Total fluoride intake in children aged 3 to 4 years--a longitudinal study.

Several previous studies using food consumption tables or diet records have estimated that children aged 1 to 12 years resident in fluoridated (1 ppm) areas receive, on average, between 0.05 and 0.07 mg fluoride/kg body weight from foods and drinks alone. In this study, the duplicate-diet approach, which is a more accurate method of determining nutrient intake, was used to determine if levels of fluoride intake from foods and drinks are similar to those estimated from food consumption tables or diet records. Duplicate portions of all foods and drinks consumed over 24 hours by 66 children aged 3 to 4 years resident in fluoridated and low-fluoride areas of New Zealand were collected on three separate days over a period of 12 months and analyzed for fluoride. Fluoride intake from the use and ingestion of toothpastes and fluoride supplements was also determined for each child. It was hypothesized that the total amount of fluoride received by children in low-fluoride areas from diet, toothpastes, and fluoride supplements was similar to that received by children in fluoridated areas from diet and toothpastes. The mean fluoride intake from foods and drinks alone in the low-fluoride areas was 0.008 +/- 0.003 mg/kg body weight (0.15 +/- 0.06 mg/day; n = 34) and in the fluoridated areas was 0.019 +/- 0.009 mg/kg body weight (0.36 +/- 0.17 mg/day; n = 32). The mean fluoride intake from foods and drinks and toothpastes in the low-fluoride areas was 0.027 +/- 0.012 mg/kg body weight (0.49 +/- 0.25 mg/day) and in the fluoridated areas was 0.036 +/- 0.015 mg/kg body weight (0.68 +/- 0.27 mg/day). Fluoride intake from diet alone did not exceed 0.04 mg/kg body weight (0.74 mg/day), and fluoride intake from diet and toothpaste did not exceed 0.07 mg/kg body weight (1.31 mg/day). The results suggest that levels of fluoride intake from foods and drinks alone as estimated by the duplicate-diet approach are much lower than previously estimated from food consumption tables or diet records. It was calculated that if all children in the low-fluoride areas were to take currently recommended dosages of fluoride tablets, which have been based on dietary surveys and diet records, then the total fluoride intake of some children in the low-fluoride areas would exceed that of their counterparts in the fluoridated areas. The results suggest that currently recommended dosages of fluoride tablets need to be further reduced if dental fluorosis in children is to be avoided.

Scanning electron microscopy of dimethylbenzanthracene (DMBA)-treated hamster cheek pouch.

The aim of the present study was to describe changes which could be regarded as a result of neoplastic rather than inflammatory processes. Fifty-five weeks after 6 weeks of DMBA application to the cheek pouches of 5 male hamsters there were 4 types of lesion: larger ulcerated sessile; smaller non-ulcerated sessile; non-ulcerated pedunculated; conical projections. These and the rest of the pouches were examined by scanning electron and light microscopy. The interlesional mucosa, non-ulcerated sessile lesions and conical projections were covered by flat polygonal cells with either a honeycomb surface pattern of interconnecting microridges, or microridges arranged into more parallel lines. Cell imprints and boundaries were formed by linear ridges, grooves or both. Pedunculated lesions had flat smooth-surfaced cells and cells with a honeycomb surface pattern. None of these lesions were carcinomas by light microscopy but the ulcerated sessile lesions were. The appearance of the cells on the ulcerated lesions varied: flat, with a variable number of short microvilli that were often knob-like, isolated short microridges, or both; plump, giving a cobblestone appearance with surfaces that were smooth, covered by microvilli, short microridges or both. Such appearances have been described as characteristic for dysplastic and malignant stratified squamous epithelium in a number of sites. Further study of both experimental and naturally occurring mucosal disease is needed to validate this.

Structure of hamster palatal gingiva and intermolar mucosa after intraperitoneal dosing with N-methyl-N-nitrosourea: a scanning electron microscope study.

The palatal gingiva and intermolar mucosa from normal hamsters and from hamsters that had received N-methyl-N-nitrosourea (NMU) intraperitoneally were examined by scanning electron microscopy over a 22-week period. The normal gingiva and rostral two-thirds of the intermolar mucosa were covered by flat polygonal cells that had a regular honeycomb surface pattern of interconnecting micro-ridges, distinct cell boundaries and imprints of cells that had been desquamated. The caudal third of the intermolar mucosa in normal and NMU-treated hamsters was covered by soft-palate type mucosa whose smooth surfaced cells surrounded scattered fungiform-like papillae. In NMU-treated hamsters changes were more common in the rostral two-thirds of the intermolar mucosa than in the gingiva. At 10 weeks there were sessile and conical surface projections and saucer-shaped and conical epithelial-lined depressions. At 16 weeks these projections and depressions were larger and more numerous, and groups of conical projections formed papillomatous-like lesions. At 22 weeks the projections and depressions were further increased in number and size and there were distinct papillomas. At 10 and 16 weeks the entire epithelium showed cells, cell boundaries and cell imprints resembling those in the controls, except that there were defects or dilated intercellular spaces at the base of the conical depressions and some of the cells were thicker. Much of the 22-week epithelial had a similar structure, but in some areas that did not show the projections or depressions the cells varied in size and shape and were covered by elongated micro-ridges. Here the surface was irregular as were the cell boundaries. Examination of sections by light microscopy, both from these irregular areas and from areas that appeared normal by scanning electron microscopy, revealed that the deeper epithelial strata could be either normal, dysplastic or at times malignant. However, scanning electron microscopy failed to reveal dysplastic or malignant epithelium.

Canalicular adenoma: report of five cases with ultrastructural observations.

Canalicular adenomas from five patients were examined by light and electron microscopy. All patients were over 50 years of age; 4 of the lesions were from the upper lip, 4 were cystic, 2 showed capsular invasion and 1 was multifocal. Histopathologically there were epithelial duct-like or canalicular structures cut at various angles and epithelial islands surrounded by hyalinized and mucinous connective tissue that contained little collagen. Ultrastructurally the epithelial islands contained many small lumina and connective tissue islands. The characteristic epithelial cell was columnar or cuboidal, extended from the lumina to the connective tissue, had almost straight lateral cell boundaries with desmosomes that predominated near the lumina, and possessed gap junctions and a small number of tight junctions. Their main cytoplasmic constituents were ribosomes, mitochondria, rough-surfaced endoplasmic reticulum and microfilaments. These findings show that canalicular adenomas are truly monomorphic and support the concept that they are derived from the cells of excretory ducts.

The protein of pigmented Polynesian dental enamel.

This enamel contained 1.4-3.7% protein, calculated from amino acid residues, in which glutamic acid and leucine were the most generally abundant and lysine was the most abundant basic amino acid. The amino acid profiles of both French Polynesian and Maori pigmented enamel protein were similar and closely resembled that of tuft protein and certain non-amelogenins. Sodium dodecyl sulphate-polyacrylamide gel electrophoresis of extracts of pigmented enamel showed an absence of amelogenin protein and the presence of two principal proteins at M(r) 55,000-66,000, indicating that the protein of pigmented Polynesian enamel was non-amelogenin. This contrasts with hypomaturation amelogenesis imperfecta in which the protein has the amino acid profile of amelogenin.

Ultrastructural examination of experimentally induced premalignant lesions.

Lesions induced in hamster cheek pouch using dimethylbenz(alpha)anthracene were studied by transmission electron microscopy and compared with normal tissue. Features regarded as suggestive of progression towards malignancy were: increased numbers of membrane-bound vesicles in basal cells, gaps in the lamina densa associated with widening of the lamina lucida and an irregular epithelial-connective tissue junction, the presence of cerebriform cells and frequent close association of 2 or more intra-epithelial cells (lymphocytes, cerebriform cells, Langerhans cells).

The polarized light microscopy and ultrastructure of Polynesian pigmented tooth enamel.

Transmitted and polarized light microscopy of unerupted and erupted teeth affected by a pigmented anomaly found in two geographically isolated Polynesian populations, the New Zealand Maori and the French Polynesian Marquesas Islander, showed similar histological characteristics. Mounted in water, the pigmented areas were positively birefringent and covered with a thin negatively birefringent surface layer 200-250 microns thick. Cervical areas were negatively birefringent. Transmission electron microscopy of argon-ion-beam thinned specimens of affected enamel revealed large voids, disruption in the packing of crystals and spacing at prism boundaries. In the surface layer of enamel from erupted and unerupted teeth, the intra- and interprismatic spaces were occluded by fine crystals or amorphous material. A well-defined prism structure and close crystal packing were found in cervical enamel. The ultrastructure of these pigmented enamels was similar to and consistent with a hypomaturation type of amelogenesis imperfecta.

Purification and properties of a protease from developing porcine dental enamel.

A protease of molecular weight 29,000 was isolated and purified using ammonium sulphate precipitation, lentil lectin-Sepharose affinity chromatography and DEAE-5PW ion-exchange chromatography. The protease had an unusual amino acid composition including 5% serine, 6% proline and 20% tyrosine. It was a glycoprotein containing 12-15% carbohydrate by weight. Activity was optimal at 40-45 degrees C using [3H]-acetyl casein substrate and at 40-55 degrees C using [3H]-acetyl enamel protein substrate. It was irreversibly denatured at 80 degrees C and above. With [3H]-acetyl casein the pH optimum was 8.0-8.5 and with [3H]-acetyl enamel protein it was 6.0-8.0. There was no activity below pH 5.0, and irreversible denaturation occurred at pH 4.0 and below. No autodegradation occurred with storage at 4 degrees C for 30 days at pH 7.0. Phenylmethylsulphonyl fluoride, mercuric chloride, and p-aminobenzoic acid completely inactivated the protease. The enzyme had no requirement for calcium. The sites of cleavage of the oxidized B-chain of insulin were the Cys-Gly and Arg-Gly bonds. The enzyme was therefore an endopeptidase. Cleavage of Na-benzoyl-L-arginine ethyl ester, but not Na-benzoyl-L-tyrosine ethyl ester, suggests that the protease is of the trypsin family. On the basis of its physical and enzymic properties the protease is a serine proteinase and, consistent with existing terminology, has been named proteinase pemB.

Malignant fibrous histiocytoma of the tongue: report of a case and ultrastructural observations.

A 42-year-old female presented with a 2.5 cm symptomless swelling on the left lateral surface of the tongue. Histologically, there were large, often pleomorphic, fibroblast-like and histiocyte-like cells, multinucleate giant cells and cells of variable morphology. Many of the cells had abundant vesicular cytoplasm. There were also aggregations of neutrophilic or eosinophilic leukocytes, or both. The cells in some areas formed a fascicular or storiform pattern, or both. Ultrastructurally, the vesicular appearance was due mostly to markedly dilated endoplasmic reticulum, but many of the neoplastic cells contained some lipid. There were some myofibroblasts and a few xanthofibroblasts. The cells of variable morphology had many of the ultrastructural features of the fibroblast and histiocyte-like cells. There were also some small undifferentiated cells with minimal cytoplasm. These ultrastructural features confirmed the histological diagnosis of malignant fibrous histiocytoma.

The surface structure of the epithelium of the hamster cheek pouch.

Cheek pouches were removed from 9 BIO 87.20 adult-male hamsters, pinned out on cork sheets and fixed, then divided into segments and processed. Mallory stain showed complete orthokeratinization of the pouch epithelium with regular keratohyaline granules. With scanning electron microscopy, the morphology of the walls was similar, with ridged areas alternating with flatter areas. In all areas, blunt projections and larger dome-shaped elevations were found. The superficial surfaces of all stratum corneum cells were covered by an interconnecting network of ridges surrounding depressions; their deep surfaces were covered by a complementary array of protuberances separated by narrow grooves. On superficial surfaces in some areas, cell boundaries consisted of double ridges separated by a gap; cell imprints were delineated by single ridges or depressions and involved several cells, suggesting that the cells in these areas were not stacked in vertical columns. Elsewhere, the linear ridges were paralleled by depressions, suggesting that the cells were stacked in columns. The morphology of cell boundaries and imprints on the undersurface of the desquamating squames were complementary to those of the opposing surface. Transmission electron microscopy supported the findings. Although most of the cells of the stratum corneum were electron dense and contained only tonofilaments and interfilamentous material, less electron-dense cells which contained only tonofilaments and small keratohyaline granules were occasionally found.

Intracellular mineralization of Bacterionema matruchotii.

Intracellular calcium phosphate mineral formation in Bacterionema matruchotii has been examined relative to two established points: the product of calcium and phosphorus levels at which spontaneous precipitation occurs (Ca x P), 50 (mg%)2, and the product at which calcium hydroxyapatite itself induces crystal growth, 35 (mg%) 2. The extent of intracellular mineralization in the defined calcifying medium was determined analytically after washing the cells. Electron micrographs of B. matruchotii cells revealed needlelike crystals of mineral, typical of calcium hydroxyapatite. Bacterionema matruchotii was found to be an efficient nucleator and can bring about the formation of solid phase at a Ca x P product as low as 35 (mg%)2.

Vascularization of premalignant lesions in carcinogen-treated hamster cheek pouch.

Of 27 lesions induced in Syrian golden hamsters by 12 applications of 0.5% 7,12-dimethylbenz[a]anthracene in liquid paraffin, 14 showed a static phase of at least 28 days' duration in their life history. Ten static lesions resumed growth, and this was accompanied by clinically obvious vascularization in 8 cases, 7 of which culminated in carcinomas by the end of the study. Because the wall of the normal hamster cheek pouch possesses small nodules whose histologic structure closely resembles that of hyperplastic epithelium, they could be misinterpreted as a product of carcinogenesis.