Secondary ion mass spectrometry and X-ray microanalysis of hypomineralized enamel in human permanent first molars.

A common finding in Swedish children is hypomineralization in first molars of unknown cause. Little is known about the chemical composition of the disturbed enamel. The aim here was to analyse the concentration gradients for F, Cl, Na, Mg, K and Sr in hypomineralized enamel from 17 permanent molars by means of secondary ion mass spectrometry, to complete this analysis with an examination of the main matrix elements O, P and Ca by means of X-ray microanalysis, and to compare them with normal enamel. Hypomineralized enamel had a higher content of carbon and the calcium as well as the phosphorus concentration was lower than in normal enamel. The mean Ca/P ratio in hypomineralized areas was significantly lower (1.4) than in the adjacent normal enamel (1.8). The F content was highly variable in impaired enamel and higher than in normal, but close to the surface there was most often no difference between the two. Contents of Mg and K were slightly higher in hypomineralized areas, especially towards the surface. Also Na had a somewhat higher content toward the surface in defective enamel. Cl and Sr contents had negligible or no diversity in relation to the degree of mineralization.

Effect of toothpicks with and without fluoride on De- and remineralization of enamel and dentine in situ.

The aim of this investigation was to study the effect of the interproximal use of fluoride (F)-impregnated and non-impregnated birch toothpicks on the degree of de- and remineralization of enamel and dentine in situ. Ten volunteers with complete dentures in the upper jaw participated. Each subject had four specimens: (1) sound enamel, (2) demineralized enamel, (3) sound dentine and (4) demineralized dentine; placed pairwise at two approximal sites (15/16 and 25/26) of the maxillary prosthesis. The study involved three test periods (A, B and C), each lasting 4 weeks. In A, the subjects used F toothpicks (impregnated in 4% NaF) and, in B, nonimpregnated toothpicks 3 times daily. During period C, no toothpicks were used. Dentifrice or other F-containing products were not allowed during the 4-week periods. Transversal microradiography was used to determine lesion depth (ld) and mineral loss (DeltaZ). The results revealed that all the sound samples lost mineral during the three experimental periods; DeltaZ for both enamel and dentine was less for A and B compared with C (p<0.01) and less for A compared with B and C for dentine (p<0.05, p<0.01). The demineralized samples also lost mineral, apart from dentine, during periods A and B, i.e. when F-impregnated and non-impregnated toothpicks were used; ld for enamel and DeltaZ for dentine were less for A compared with C (p<0.05). Four weeks' use of toothpicks, especially F-impregnated toothpicks, thus reduces the demineralization of enamel and dentine at approximal sites in situ.

Differences in co-variation of inorganic elements in the bulk and surface of human deciduous enamel: an induction analysis study.

This paper demonstrates a method for determination of co-variation between some inorganic elements in the bulk and surface areas of human tooth enamel. The technique is based on a computerised induction analysis of data obtained by secondary ion mass spectrometry (SIMS). When comparing the present data with an earlier study from our laboratory, it became evident that with only a moderate increase in the amount of data for the induction analysis, the results increased very considerably in reliability and precision. The patterns of co-variation between different elements differed between the bulk- and surface enamel. Only Mg expressed a similar pattern. In the bulk enamel the elements Na and P expressed a high degree of co-variation. Similarly, Mg and C expressed a high degree of co-variation. Mg was an element often found to co-vary with bulk enamel elements. In the enamel surface, F and Cl co-varied. In addition, Cl was an element often found to co-vary with other enamel surface elements.

A computerized induction analysis of possible co-variations among different elements in human tooth enamel.

In recent decades software tools in the area of artificial intelligence have rapidly developed for use in personal computers. Interactive rule induction utilizing mathematical algorithms has become a powerful tool in data analysis and in making rules and patterns explicit. Data from a Secondary Ion Mass Spectrometry (SIMS) elemental analysis of human dental enamel were used to elucidate co-variations between certain elements. A co-variation analysis was performed employing a computerized induction analysis program, as well as a neural network program. Both analyses, confirming each other, revealed co-variations between certain elements in dental enamel in addition to exclusion of data of no importance for chosen outcomes. The results are presented in hierarchic diagrams, in which the importance for every specific element is given by its position and level in the diagram (decision tree). From the results it became evident that elements such as chlorine and sodium expressed a high co-variation level. Similarly fluorine and potassium co-varied, as well as magnesium and the trace element strontium. It was demonstrated that data from an elemental analysis could be processed by an induction analysis to reveal co-variations between certain elements in tooth enamel. The biological significance of these data is not fully understood, and further analyses in the field are needed.

The effects of a sodium hypochlorite treatment on demineralized root dentin.

The effects of a 10% NaOCl treatment for 2 min on demineralized human root dentin were investigated by means of: microradiography (MR), scanning electron microscopy (SEM), confocal laser scanning microscopy (CLSM) and secondary ion mass spectroscopy (SIMS). MR measurements revealed that NaOCl caused a tissue contraction not related to water loss but to removal of organic substance(s), resulting in reductions of the lesion depth and mineral loss values by 15% and 42%, respectively. CLSM observations on wet dentin showed that the dentinal tubules underneath the surface are clearly observable and not deformed substantially by the NaOCl, except near the outermost surface. This indicates the importance of wet as well as of dried (high vacuum) observations. SEM micrographs (high vacuum) showed definite changes in the outer dentin surface structure; 85% of the originally open dentinal tubules were closed after NaOCl treatment. No marked changes were observed in the dentin ultrastructure inside lesions, as shown by SEM on fractured surfaces. SIMS data, pertaining to samples in high vacuum, showed a remarkable increase of chlorine (Cl) content in the entire lesion due to the NaOCl, indicating deep penetration of the original OC1 ions. The results suggest that the 2-min treatment of demineralized dentin by NaOCl solutions removes and/or changes part of the dentin matrix in nearly the whole lesion. As a consequence the mineral is somewhat redistributed, the outermost surface of a few mu m is changed, but the main dentin structure and element composition are still intact. These findings indicate that NaOCl treatments are of interest in remineralization and hyper-remineralization studies of dentin.

Reactivity of young and old human enamel to demineralization.

The aim of this study was to determine the susceptibility of newly erupted and old permanent teeth to artificial, caries-like attacks. Two groups of caries-free teeth were used. Group 1 consisted of 38 teeth extracted for orthodontic reasons (9-12-yr-old children); group 2, of 40 teeth extracted for periodontal reasons (45-65-yr-old patients). After thorough cleaning, a test window was isolated on the incisal two-thirds of the buccal surface. After demineralization with 6% HEC gel at pH 4.9 for 8 days, longitudinal ground sections were prepared for imbibition studies in polarized light and for secondary ion mass spectrometry (SIMS). In the young teeth, the lesions appeared to be uniform in their extension in the enamel, whereas the old teeth showed less marked and thinner surface zones and greater depth of the positively birefringent body of the lesion. Polarized light microscopy and SIMS data support the hypothesis that there are different enamel pathways in the initiation of the natural carious process.

Effects of magnetic fields from underwater electrical cutting on in vitro corrosion of dental amalgam.

Metallic taste has been reported from divers working with underwater electric welding and cutting. An in vitro model was designed to simulate the intraoral situation of the divers with respect to the magnetic field. Potentiostatic analyses were performed on amalgam samples exposed to AC and DC magnetic fields. Morphologic changes were analyzed using differential interference light microscopy and scanning electron microscopy. Chemical changes on the surface of the amalgam samples were analyzed with secondary ion mass spectrometry. Results demonstrated that dental amalgams exposed to a specific AC magnetic field underwent morphologic and chemical changes in the superficial amalgam layers.

Elemental imaging of dental hard tissues by secondary ion mass spectrometry.

High resolution imaging by secondary ion mass spectrometry (SIMS) has been employed in a chemical-microstructural pilot study of different classes of hard tissues from human and rat. The special scanning ion microprobe instrumentation permitted the recording of element-resolved images with a lateral resolution of about 50 nm. Sharp distribution micrographs were obtained for Ca+, F- and CN-, and in selected specimens for Na+, K+, Mg+, O-, Cl-, C- and PO-. Several trends in the elemental kinetics of mineralization were comprehensively illustrated and new aspects were indicated. The paper points out the broad scope of interest, and the potentialities of unique applications, in SIMS imaging of biomineralized tissues, the conditions for efficient employment of the recently developed technique are briefly discussed and demonstrated.

Fluorine levels in in vitro remineralized enamel after treatment with 1000 ppm F as NaF, MFP or mixed solutions.

By means of secondary ion mass spectrometry (SIMS) an investigation has been made of the F uptake and the transport of fluorine-carrying ions in artificially carious human enamel after in vitro remineralization. The fluoridation was effected from solutions of pure Na2FPO3 (MFP), pure NaF, or mixtures of MFP and NaF, always with a total F content of 1000 atom-ppm. The recorded in depth profiles of F concentration show that, after 14 days of remineralization, 1) neither the acquired F levels nor the F distributions are greatly dependent on whether fluoridation is from NaF, MFP or mixtures, 2) the F distribution shape is not strongly influenced by a 3-month storage followed by remineralization, 3) the penetration of F beyond the lesion is generally deeper from NaF than from MFP, and 4) the effect of long storage on penetration depth is mainly noticeable for MFP-treated specimens.

Ion probe analysis of discolored areas in the enamel of deciduous teeth.

Discolored and normal areas in the enamel of eleven primary teeth from children born to diabetic mothers were analysed with ion probe technique. These teeth were compared with four teeth from children born to healthy mothers. Fourteen different mass numbers were recorded. The affected areas showed a proportionally higher content of organic material, but the differences in recorded values reached statistical significance only in the postnatal enamel. The study revealed a considerable biological variation in the chemical composition of deciduous tooth enamel. The brown areas may be partly related to variation in physical properties.

Indepth distributions of elements in teeth, determined by ion probe analysis.

The technique of secondary ion mass spectrometry has been applied to dental hard tissue. The method offers high sensitivity (ppb-ppm) to most elements, a topographic surface resolution of about 1 micron, and a practical depth resolution in the 10 nm range. Quantitative analysis has entailed the use of external standards or the adaptation of a thermodynamic model of the secondary ionization mechanism. The intrinsic mass spectra of secondary ions from apatite material have been studied to assess the practical detection limits for most elements of the periodic table. Fluorine studies have been performed on enamel subjected to different prophylactic treatments. The atomic mechanism of fluorine mobility in teeth have been studied in diffusion anneals. The distributions of different elements (F, Cl, P, Li, Na, K, Rb, Mg, Sr, Ba, Al, C, Pb) have been investigated in dependence of depth in the enamel and dentin from different environments.

SIMS study of element concentration profiles in enamel and dentin.

The ion probe technique has been employed for the determination of the concentrations of P, F, Cl, C, Na, K, Mg, Sr, Al, and Si at different depths in human tooth. The applicability of the method depends selectively on the element's position in the periodic table, but may be regarded as good for a wide range of microelements of dental interest.

Ion probe study of fluorine gradients in outermost layers of human enamel.

F concentrations in the outermost layers of human tooth enamel were studied with the aid of a secondary ion microanalyzer. Concentration profiles were recorded in continuous sputtering analysis from the surface down to a depth of about 0.3 micrometer. Samples previously subjected to topical fluoride treatment were compared with reference specimens. In some samples, the results were compared with those obtained at greater depths by macroscopic etching analysis.