Cementum-like material in a case of Pindborg tumor

Pindborg tumor is characterized by the production of large amounts of amyloid and the presence of calcified lamellar bodies. These bodies were investigated at both the light and ultrastructural levels in a case of Pindborg tumor showing extensive calcification. It was found that the great majority represented calcified amyloid. However the outer layer or layers in some of these bodies consisted of typically banded calcified collagen which was referred to in this paper as (cementum-like material). This term was preferred over (bone-like material) because of the striking similarity between the arrangement of collagen in this layer and that of cemental Sharpy's fibers. It is therefore suggested that although the majority of the calcified lamellar bodies in this tumor represents calcified amyloid, cementum-like material may also contribute a part.

Proteoglycans of bovine cementum: isolation and characterization

The proteoglycans associated with the mineralized matrix of bovine cementum have been studied biochemically and their distribution within this tissue localized immunohistochemically. Both hyaluronate and proteoglycans were fractionated by DEAE-Sephacel ion-exchange chromatography. The proteoglycans eluted in three separate peaks of which two contained alkali labile protein associated with glycosaminoglycans, and one appeared as free glycosaminoglycan chains. Analysis of the glycosaminoglycans identified chondroitin sulfate as the predominant species, although minor quantities of dermatan sulfate and heparan sulfate were also identified. Agarose-acrylamide gel electrophoresis and Sepharose CL-6B molecular sieve chromatography of the proteoglycans indicated them to be smaller in size with respect to periodontal ligament and gingival proteoglycans, but similar to bone and dentine proteoglycans. Amino acid analyses indicated subtle differences between cementum and bone proteoglycans. Using a monoclonal antibody (9-A-2) which recognizes the unsaturated disaccharide of chondroitinase ACII-digested glycosaminoglycans, chondroitin sulfate was identified in the pericellular environment within the lacunae housing the cementoblasts as well as in the extracellular matrix of cementum.

Isolation of a fibroblast attachment protein from cementum

Cementum forms the interface through which soft connective tissue of the periodontium is attached to the root surface. The interactions between cementum and connective tissue are not completely understood and whether cementum influences periodontal connective tissue formation and regeneration is not clear. We have examined the effect of cementum components on the attachment of gingival fibroblasts. Cementum was harvested from healthy human and bovine teeth and extracted sequentially in 0.5 M CH3COOH, 4 M guanidine and bacterial collagenase. Fibroblast attachment was measured using 51Cr-labelled human gingival fibroblasts on tissue culture plates previously incubated with cementum components. Results showed that all three extracts mediated fibroblast attachment and attachment was dependent on concentration and incubation time. The attachment activity was not destroyed by digestion with bacterial collagenase or by antibodies to fibronectin and laminin. However, it was inhibited by a peptide containing the amino acid sequence RGD. By gel filtration or HPLC using a DEAE-cellulose column several proteins with attachment activity were fractionated. SDS-polyacrylamide gel electrophoresis revealed that HPLC fraction eluted by 0.2-0.3 M NaCl contained a protein with molecular weight 55 kDa as a major component. This protein was isolated and shown to promote fibroblast attachment, and optimal attachment occurred at a concentration of 2 micrograms/ml. We conclude that cementum contains substances capable of mediating fibroblast attachment and that these substances play an important role in periodontal connective tissue formation and regeneration by facilitating fibroblast attachment to root surfaces.

Chemical and crystallographic events in the caries process

The chemical and crystallographic events associated with the caries process can be described based on the results from the following studies: (a) effects of carbonate, magnesium, fluoride, and strontium on the physico-chemical properties--lattice parameters, crystallinity (crystal size and strain); dissolution properties of synthetic apatites; (b) factors influencing the in vitro formation and transformation of DCPD, OCP, AP (Ca-deficient apatites), FAP, beta-TCMP (Mg-substituted), and CaF2; and (c) studies on properties (crystallinity, composition, chemical, and thermal stabilities) of enamel, dentin, and bone. The dissolution of CO3-rich/Mg-rich/F-poor dental apatite crystals and re-precipitation of CO3-poor/Mg-poor/F-rich apatite in the presence of F- ions in solution contribute to a more acid-resistant surface layer of the caries lesion. Fluoride promotes the formation of less Ca-deficient and more stable apatite crystals. The presence of Ca, P, and F in solution inhibits dissolution of apatite more than does the presence of F alone. Low levels of F in solution promote the formation of (F, OH)-apatite, even under very acid conditions; an increase in F levels causes the formation of CaF2 at the expense of DCPD or apatite, especially in acid conditions. F in apatite and/or in solution suppresses extensive dissolution of dental apatite and enhances the formation of (F, OH)-apatite crystals which are more resistant against acid-dissolution than are F-free apatite crystals.

Distribution of fluoride across cementum, dentine and alveolar bone in rats

This study was undertaken to determine the fluoride distribution in cementum and neighboring hard tissues of the rat after different levels of fluoride administration via the drinking water. Specimens of cementum with underlying dentine and adjacent bone were removed from the distal roots of the first lower molars. The fluoride distribution in each specimen was determined in samples removed sequentially using an abrasive microsampling technique. Fluoride concentrations were highest at or near the surface and decreased towards the interior of cementum, dentine and alveolar bone in both control and experimental groups. With increasing fluoride intake, concentrations increased throughout the tissue. The distribution patterns of fluoride in cementum of contralateral teeth from the same animal were similar. Fluoride concentrations in cementum were higher than those of dentine and alveolar bone.

Phosphoprotein extraction from the dentine/cementum complex of human tooth roots

Root shards were placed in dialysis tubing and demineralized to completion in either 10% disodium EDTA, pH 7.4, 0.6 M HCl, 0.1 M HCl, 0.5 M acetic or 75 mM-25 mM lactic-acetic acids. The demineralized shards were then re-extracted with 0.05 M tris-HCl, 1.0 M NaCl. DEAE chromatography revealed that the major peak of the 0.6 M CHl and EDTA extracts contained organic phosphorus, whereas much less organic phosphorus was found in the major peak of the 0.1 M HCl extract. Analysis of the re-extracts gave a pattern opposite to that obtained from the initial extractions. Measurements of protein and organic phosphorus released during extraction and re-extraction confirmed these results. Staining of SDS-PAGE gels for phosphoprotein with Stains-All resulted in a blue smear in fractions containing organic phosphorus. Thus the extraction of phosphoproteins from human tooth roots differed depending upon the demineralizing conditions. This ability to remove phosphoprotein differentially will allow further investigation of the role of phosphoprotein in mineralization and remineralization.

The distribution and quantitation of cementum-bound lipopolysaccharide on periodontally diseased root surfaces of human teeth

The aim of this study was to estimate the concentration of cementum-bound LPS on a group of 12 teeth that had been extracted because of periodontitis. LPS on scaled root surfaces was labelled by immunogold/silver staining. The concentrations of LPS were estimated by quantifying the amount of bound silver label, using X-ray microanalysis in areas free of plaque or calculus. These were compared against standards of known LPS concentration, which were separately prepared for each sample. Cementum-bound LPS was detected at concentrations of up to 2 EU/mm2 of affected root surface. However, most of the root surfaces had considerably lower concentrations than this, the mean of all samples never exceeding 0.7 EU/mm2. LPS concentrations were highest on cementum towards the apical regions of the affected pocket. These findings confirm that cementum-bound LPS is only present in low concentrations on affected teeth, and suggest that the clinical significance of cementum-associated LPS may have been over-estimated in the past. The demonstration of LPS appears to be more important as an indicator of retained bacteria and calculus than of cementum-bound LPS per se.

[Boron in dental hard tissues studied by 11B(p,alpha)8Be nuclear reaction]

Boron's low atomic number and low concentration make its measurement in hard dental tissues difficult. Using nuclear reaction, the 11B(p,alpha)8Be*, enamel, dentine and radicular cement of 18 dental elements, ten healthy and eight decayed teeth, both permanent and deciduous were studied. The highest Boron concentrations were found in the two most superficial microns of the vestibular enamel in non-decayed incisors, particularly deciduous ones. Premolar and molar teeth showed lower Boron concentrations than frontal ones, decayed teeth revealed hardly any Boron. In confirmation of the prevailing exogenous contribution of this karyostatic trace element, on average, Boron concentrations were 2.5 times as high as dentine and 10 times as high as cement.

[Determination of calcium and trace elements in hard tissues of the healthy tooth by neutron activation analysis and statistical data processing]

Instrumental neutron activation analysis has been used to determine quantitatively the content of certain trace elements forming the healthy tooth in a sample of 31 teeth extracted for orthodontic or periodontal reasons.

Soluble glycosylated phosphoproteins of cementum

Ethylenediaminetetraacetate and hydrochloric acid (EDTA) (HCl) extracts of cementum were fractionated by molecular sieving, ion exchange chromotography, and reverse phase high precision liquid chromatography (HPLC). Nine fractions were isolated, all of which contained serine phosphate, threonine phosphate, and high concentrations of aspartic acid (asp) and glutamic acid (glu). Five of the fractions obtained by repeated HPLC consisted of a single band by SDS-PAGE; the others contained at least one other minor component. All of the protein bands stained with both Rhodamine B and alcian blue, the latter consistent with analytical determinations that demonstrated that the phosphoprotein component contained a significant amount of carbohydrate, including neuraminic acid.

Bovine tooth-derived bone morphogenetic protein

Eight groups of dental tissues were mechanically dissected from the mandibles of one-year-old steers; they were then defatted and decalcified in HCl. The noncollagenous proteins were extracted with various solvents from collections of tissue and bio-assayed for osteo-inductive activity. Collectively, the hard tissue (dentin, enamel, and cementum) noncollagenous proteins were fractionated by molecular sieve chromatography, hydroxyapatite affinity chromatography, and ion exchange chromatography. Osteo-inductive activity of each protein fraction was determined by implantation in the quadriceps muscle pouch of mice. The quantity of bone was measured by computerized image analysis. From 71% to 83% of 41 implants of dental hard tissues induced bone formation. The quantity of bone was greater from unerupted than from erupted teeth. Dental soft tissues that had no osteo-inductive activity were rich in a 14-kDa protein, presumably matrix gamma-carboxyglutamic acid-rich proteins. Proteins with Mr of from 15 to 28 kDa were associated with osteo-inductive activity. Components with Mr greater than 28 kDa had no activity. These observations suggest that bovine teeth have a selection of osteo-inductive proteins that is comparable in range of MW to bovine bone morphogenetic protein.

Human and mouse cementum proteins immunologically related to enamel proteins

SDS-polyacrylamide gel electrophoresis, immunoblot and amino acid composition analyses were applied to human and mouse acellular cementum proteins immunologically related to enamelins and amelogenins. In this analysis, anti-mouse amelogenin, anti-human enamelin and synthetic peptide (e.g., -LPPHPGHPGYIC-) antibodies were shown to cross-react with tooth crown-derived enamelin with a molecular mass of 72,000 Da (72 kDa), amelogenins (26 kDa), and also to four human cementum proteins (72, 58, 50 and 26 kDa) and two mouse cementum proteins (72 and 26 kDa). Each of the antibodies recognized tooth root-derived cementum polypeptides which share one or more epitopes with tooth crown-derived enamel proteins. The molecular mass and isoelectric points for crown-derived and root-derived enamel-related proteins were similar. Analysis of human and mouse cementum proteins revealed a characteristic amino acid composition enriched in glutamyl, serine, glycine, alanine, proline, valine and leucine residues; compared to the major enamel protein amelogenin, cementum proteins were low in proline, histidine and methionine. The human and mouse putative intermediate cementum proteins appear to represent a distinct class of enamel-related proteins. Moreover, these results support the hypothesis that epithelial root sheath epithelia express several cementum proteins immunologically related to canonical enamel proteins.

Differences between enamel-related and cementum-related dentin in the rat incisor with special emphasis on the phosphoproteins

In order to determine whether qualitative and quantitative differences exist between the non-collagenous proteins of crown and root dentin, rat incisors were separated into their enamel- and cementum-related dentin portions (ERD and CRD, respectively). Isolation of the mineral-bound proteins was performed under nondegradative conditions. Analytical procedures included DEAE-chromatography on high pressure liquid chromatography, sodium dodecyl sulfate-polyacrylamide gel electrophoresis, and determination of phosphate, protein, and hydroxyproline. The results have shown that considerable differences exist among the two dentins with respect to the quantity of the various phosphoproteins. For this group of proteins as a whole, the ERD contains about 2 times the amount of organic phosphate found in the CRD and about 1.4 times the amount of protein. The content of higher phosphorylated phosphoproteins was about 4 times higher in the ERD than in the CRD, whereas the reverse was shown for the lower phosphorylated phosphoproteins. All differences were found to be statistically significant. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis revealed that while the ERD contains phosphoproteins with an apparent molecular mass of 98 kDa, the CRD contains two classes of phosphoproteins one of 98 and one of 88 kDa. The relevance of the observed differences in phosphoprotein distribution is discussed in relation to their possible role in mineralization.

Radioautographic study of [3H]mannose utilization during cementoblast differentiation, formation of acellular cementum, and development of periodontal ligament principal fibers

The formation of acellular cementum and the deposition of [3H]mannose-labeled extracellular matrix were studied in 14-day-old Sprague-Dawley rats. The sequential events of cementogenesis and periodontal ligament formation observed by light and electron microscopy were described from the stage of an intact root sheath to postcementogenesis. Ultrastructural examination of cementoblasts and periodontal ligament fibroblasts revealed [3H]mannose labeling of the Golgi apparatus at 10 minutes, collagen secretion granules at 30 minutes, and the extracellular matrix beginning at 30 minutes. The extracellular matrix between cementoblasts and dentin was heavily labeled at 1 and 4 hours. Newly formed principal fibers of the periodontal ligament were also heavily labeled at 4 hours. Fully differentiated cementoblasts exhibited the largest sectional profiles and the highest number of silver grains per unit area of cytoplasm. The morphologic and radioautographic data suggest that during the formation of acellular cementum, the cementoblast phenotype is expressed for a short period of time, after which cementoblasts appear to mix with the fibroblasts of the periodontal ligament.

In vitro root caries progression measured by 125I absorptiometry: comparison with chemical analysis

Radiation from a 125I source and a non-image-forming detector was used for non-destructive measurements of root caries progression. Blocks were cut parallel to the cementum surface of unexposed human roots. These blocks were then individually demineralized in under-saturated calcium phosphate solutions over an 84-hour period. In order for the in vitro root surface demineralization to be followed, the changes in transmission (delta T) through the blocks were measured, by 125I absorptiometry, eight times during the course of the experiment. Chemical analyses of the calcium output (delta Ca) from the blocks into the demineralizing solutions were also performed, and the rate of demineralization (Vdem) was calculated from these values. The precision of 125I absorptiometry was calculated from 176 duplicate transmission measurements, and the coefficient of variation was found to be 0.20%. The correlation coefficient between delta T and total delta Ca for each of 22 cementum/dentin blocks ranged between r = 0.934 and r = 0.998. The progression of root hard-tissue lesions observed by these two methods and by the calculated Vdem was found to be proportional to the square and cubic roots of time. The study shows that 125I absorptiometry can be used for continuous non-destructive measurements of root hard-tissue demineralization in vitro.

Root surface debridement--an in vitro assessment

Root planing has been advocated to render periodontally involved root surfaces 'biologically compatible' with the surrounding soft tissues and thus promote healing. However, recent work has shown that only small amounts of cytotoxic material are likely to be incorporated within the root surfaces, thereby questioning the rationale for the traditional emphasis that is placed upon the removal of 'diseased cementum'. This investigation assessed by limulus amoebocyte lysate (LAL) assay and Polymyxin B affinity chromatography the extent of residual lipopolysaccharide (LPS) following root surface instrumentation in vitro. A conservative regime was carried out, consisting of 15 instrument strokes per surface designed to ensure complete overlapping of the strokes. This harvested varying amounts of LPS from 18 single-rooted teeth while leaving behind less than 0.24 ng of LPS per tooth in the majority (72%) of cases. This finding endorses the growing belief that extensive root planing may not be warranted.

Fluoride distribution and histological structure of human cementum

Thirty-one teeth taken post-mortem from 10 subjects aged from 40 to 66 years were studied. A close relationship was found between fluoride (F) distribution and histological structure. Although, as in all mineralized tissues, F concentrations tended to be highest towards the external surface, individual patterns of F distribution also seemed to reflect the histological pattern, especially the distribution of cellular or acellular cementum. In general, F concentrations were high in acellular and low in cellular cementum.

Periodontally diseased vs. normal roots as evaluated by scanning electron microscopy and electron probe analysis

A scanning electron microscope and electron probe study was carried out to compare root structure from deep within periodontal pockets with roots exhibiting no periodontal disease. To eliminate the possibility of extraneous ion introduction or deletion, no attempt was made to subject the roots to fixation, embedding, or dehydration prior to sectioning and viewing in the electron microscope. Mineral content and concentration were determined with an electron probe on two specimens per tooth. On one specimen, only the external cemental surface was analyzed. On an adjacent cross section, readings were taken from the surface and at incremental depths into the root. A nonparametric statistical analysis compared diseased with nondiseased roots. The following conclusions can be drawn from the study: (1) Consistent and repeatable qualitative electron probe analyses can be performed on human teeth with minimal specimen preparation. This gives a more accurate assessment, since the integrity of the crystalline structure is not disrupted. (2) Minerals consistently found were P, Ca, Cu, Zn, Mg and Na. They were in similar concentrations throughout the area analyzed. (3) Mg and Cu showed higher values in the nondiseased teeth. (4) There were no differences in concentrations for Ca, P, Zn, and Na between roots exposed to a periodontal pocket and nondiseased roots.

Mitogenic activity of cementum components to gingival fibroblasts

Cementum forms the interface between root dentin and periodontal ligament through which periodontal connective tissue is attached to root surfaces. We have examined how cementum components influence the biological activities of gingival fibroblasts. Cementum was harvested from freshly extracted human teeth and extracted sequentially with 0.5 mol/L acetic acid, 4 mol/L guanidine-0.5 mol/L EDTA, and bacterial collagenase. The extracts were concentrated and analyzed for mitogenic activity to human gingival fibroblasts. DNA synthesis was assayed by measurement of [3H]thymidine incorporation by quiescent fibroblasts activated to divide, and cell growth was determined by the counting of cells over a 10-day period. Results showed that extracts of cementum stimulated quiescent gingival fibroblasts to synthesize DNA and grow. The stimulation was dose-dependent, and most of the stimulatory activity was extracted by acid. Addition of small quantities of serum potentiated the mitogenic activity to levels greater than those of control cultures containing 10% fetal calf serum. The mitogenic activity was heat-stable, but it was destroyed by trypsin. Neither platelet-derived growth factor (PDGF) nor epidermal growth factor (EGF) was detectable in the cementum extract, and extracts of human dentin and skin contained very little mitogenic activity. We conclude that cementum contains substances capable of regulating the growth of gingival fibroblasts, and that these substances may play an important role in gingival connective tissue formation and regeneration.

External radiolabelling of components of pellicle on human enamel and cementum

Enamel and cementum pellicles form by different adsorption of salivary and serum components to the tooth surface. The authors compared the constituents of surface pellicle formed on human enamel and cementum under three conditions: (1) natural pellicle, present on extracted teeth, which was formed by prolonged exposure to human salivary and serum components in vivo; (2) short-term in-vivo pellicle, formed by exposing enamel and cementum slabs to the oral environment for 0-60 min; (3) in-vivo pellicle, formed by incubating enamel and cementum slabs in a 1:1 mixture of parotid and submandibular/sublingual saliva for 0-60 min. Pellicle composition was characterized by external radiolabelling techniques specific for exposed carbohydrate (sialic acid and galactose) and amino-acid (tyrosine) residues. There were differences between cementum and enamel in the electrophoretic profiles of natural-pellicle components; notably, a major 180 kda 3H-labelled sialoglycoprotein, unique to the cementum pellicle, had the same electrophoretic mobility as the low-molecular-weight mucin from human submandibular/sublingual saliva. After alkaline-borohydride treatment, 3H-labelled natural-pellicle oligosaccharides chromatographed in the di- to tetrasaccharide region of a Bio-Gel P-2 column. The most prominently labelled components of short-term enamel and cementum pellicles in vivo and in vitro had the same electrophoretic mobility as the low-molecular-weight salivary mucin. The pellicle components formed in vitro, unlike those formed for the same period of time in vivo, were rapidly desorbed from the cementum, but not from the enamel surface. We conclude that: (1) external labelling techniques are useful for obtaining a profile of pellicle components; (2) submandibular/salivary mucins are major constituents of salivary pellicles on tooth surfaces; (3) glycoproteins that carry low-molecular-weight, sialic-acid-containing saccharides are important determinants of pellicle surface properties [corrected].

In vitro attachment of bacteria to extracts of cementum

Cementum is a specialized mineralized tissue providing for the attachment of periodontal fibers to the root surface of a tooth. In periodontal disease this connective tissue attachment to the cemental surface is lost. The ability of bacteria to adhere to the root surface, an initial event in the disease process, may be influenced by the organic matrix of cementum. Therefore, an in vitro assay of cell attachment was modified to study bacterial adherence to protein extracts of cementum. Petri dishes coated with the extracts were pre-incubated in culture media and then bacteria were added. Using this assay, Capnocytophaga-like species, a gram negative bacterium implicated in periodontal disease, attached preferentially to dishes coated with cemental extracts when compared with Type I collagen or uncoated dishes. This assay system should prove beneficial for studying the attachment of various microorganisms to protein extracts of both normal and diseased cementum, as well as providing insight into the unique attachment properties of cementum.

Electron probe study of human and red deer cementum and root dentin

A topographical description of the concentration profiles of Ca, P, Mg, Zn, F, S, and K in human and red deer cementum and root dentin is given. The concentrations reported should be regarded as semiquantitative values. A downward slope of the Ca, P and Mg profiles toward the pulpal cavity seemed largely to correspond with the secondary dentin. Marked elevations of the Zn profiles, modest elevations of the F profiles, and in a few instances of the S profiles, toward root surface and pulpal cavity were registered. In a couple of scans a slight elevation of the K profile toward the root surface ws observed. A high degree of concordance in human and red deer teeth was ascertained.

Distribution of fluoride in human cementum

Fluoride and phosphorus concentrations were determined in layers of cementum and dentine serially-abraded from the root surface, passing through the cementum-dentine junction and into the underlying dentine, using silicon carbide-impregnated film. The concentrations of F in the cementum mineral were variable but consistently maximal at or near to the external surface of the root and tending to fall towards the interior and across the cementum-dentine junction into the underlying dentine. The F content in the cementum tended to increase with age.

Shallow fluorine depth profiles of cementum in periodontal disease--a pilot study

A nuclear resonant reaction depth profiling technique was used to analyze elemental fluorine distribution in the first 20 microns of human dental cementum. A pilot sample of six periodontally-involved teeth indicated greater levels of fluorine in exposed cementum (0.9 leads to 2.4%) compared to cementum apical to the zone of epithelial attachment (0.4 leads to 1.1%). Furthermore, the exposed cementum appeared to have fluorine levels within the surface 5 microns comparable to the hypermineralized layer previously reported by x-ray diffraction and microprobe techniques. The nuclear resonant reaction is a non-destructive technique which yields useful information of surface elemental distribution as a function of depth, and may be regarded as a potential means of analyzing changes in the inorganic constitution of cementum during various physico-chemical pre-treatments.

The amino-acid composition of the non-collagenous organic matrix of human cementum

Human cementum was demineralized and exhaustively extracted with EDTA and then digested with collagenase. The insoluble residue after digestion was extracted successively with 8M urea and with 8M urea containing 0.1M mercaptoethanol. The non-collagenous fraction accounted for a larger proportion of the total organic matrix than previously found in bone and dentine, largely due to the presence of more collagenase-insoluble material. Fractionation of the EDTA-soluble material resulted in less-acidic fractions, showing similarities to the corresponding fractions of bone and dentine, and anionic fractions with lower levels of acidic amino acids than those from other hard tissues. Fractions obtained from the soluble collagenase-released material after ion-exchange chromatography and gel filtration, although more heterogeneous than those of bone and dentine, showed many similarities, thus confirming the close homology within this fraction from the various hard tissues. The insoluble residue after collagenase digestion appeared to be of the acid-structural protein type found also in bone, dentine and a wide range of connective tissues.

Mucopolysaccharidase activity and glycosaminoglycan content in traumatized resorbing deciduous teeth

The periodontal ligaments from traumatized deciduous teeth, while undergoing rapid resorption, were analyzed biochemically for mucopolysaccharidase activity and for total glycosaminoglycan content of dentin and cementum. Enzyme activity was present only in resorbing teeth. A concomitant 65 percent decrease in glycosaminoglycans from these teeth occurred as well.

Bacterial endotoxin: a role in chronic inflammatory periodontal disease?

A review of current information was undertaken examining suggested roles for bacterial endotoxin in periodontal disease. Evidence for the presence of endotoxin in plaque, gingival crevicular fluid and periodontally involved cementum is discussed. The biological effects of endotoxin are numerous, and its abilities to induce tissue inflammation, resorb rat foetal bone, activate the complement pathway, stimulate macrophages and activate immune responses are examined in relation to the suggestion that endotoxin is an important factor in the pathogenesis of periodontal disease.

Identification of O-phosphoserine, O-phosphothreonine and gamma-carboxyglutamic acid in the non-collagenous proteins of bovine cementum; comparison with dentin, enamel and bone

O-phosphoserine [Ser(P)], O-phosphothreonine [Thr(P)], and gamma-carboxyglutamic acid (Gla) have been identified in native, calcified cementum and in non-collagenous proteins which can be extracted from the tissue in EDTA at neutral pH. The concentrations of Ser(P) and Thr(P) and the amino acid composition of the EDTA extractable proteins are more similar to those found in bone than in dentin or enamel. The concentration of Gla in cementum is lower than it is in bone and higher than it is in enamel, which contains essentially no Gla. Based on the contents of Gla in these mineralized tissues and the distribution of alkaline and acid phosphatases in these tissues, it is speculated that Gla may be part of these or other proenzymes rather than being involved directly and structurally with the deposition of the mineral phase.

The hypermineralization of diseased root surfaces

Root surfaces which have lost their attachment due to chronic inflammatory periodontal disease present significant increases in calcium, magnesium, phosphorus, and fluoride. The clinical significance of this effect is not known in regards to wound healing, but it may be helpful in control of cervical sensitivity.

Specific immunohistochemical localization of type I collagen in porcine periodontal tissues using the peroxidase-labelled antibody technique

Antibody against Type I collagen was raised in rabbits and purified by immunoadsorption on Sepharose-conjugated Types I and III collagen. The cross-reactivity of purified antibody to Type III collagen was found to be less than 0.5% by passive haemagglutination and less than 1.5% by radioimmunoassay. When paraffin sections of fixed and decalcified pig molars were incubated with purified antibody to Type I collagen, varying degrees of staining were observed in the ligament, gingiva, bone and cementum. The periodontal ligament adjacent to bone was more widely stained than that adjacent to cementum in some regions, whereas in others, no difference in staining could be discerned between the two halves of the ligament. The lamina propria of gingiva was stained, and this appeared to be most intense in the vicinity of the overlying epithelium. The fibrous component in the endosteal spaces, the dentine and the extracellular coronal elements in the pulp were generally stained. The impression obtained from the staining pattern is that Type I collagen is not restricted to particular regions of the periodontal ligament or the lamina propria of the gingiva.

[Quantitative study of the mineral substance of the human dental cementum]

A study of the mineral substance of human dental cementum was made by various biophysical methods. In healthy teeth, average degree of mineralization of the cementum as well as crystallinity and fluoride content of its mineral substance, were found to increase as a function of age. This evolution, typical of the physiological ageing process of calcified tissues, is especially pronounced for the cementum, because of the absence of remodeling activity such as that occuring in bone tissue. Cementum of impacted or semi-impacted teeth was found to have a significantly lower degree of mineralization than that of sound teeth in occlusion. In periodontally diseased teeth, the increase in crystallinity and degree of mineralization of the cementum as a function of age is considerably greater than that observed in healthy teeth. These changes were found to affect the cervical cement first of all, and progressively, the entire tissue. No difference was observed, however, in the fluoride content of the cement of periodontally diseased teeth and healthy teeth of the same age.