk assessment of fluoride in Bahabad, central Iran. Fluoride concentrations ranged from 0.22 to 2.35 mg/L and 292-355 mg/kg in the groundwater and soil samples, respectively. Geochemical provenance techniques using major and rare earth elements in soils revealed that local shale is the most probable source rock of fluoride in the area. A two-step chemical fractionation method applied on soil samples demonstrated that residual and water-soluble fractions were the most probable modes of fluoride in soil, whereas exchangeable fraction had a minor role. The coefficient of aqueous migration showed that fluoride in the studied soils behaved as a mobile element. Moreover, the relative mobility indicated that soils played a more important role than rocks in releasing fluoride into groundwater. In groundwater medium, chemical weathering, evaporation, and ion exchange acted as the main geochemical controlling factors of fluoride enrichment. Findings of this study signify that the role of NaCl and NaSO4-type waters should be considered more to recognize susceptible areas to fluoride contamination in groundwater. People in the study area are exposed to high levels of fluoride intake through drinking water, thus making dental fluorosis a major public health concern in the area. Scanning electron microscopy of the dentin's enamel showed morphological modifications (e.g., cracks and fissures) in residents' enamel structures. The results of this study may lead to suitable management strategies to mitigate the endemic fluorosis problem.
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Affiliation(s)
- Reza Dehbandi
- Department of Earth Sciences, College of Sciences, Shiraz University, Shiraz, 71454, Iran.
| | - Farid Moore
- Department of Earth Sciences, College of Sciences, Shiraz University, Shiraz, 71454, Iran
| | - Behnam Keshavarzi
- Department of Earth Sciences, College of Sciences, Shiraz University, Shiraz, 71454, Iran
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37
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Ranjkesh B, Ding M, Dalstra M, Nyengaard JR, Chevallier J, Isidor F, Løvschall H. Calcium phosphate precipitation in experimental gaps between fluoride-containing fast-setting calcium silicate cement and dentin. Eur J Oral Sci 2018; 126:118-125. [PMID: 29334137 DOI: 10.1111/eos.12399] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
A novel fast-setting calcium silicate cement containing fluoride (novel-CSC) has been developed for applications in tooth crowns. The aim of this study was to assess the ability of the novel-CSC to close the experimental gaps at the dentin-cement interface. The novel-CSC was tested against Vitrebond and GC Fuji II LC. Experimental gaps of 50 or 300 μm width were created between the materials and dentin. Specimens with the 300-μm-wide gap were immersed in phosphate-buffered saline and the closed gap area was measured during 96 h. All specimens with 50 or 300 μm gap width were analyzed by scanning electron microscopy equipped with energy dispersive X-ray spectroscopy (SEM/EDX) to assess the morphology and chemical composition of the precipitates after 96 h immersion in phosphate-buffered saline. High-resolution micro-computed tomography (μCT) was used to evaluate the integrity and continuity of the precipitiates after 96 h and 180 d. In all novel-CSC samples, precipitates closed the gap area completely after 96 h. The SEM/EDX revealed that the globular precipitates closing the gap area were mainly composed of calcium and phosphorus. After 180 d, μCT indicated thicker precipitates compared with initial precipitates only in the novel-CSC group, whereas no precipitates were observed in resin-modified glass ionomers. Novel-CSC promoted continuous precipitation of calcium phosphate, including apatite, and closed the experimental gaps.
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Affiliation(s)
- Bahram Ranjkesh
- Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
| | - Ming Ding
- Department of Orthopedic Surgery & Traumatology, Odense University Hospital, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Michel Dalstra
- Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
| | - Jens R Nyengaard
- Stereology and Electron Microscopy Laboratory Centre for Stochastic Geometry and Advanced Bioimaging, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | | | - Flemming Isidor
- Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
| | - Henrik Løvschall
- Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
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Ranjkesh B, Isidor F, Dalstra M, Løvschall H. Diametral tensile strength of novel fast-setting calcium silicate cement. Dent Mater J 2017; 35:559-63. [PMID: 27477220 DOI: 10.4012/dmj.2015-390] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Novel fast-setting calcium silicate cement with fluoride (CSC) has been developed for potential applications in tooth crown. The aim of this study was to test the diametral tensile strength (DTS) of different CSC compositions in humid condition on day1, 28, and 180. We tested 'bond CSC' with 3.5% fluoride and no radiocontrast, 'CSC' with 3.5% fluoride and 10% radiocontrast, 'ultrafast CSC' with 3.5% fluoride and 20% radiocontrast, 'high fluoride CSC' with 15% fluoride and 25% radiocontrast, Biodentine, and MTA. We filled the cements after mixing to cylindrical molds. Specimens were stored in >95% humidity. DTS was measured at each time point. CSC compositions had statistically higher DTS compared to MTA and Biodentine on day1. Bond CSC showed higher DTS versus all cements, except CSC, at all time points. DTS of all cements, except Biodentine, significantly increased in humid condition on day28 and day180 compared to day1.
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Jalali R, Guy F, Ghazanfari S, Lyaruu D, van Ruijven L, DenBesten P, Martignon S, Castiblanco G, Bronckers ALJJ. Mineralization-defects are comparable in fluorotic impacted human teeth and fluorotic mouse incisors. Arch Oral Biol 2017; 83:214-221. [PMID: 28806687 DOI: 10.1016/j.archoralbio.2017.07.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Revised: 07/14/2017] [Accepted: 07/25/2017] [Indexed: 12/20/2022]
Abstract
OBJECTIVE Fluoride excess of 0.05-0.07mgF/kgbw/day in water or food additives like salt is the principal cause of endemic dental fluorosis. How fluoride causes these defects is not clear yet. Recent studies in rodents suggest that development of enamel fluorosis is associated with insufficient neutralization of protons released during the formation of hypermineralized lines. DESIGN Here we examined whether hypermineralization could also be assessed by MicroCT in developing molar enamel of humans exposed to fluoride. RESULT Micro-CT analysis of hypomineralized enamel from human fluorotic molars graded by the Thylstrup-Fejerskov (TF) Index as III-IV showed weak hypermineralized lines and hypermineralized patches not seen in TF-I/II grade enamel. The mesio-distal sides of these molar teeth were significantly smaller (∼18%, p=0.02) than in TF-I/II teeth. CONCLUSION The patterns of changes observed in human fluorotic teeth were similar to those in fluorotic rodent incisors. The data are consistent with the hypothesis that also in developing human teeth fluoride-stimulated local acidification of enamel could be a mechanism for developing fluorotic enamel.
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Affiliation(s)
- Rozita Jalali
- Department of Oral Cell Biology, Academic Centre for Dentistry Amsterdam, University of Amsterdam, and MOVE Research Institute, VU University Amsterdam, Amsterdam, Netherlands.
| | - Franck Guy
- CNRS INEE UMR 7262 - IPHEP, Institut de Paléoprimatologie et Paléontologie Humaine, Evolution et Paléoenvironnements, Université de Poitiers - Faculté des Sciences, Poitiers, Cedex 9, France
| | - Samaneh Ghazanfari
- Department of Orthopaedic Surgery - VU Medical Centre, MOVE Research Institute Amsterdam, Amsterdam, Netherlands and the Aachen-Maastricht Institute for Biobased Materials, Faculty of Humanities and Sciences, Maastricht University, Maastricht, Netherlands
| | - Don Lyaruu
- Department of Oral Cell Biology, Academic Centre for Dentistry Amsterdam, University of Amsterdam, and MOVE Research Institute, VU University Amsterdam, Amsterdam, Netherlands
| | - Leo van Ruijven
- Department of Oral Cell Biology, Academic Centre for Dentistry Amsterdam, University of Amsterdam, and MOVE Research Institute, VU University Amsterdam, Amsterdam, Netherlands
| | - Pamela DenBesten
- Department of Orofacial Sciences, School of Dentistry, University of California, San Francisco, CA, 94143-0422, USA
| | - Stefania Martignon
- UNICA - Caries Research Unit, Research Vice-rectory, Universidad El Bosque, Bogotá, Colombia
| | - Gina Castiblanco
- UNICA - Caries Research Unit, Research Vice-rectory, Universidad El Bosque, Bogotá, Colombia
| | - Antonius L J J Bronckers
- Department of Oral Cell Biology, Academic Centre for Dentistry Amsterdam, University of Amsterdam, and MOVE Research Institute, VU University Amsterdam, Amsterdam, Netherlands
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Martignon S, Opazo-Gutiérrez MO, Velásquez-Riaño M, Orjuela-Osorio IR, Avila V, Martinez-Mier EA, González-Carrera MC, Ruiz-Carrizosa JA, Silva-Hermida BC. Geochemical characterization of fluoride in water, table salt, active sediment, rock and soil samples, and its possible relationship with the prevalence of enamel fluorosis in children in four municipalities of the department of Huila (Colombia). ENVIRONMENTAL MONITORING AND ASSESSMENT 2017; 189:264. [PMID: 28493183 DOI: 10.1007/s10661-017-5975-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Accepted: 04/24/2017] [Indexed: 06/07/2023]
Abstract
Fluoride is an element that affects teeth and bone formation in animals and humans. Though the use of systemic fluoride is an evidence-based caries preventive measure, excessive ingestion can impair tooth development, mainly the mineralization of tooth enamel, leading to a condition known as enamel fluorosis. In this study, we investigated the geochemical characterization of fluoride in water, table salt, active sediment, rock and soil samples in four endemic enamel fluorosis sentinel municipalities of the department of Huila, Colombia (Pitalito, Altamira, El Agrado and Rivera), and its possible relationship with the prevalence of enamel fluorosis in children. The concentration of fluoride in drinking water, table salt, active sediment, rock, and soil was evaluated by means of an ion selective electrode and the geochemical analyses were performed using X-ray fluorescence. Geochemical analysis revealed fluoride concentrations under 15 mg/kg in active sediment, rock and soil samples, not indicative of a significant delivery to the watersheds studied. The concentration of fluoride in table salt was found to be under the inferior limit (less than 180 μg/g) established by the Colombian regulations. Likewise, exposure doses for fluoride water intake did not exceed the recommended total dose for all ages from 6 months. Although the evidence does not point out at rocks, soils, fluoride-bearing minerals, fluoridated salt and water, the hypothesis of these elements as responsible of the current prevalence of enamel fluorosis cannot be discarded since, aqueducts might have undergone significant changes overtime.
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Affiliation(s)
- Stefania Martignon
- UNICA - Caries Research Unit, Research Vice-rectory, Universidad El Bosque, Av. Cra. 9 No. 131A-02, Edificio Fundadores, 2° piso, Bogotá, 110121, Colombia.
- Dental Innovation and Translation Centre, King's College Dental Institute, 17 Tower Wing Room 37, Great Maze Pound, London, SE1 9RT, UK.
| | - Mario Omar Opazo-Gutiérrez
- Grupo Agua, Salud y Ambiente, Faculty of Engineering, Universidad El Bosque, Av. Cra. 9 No. 131A-02, Bogotá, 110121, Colombia
| | - Möritz Velásquez-Riaño
- Grupo Producción Limpia - Choc Izone, Faculty of Engineering, Universidad El Bosque, Av. Cra. 9 No. 131A-02, Bogotá, 110121, Colombia
| | - Iván Rodrigo Orjuela-Osorio
- Grupo Agua, Salud y Ambiente, Faculty of Engineering, Universidad El Bosque, Av. Cra. 9 No. 131A-02, Bogotá, 110121, Colombia
| | - Viviana Avila
- UNICA - Caries Research Unit, Research Vice-rectory, Universidad El Bosque, Av. Cra. 9 No. 131A-02, Edificio Fundadores, 2° piso, Bogotá, 110121, Colombia
| | - Esperanza Angeles Martinez-Mier
- Department of Cariology, Operative Dentistry and Dental Public Health, Indiana University School of Dentistry, 415 Lansing Street, Indianapolis, IN, 46202-2876, USA
| | - María Clara González-Carrera
- UMIMC - Unidad de Manejo Integral de Malformaciones Craneofaciales, Dental Scool, Universidad El Bosque, Av. Cra. 9 No. 131A-02, Bogotá, 110121, Colombia
| | - Jaime Alberto Ruiz-Carrizosa
- UNICA - Caries Research Unit, Research Vice-rectory, Universidad El Bosque, Av. Cra. 9 No. 131A-02, Edificio Fundadores, 2° piso, Bogotá, 110121, Colombia
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Jaisingh R, Shanbhog R, Nandlal B, Thippeswamy M. Effect of 10% cerium chloride on artificial caries lesions of human enamel evaluated using quantitative light-induced fluorescence: an in vitro study. Eur Arch Paediatr Dent 2017; 18:163-169. [PMID: 28343265 DOI: 10.1007/s40368-017-0270-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2016] [Accepted: 02/13/2017] [Indexed: 11/27/2022]
Abstract
AIM To evaluate the effect of 10% cerium chloride intervention on pre-demineralised human enamel subjected to cycles of de- and remineralisation. METHODS This was an in vitro, comparative type study of 60 human enamel samples that were randomly divided into control and test groups. The samples were then subjected to a cycle of demineralisation followed by intervention with respective treatment solutions (control group: placebo solution; test: 10% cerium chloride) for 30 s under constant agitation and then to a 2nd cycle of demineralisation followed by remineralisation using artificial saliva. After the first and second cycles of demineralisation (4th and 8th day) and a cycle of remineralisation (22nd day), the samples were evaluated for fluorescence values using a quantitative light-induced fluorescence camera. The data was analysed using paired t test and ANOVA. RESULTS Comparing the fluorescence values and mean difference of lesion area between the first cycle of demineralisation to the cycle of remineralisation and the second cycle of demineralisation to the cycle of remineralisation, the test group showed a statistically significant reduction in loss of fluorescence values and lesion area compared to the control group (p < 0.001). Mean fluorescence values and lesion area comparison between cycles of de- and remineralisation for control and test groups (inter-group comparison) showed a statistically significant difference (p < 0.001). CONCLUSIONS Cerium chloride alone reduced demineralisation and improved remineralisation of artificial caries lesions in human enamel when subjected to pH cycling in vitro.
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Affiliation(s)
- R Jaisingh
- Department of Pedodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India.
| | - R Shanbhog
- Department of Pedodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India
| | - B Nandlal
- Department of Pedodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India
| | - M Thippeswamy
- Department of Community Dentistry, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India
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Abstract
OBJECTIVES There is some evidence that water rinsing immediately after topical fluoride therapy has the potential to reduce the effectiveness of fluoride. The aim was to determine if covering fluoridated teeth with a layer of mousse containing CPP-ACP could prevent the adverse effect of rinsing on fluoride and consequently its buffering effect on dental plaque pH during cariogenic challenge. STUDY DESIGN This randomized, controlled, crossover, in situ study was conducted on 25 participants. The participants were subjected to acidulated phosphate fluoride (APF) application followed by five treatment protocols: (1) water rinsing after 30 minutes (APF-30) or (2) immediate water rinsing (APF-0); (3) using CPP-ACP immediately before water rinsing (F-CPP-ACP); and two control groups: (4) no fluoride therapy (No-F) and (5) using CPP-ACP and immediate water rinsing (CPP-ACP-0). After 48 hours, teeth were rinsed with 10% sucrose solution and plaque pH was measured before and after 5, 10, 15, 20 and 30 minutes. RESULTS The least pH changes, the lowest pH drop, and the quickest pH recovery were found in the APF-30 and F-CPP-ACP groups. APF-0 ranked in the middle and the highest values were in the control groups. CONCLUSIONS The results show that in the case using CPP-ACP on fluoridated teeth, water rinsing immediately after topical fluoride therapy did not seem to influence the inhibitory effect of fluoride on plaque acidity.
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Do L, Ha D, Peres MA, Skinner J, Byun R, Spencer AJ. Effectiveness of water fluoridation in the prevention of dental caries across adult age groups. Community Dent Oral Epidemiol 2017; 45:225-232. [DOI: 10.1111/cdoe.12280] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Accepted: 12/06/2016] [Indexed: 11/30/2022]
Affiliation(s)
- Loc Do
- Australian Research Centre for Population Oral Health (ARCPOH); School of Dentistry; Faculty of Health Science; The University of Adelaide; South Australia Australia
| | - Diep Ha
- Australian Research Centre for Population Oral Health (ARCPOH); School of Dentistry; Faculty of Health Science; The University of Adelaide; South Australia Australia
| | - Marco A. Peres
- Australian Research Centre for Population Oral Health (ARCPOH); School of Dentistry; Faculty of Health Science; The University of Adelaide; South Australia Australia
| | - John Skinner
- Centre for Oral Health Strategy; NSW Ministry of Health; Wentworthville New South Wales Australia
| | - Roy Byun
- Centre for Oral Health Strategy; NSW Ministry of Health; Wentworthville New South Wales Australia
| | - A. John Spencer
- Australian Research Centre for Population Oral Health (ARCPOH); School of Dentistry; Faculty of Health Science; The University of Adelaide; South Australia Australia
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Garot E, Couture-Veschambre C, Manton D, Rodriguez V, Lefrais Y, Rouas P. Diagnostic guide enabling distinction between taphonomic stains and enamel hypomineralisation in an archaeological context. Arch Oral Biol 2016; 74:28-36. [PMID: 27865101 DOI: 10.1016/j.archoralbio.2016.11.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2016] [Revised: 11/08/2016] [Accepted: 11/09/2016] [Indexed: 02/06/2023]
Abstract
OBJECTIVE Molar Incisor Hypomineralisation (MIH) is a structural anomaly that affects the quality of tooth enamel and has important consequences for oral health. The developmentally hypomineralised enamel has normal thickness and can range in colour from white to yellow or brown with or without surface breakdown. The possibility of finding MIH in 'ancient populations' could downplay several current aetiological hypotheses (e.g., dioxin derivatives, bisphenols, antibiotics) without excluding the possible multifactorial aspect of the anomaly. In an archaeological context, chemical elements contained in the burial ground can stain teeth yellow or brown and therefore might create a taphonomic bias. The purpose of the present study is to test a proposed diagnostic guide enabling determination of the pathological or taphonomic cause of enamel discolouration and defects that resemble MIH present on 'ancient teeth'. DESIGN Two sample groups including MIH discoloration (n=12 teeth) from living patients, taphonomic discoloration (n=9 teeth) and unknown discoloration (n=2 teeth) from medieval specimens were tested. Three non-destructive methods-Raman spectroscopy, X-ray micro-computed tomography and X-ray fluorescence were utilised. RESULTS Hypomineralised enamel has decreased mineral density (p<0.0001) and increased phosphate/β-carbonate ratio (p<0.01) compared to normal enamel whereas relative concentrations of manganese, copper, iron and lead are similar. In taphonomic discoloration, relative concentrations of these elements are significantly different (p<0.05) to normal enamel whereas mineral density and Raman spectra profile are comparable. CONCLUSIONS Enamel hypomineralisation can be distinguished from taphonomic staining in archaeological teeth.
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Affiliation(s)
- Elsa Garot
- Université de Bordeaux, UFR des Sciences Odontologiques, Bordeaux, France; Université de Bordeaux, PACEA, UMR 5199, Pessac, France.
| | | | - David Manton
- Melbourne Dental School, University of Melbourne, Victoria, Australia
| | | | - Yannick Lefrais
- Université Bordeaux Montaigne, CRP2A, UMR 5060, Pessac, France
| | - Patrick Rouas
- Université de Bordeaux, UFR des Sciences Odontologiques, Bordeaux, France; Université de Bordeaux, PACEA, UMR 5199, Pessac, France
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45
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Güner Ş, Uyar-Bozkurt S, Haznedaroğlu E, Menteş A. Dental Fluorosis and Catalase Immunoreactivity of the Brain Tissues in Rats Exposed to High Fluoride Pre- and Postnatally. Biol Trace Elem Res 2016; 174:150-157. [PMID: 27052310 DOI: 10.1007/s12011-016-0695-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Accepted: 03/30/2016] [Indexed: 12/18/2022]
Abstract
This study evaluated dental fluorosis of the incisors and immunoreactivity in the brain tissues of rats given chronic fluoride doses pre- and postnatally. Female rats were given drinking water with 0, 30 or 100 ppm fluoride ad libitum throughout gestation and the nursing period. In addition, 63 male offspring were treated with the same water regimens as the mothers after weaning and were followed for 1, 3 or 5 months. The upper and lower incisors were collected, and all teeth were examined under a stereomicroscope and scored by two blinded examiners using a modified rodent enamel fluorosis index. Cortical, hippocampal and cerebellar brain samples were evaluated morphologically and immunohistochemically. All fluoride-treated pups were born with low body weight (p = 0.001). All animals from the fluoride groups had enamel fluorosis with defects of various degrees. The increase in the dental fluorosis scores in the fluoride treatment groups was significant (p < 0.01). The catalase immunoreactivity in the 30- and 100-ppm fluoride groups was significantly higher than that in the controls after 1, 3 and 5 months (p < 0.001). In conclusion, this study showed that rats with dental fluorosis had catalase immunoreactivity in the brain tissues, which may reflect the neurobehavioral toxicity of fluoride.
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Affiliation(s)
- Şirin Güner
- Department of Pediatric Dentistry, Faculty of Dentistry, Trakya University, Balkan Campus, 22030, Edirne, Turkey
| | - Süheyla Uyar-Bozkurt
- Department of Pathology, Institute for Neurological Sciences, Marmara University, Istanbul, Turkey
| | - Eda Haznedaroğlu
- Department of Pediatric Dentistry, Faculty of Dentistry, Marmara University, Basibuyuk Campus, Basibuyuk, Maltepe, 34854, Istanbul, Turkey
| | - Ali Menteş
- Department of Pediatric Dentistry, Faculty of Dentistry, Marmara University, Basibuyuk Campus, Basibuyuk, Maltepe, 34854, Istanbul, Turkey.
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Jedeon K, Houari S, Loiodice S, Thuy TT, Le Normand M, Berdal A, Babajko S. Chronic Exposure to Bisphenol A Exacerbates Dental Fluorosis in Growing Rats. J Bone Miner Res 2016; 31:1955-1966. [PMID: 27257137 DOI: 10.1002/jbmr.2879] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2016] [Revised: 05/16/2016] [Accepted: 06/01/2016] [Indexed: 01/27/2023]
Abstract
Enamel defects resulting from environmental conditions and way of life are public health concerns because of their high prevalence. Because their etiology is unclear, the aim of this study was to analyze the various forms of enamel hypomineralization, and to characterize the genes involved in this process to determine the mechanisms involved in disruptions of amelogenesis. We used bisphenol A (BPA) and fluoride as models; both are commonly encountered in human populations and utilized in dentistry. Wistar rats were chronically exposed to 5 μg/kg/day BPA from day 1 of gestation to day 65 after birth (P65) and 5 mM fluoride from P21 to P65. Resulting enamel defects were comparable to the human enamel pathologies molar incisor hypomineralization (MIH) and dental fluorosis (DF) respectively, and were more severe in rats exposed to both agents than to each agent alone. Large-scale transcriptomic analysis of dental epithelium showed a small group of genes the expression of which was affected by exposure to BPA or NaF. Among the most modulated, many are directly involved in amelogenesis (Amelx, Enam, Klk4, Mmp12, Slc26a4, and Slc5a8), and can be regrouped as forming the "hypomineralization enameloma." Each of these gene expression perturbations may contribute to enamel defects. Exposure to BPA weakens enamel, making it more prone to generate frequent mineralization defects MIH and DF. Our study identifies hypomineralization genes that may enable the use of dental enamel as an early marker of exposure to environmental toxicants because of its unique ability to retrospectively record ameloblast pathophysiology. © 2016 American Society for Bone and Mineral Research.
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Affiliation(s)
- Katia Jedeon
- Cordeliers Research Centre Inserm UMRS 1138, Paris-Diderot University, Paris-Descartes University, Pierre & Marie Curie-Paris University, Laboratory of Molecular Oral Pathophysiology, Paris, France.,Paris-Diderot University, Faculty of Dentistry, Paris, France.,Centre de Référence des maladies rares de la face et de la cavité buccale MAFACE hôpital Rothschild, Paris, France
| | - Sophia Houari
- Cordeliers Research Centre Inserm UMRS 1138, Paris-Diderot University, Paris-Descartes University, Pierre & Marie Curie-Paris University, Laboratory of Molecular Oral Pathophysiology, Paris, France.,Paris-Diderot University, Faculty of Dentistry, Paris, France.,Groupe Hospitalier La Pitié Salpêtrière-Charles Foix, Paris, France
| | - Sophia Loiodice
- Cordeliers Research Centre Inserm UMRS 1138, Paris-Diderot University, Paris-Descartes University, Pierre & Marie Curie-Paris University, Laboratory of Molecular Oral Pathophysiology, Paris, France.,Paris-Diderot University, Faculty of Dentistry, Paris, France
| | - Tran Thu Thuy
- Cordeliers Research Centre Inserm UMRS 1138, Paris-Diderot University, Paris-Descartes University, Pierre & Marie Curie-Paris University, Laboratory of Molecular Oral Pathophysiology, Paris, France.,Paris-Diderot University, Faculty of Dentistry, Paris, France.,Faculty of Odonto-Stomatology, Ho Chi Minh University of Medicine and Pharmacology, Ho Chi Minh-Ville, Vietnam
| | - Manon Le Normand
- Cordeliers Research Centre Inserm UMRS 1138, Paris-Diderot University, Paris-Descartes University, Pierre & Marie Curie-Paris University, Laboratory of Molecular Oral Pathophysiology, Paris, France
| | - Ariane Berdal
- Cordeliers Research Centre Inserm UMRS 1138, Paris-Diderot University, Paris-Descartes University, Pierre & Marie Curie-Paris University, Laboratory of Molecular Oral Pathophysiology, Paris, France.,Paris-Diderot University, Faculty of Dentistry, Paris, France.,Centre de Référence des maladies rares de la face et de la cavité buccale MAFACE hôpital Rothschild, Paris, France
| | - Sylvie Babajko
- Cordeliers Research Centre Inserm UMRS 1138, Paris-Diderot University, Paris-Descartes University, Pierre & Marie Curie-Paris University, Laboratory of Molecular Oral Pathophysiology, Paris, France.,Paris-Diderot University, Faculty of Dentistry, Paris, France
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Rao KY, Anjum MS, Reddy PP, Monica M, Hameed IA, Sagar GV. Physico-Chemical and Bacterial Evaluation of Public and Packaged Drinking Water in Vikarabad, Telangana, India - Potential Public Health Implications. J Clin Diagn Res 2016; 10:LC01-7. [PMID: 27437248 DOI: 10.7860/jcdr/2016/17343.7737] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2015] [Accepted: 01/12/2016] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Humanity highly depends on water and its proper utilization and management. Water has various uses and its use as thirst quenching fluid is the most significant one. AIM To assess physical, chemical, trace metal and bacterial parameters of various public and packaged drinking water samples collected from villages of Vikarabad mandal. MATERIALS AND METHODS Public and packaged drinking water samples collected were analysed for various parameters using American Public Health Association (APHA 18(th) edition 1992) guidelines and the results obtained were compared with bureau of Indian standards for drinking water. STATISTICAL ANALYSIS Descriptive statistics and Pearson's correlations were done. RESULTS Among bottled water samples, magnesium in 1 sample was >30mg/litre, nickel in 2 samples was >0.02mg/litre. Among sachet water samples, copper in 1 sample was >0.05mg/litre, nickel in 2 samples was >0.02mg/litre. Among canned water samples, total hardness in 1 sample was >200mg/litre, magnesium in 3 samples was >30mg/litre. In tap water sample, calcium was >75mg/litre, magnesium was >30mg/litre, nickel was >0.02mg/litre. Among public bore well water samples, pH in 1 sample was >8.5, total dissolved solids in 17 samples was >500mg/litre, total alkalinity in 9 samples was >200mg/litre, total hardness in 20 samples was >200mg/litre, calcium in 14 samples was >75mg/litre, fluoride in 1 sample was >1mg/litre, magnesium in 14 samples was >30mg/litre. Total coliform was absent in bottled water, sachet water, canned water, tap water samples. Total Coliform was present but E. coli was absent in 4 public bore well water samples. The MPN per 100 ml in those 4 samples of public bore well water was 50. CONCLUSION Physical, chemical, trace metal and bacterial parameters tested in present study showed values greater than acceptable limit for some samples, which can pose serious threat to consumers of that region.
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Affiliation(s)
- Koppula Yadav Rao
- Reader, Department of Public Health Dentistry, Sri Sai College of Dental Surgery , Vikarabad, India
| | - Mohammad Shakeel Anjum
- Professor, Department of Public Health Dentistry, Sri Sai College of Dental Surgery , Vikarabad, India
| | | | - Mocherla Monica
- Reader, Department of Public Health Dentistry, Sri Sai College of Dental Surgery , Vikarabad, India
| | - Irram Abbass Hameed
- Senior Lecturer, Department of Public Health Dentistry, Sri Sai College of Dental Surgery , Vikarabad, India
| | - Goje Vidya Sagar
- Post Graduate Student, Department of Public Health Dentistry, Sri Sai College of Dental Surgery , Vikarabad, India
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Chowdhury CR, Shahnawaz K, Kumari D, Chowdhury A, Bedi R, Lynch E, Harding S, Grootveld M. Spatial distribution mapping of drinking water fluoride levels in Karnataka, India: fluoride-related health effects. Perspect Public Health 2016; 136:353-360. [DOI: 10.1177/1757913915626744] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objectives: (1) To estimate the concentrations of fluoride in drinking water throughout different zones and districts of the state of Karnataka. (2) To investigate the variation of fluoride concentration in drinking water from different sources, and its relationships to daily temperature and rainfall status in the regional districts. (3) To develop an updated fluoride concentration intensity map of the state of Karnataka, and to evaluate these data in the context of fluoride-related health effects such as fluorosis and their prevalence. Materials and Methods: Aqueous standard solutions of 10, 100 and 1,000 ppm fluoride (F−) were prepared with analytical grade Na+/F− and a buffer; TISAB II was incorporated in both calibration standard and analysis solutions in order to remove the potentially interfering effects of trace metal ions. This analysis was performed using an ion-selective electrode (ISE), and mean determination readings for n = 5 samples collected at each Karnataka water source were recorded. Results: The F− concentration in drinking water in Karnataka state was found to vary substantially, with the highest mean values recorded being in the north-eastern zone (1.61 ppm), and the lowest in the south-western one (only 0.41 ppm). Analysis of variance (ANOVA) demonstrated that there were very highly significant ‘between-zone’ and ‘between-districts-within-zones’ sources of variation ( p < 10−5–10−9), results consistent with a substantial spatial variance of water source F− levels within this state. Conclusions: The southern part of Karnataka has low levels of F− in its drinking water, and may require fluoridation treatment in order to mitigate for dental caries and further ailments related to fluoride deficiency. However, districts within the north-eastern region have contrastingly high levels of fluoride, an observation which has been linked to dental and skeletal fluorosis. This highlights a major requirement for interventional actions in order to ensure maintenance of the recommended range of fluoride concentrations (0.8–1.5 ppm) in Karnataka’s drinking water sources.
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Affiliation(s)
- Chitta R Chowdhury
- Department of Oral Biology & Genomic Studies, A B Shetty Memorial Institute of Dental Sciences, Nitte University, Mangalore, India
| | - Khijmatgar Shahnawaz
- Department of Oral Biology & Genomic Studies, A B Shetty Memorial Institute of Dental Sciences, Nitte University, Mangalore, India
| | - Divya Kumari
- Department of Oral Biology & Genomic Studies, A B Shetty Memorial Institute of Dental Sciences, Nitte University, Mangalore, India
| | | | - Raman Bedi
- Centre for International Dental Child Health, King’s College London, London, UK
| | - Edward Lynch
- Warwick Dentistry, University of Warwick, Coventry, UK
| | | | - Martin Grootveld
- Leicester School of Pharmacy, De Montfort University, The Gateway, UK
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Ranjkesh B, Chevallier J, Salehi H, Cuisinier F, Isidor F, Løvschall H. Apatite precipitation on a novel fast-setting calcium silicate cement containing fluoride. ACTA BIOMATERIALIA ODONTOLOGICA SCANDINAVICA 2016; 2:68-78. [PMID: 27335901 PMCID: PMC4894078 DOI: 10.1080/23337931.2016.1178583] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/13/2016] [Accepted: 04/11/2016] [Indexed: 12/01/2022]
Abstract
Aim: Calcium silicate cements are widely used in endodontics. Novel fast-setting calcium silicate cement with fluoride (Protooth) has been developed for potential applications in teeth crowns including cavity lining and cementation. Objective: To evaluate the surface apatite-forming ability of Protooth compositions as a function of fluoride content and immersion time in phosphate-buffered saline (PBS). Material and methods: Three cement compositions were tested: Protooth (3.5% fluoride and 10% radiocontrast), ultrafast Protooth (3.5% fluoride and 20% radiocontrast), and high fluoride Protooth (15% fluoride and 25% radiocontrast). Powders were cap-mixed with liquid, filled to the molds and immersed in PBS. Scanning electron microscopy, energy dispersive X-ray analysis, and Raman spectroscopy were used to characterize the precipitations morphology and composition after 1, 7, 28, and 56 days. Apatite/belite Raman peak height indicated the apatite thickness. Results: Spherical calcium phosphate precipitations with acicular crystallites were formed after 1-day immersion in PBS and Raman spectra disclosed the phosphate band at 965 cm−1, supporting the apatite formation over Protooth compositions. The apatite deposition continued and more voluminous precipitations were observed after 56 days over the surface of all cements. Raman bands suggested the formation of β-type carbonated apatite over Protooth compositions. High fluoride Protooth showed the most compact deposition with significantly higher apatite/belite ratio compared to Protooth and ultrafast Protooth after 28 and 56 days. Conclusions: Calcium phosphate precipitations (apatite) were formed over Protooth compositions after immersion in PBS with increasing apatite formation as a function of time. High fluoride Protooth exhibited thicker apatite deposition.
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Affiliation(s)
- Bahram Ranjkesh
- Department of Dentistry Health, Aarhus University , Aarhus C , Denmark
| | - Jacques Chevallier
- Department of Physics and Astronomy, Aarhus University , Aarhus C , Denmark
| | - Hamideh Salehi
- Bioengineering and Nanoscience Laboratory, UFR d'Odontologie, Université Montpellier 1 , Montpellier , France
| | - Frédéric Cuisinier
- Bioengineering and Nanoscience Laboratory, UFR d'Odontologie, Université Montpellier 1 , Montpellier , France
| | - Flemming Isidor
- Department of Dentistry Health, Aarhus University , Aarhus C , Denmark
| | - Henrik Løvschall
- Department of Dentistry Health, Aarhus University , Aarhus C , Denmark
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50
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Baherimoghadam T, Akbarian S, Rasouli R, Naseri N. Evaluation of enamel damages following orthodontic bracket debonding in fluorosed teeth bonded with adhesion promoter. Eur J Dent 2016; 10:193-198. [PMID: 27095895 PMCID: PMC4813434 DOI: 10.4103/1305-7456.178296] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Objective: To evaluate shear bond strength (SBS) of the orthodontic brackets bonded to fluorosed and nonfluorosed teeth using Light Bond with and without adhesion promoters and compare their enamel damages following debonding. Materials and Methods: In this study, 30 fluorosed (Thylstrup and Fejerskov Index = 4–5) and 30 nonfluorosed teeth were randomly distributed between two subgroups according to the bonding materials: Group 1, fluorosed teeth bonded with Light Bond; Group 2, fluorosed teeth bonded with adhesion promoters and Light Bond; Group 3, nonfluorosed teeth bonded with Light Bond; Group 4, nonfluorosed bonded with adhesion promoters and Light Bond. After bonding, the SBS of the brackets was tested with a universal testing machine. Stereomicroscopic evaluation was performed by unbiased stereology in all teeth to determine the amount of adhesive remnants and the number and length of enamel cracks before bonding and after debonding. The data were analyzed using two-way analysis of variance, Kruskal–Wallis, Wilcoxon Signed Rank, and Mann–Whitney test. Results: While fluorosis reduced the SBS of orthodontic bracket (P = 0.017), Enhance Locus Ceruleus LC significantly increased the SBS of the orthodontic bracket in fluorosed and nonfluorosed teeth (P = 0.039). Significant increasing in the number and length of enamel crack after debonding was found in all four groups. There were no significant differences in the length of enamel crack increased after debonding among four groups (P = 0.768) while increasing in the number of enamel cracks after debonding was significantly different among the four groups (P = 0.023). Teeth in Group 2 showed the highest enamel damages among four groups following debonding. Conclusion: Adhesion promoters could improve the bond strength of orthodontic brackets, but conservative debonding methods for decreasing enamel damages would be necessary.
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Affiliation(s)
- Tahreh Baherimoghadam
- Department of Orthodontics, School of Dentistry, Yasuj University of Medical Sciences, Yasuj, Iran
| | - Sahar Akbarian
- Department of Operative Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Reza Rasouli
- Department of Orthodontics, School of Dentistry, Shahed University of Medical Science, Tehran, Iran
| | - Navid Naseri
- Department of Orthodontics, School of Dentistry, Islamic Azad University, Shiraz, Iran
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