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Query: UMLS:C0432222 (SEM)
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The formation of CaF2 was measured on sound enamel and in artificial, standardized (acidified gelatin, pH 4.5) caries-like enamel lesions after exposure to: (a) dentifrice/saliva slurries adjusted to relevant F-concentrations of approximately 100 or 8 ppm by appropriate addition of 1,000 ppm F NaF or Na monofluorophosphate (MFP) dentifrice, respectively, or (b) a mixture of saliva with a 0.2% NaF solution obtained by a usual 1-min rinse procedure or an aqueous solution of 0.2% NaF. CaF2 was determined after extraction with KOH and fluoride analysis by gas chromatography. Only negligible amounts of CaF2 were produced on sound enamel ranging from (mean +/- SEM) 0.76 +/- 0.14 micrograms F/cm2 with the 0.2% NaF solution to as little as 0.04 +/- 0.06 with the MFP dentifrice slurry. In caries-like enamel lesions, the CaF2 production with the 0.2% NaF solution/saliva mixture corresponded to 3.7 +/- 0.4 micrograms F/cm2 and corresponding amounts obtained with the dentifrice/saliva slurries were 1.5 +/- 0.19 micrograms F/cm2 with NaF, but only 0.19 +/- 0.04 with MFP. It was suggested that the deposition of CaF2 in the micropores of early lesions can be expected to be an important mechanism with F rinses, probably to some extent with NaF dentifrices, but barely with MFP dentifrices. The formation of CaF2 on sound enamel is unlikely to play a significant role in the caries-reducing effect of F rinses and F dentifrices.
Caries Res 1993
PMID:Calcium fluoride formation in enamel from semi- or low-concentrated F agents in vitro. 831 62

Previous studies have suggested minor differences between primary and permanent teeth in terms of dentin composition and morphology. Other reports indicated lower bond strengths of resin composites to dentin of primary teeth compared with dentin of permanent teeth; however, no information is available regarding differences in the micromorphology of the resin-dentin interface that may explain these lower bond strengths. Therefore, the purpose of the present study was to compare primary and permanent teeth in terms of the thickness of the hybrid layer developed with two bonding systems. Our hypothesis was that bonding differences previously reported between primary and permanent dentin would be reflected in hybrid layer differences observable in SEM analyses. Twenty human extracted and non-carious teeth were divided into 4 groups: 5 primary and 5 permanent teeth restored with All-Bond 2/Bisfil P system; and 5 primary and 5 permanent teeth restored with Scotchbond Multi-Purpose/Z100. The sample area available on each tooth was divided for the two dentin conditioning times (7 and 15 sec). Measurements of hybrid layer thickness were performed by means of SEM at x13,000. The results of this study indicated that the hybrid layer produced is significantly thicker in primary than in permanent teeth (p = 0.0001), suggesting that primary tooth dentin is more reactive to acid conditioning. No difference was observed in the hybrid layers produced by the two adhesive systems (p = 0.7920). The increased thickness of the hybrid layer in primary teeth (25 to 30%) and the subsequent lack of complete penetration of adhesive resin into previously demineralized dentin may contribute to the lower bond strengths to primary dentin reported in the literature. If a narrower hybrid layer more uniformly infused with resin is the goal of dentin bonding, it is concluded that a differentiated protocol for bonding to primary dentin (with shorter time for dentin conditioning) can be used as a means to reproduce the hybrid layer thickness seen in permanent teeth.
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PMID:Dentin bonding: SEM comparison of the resin-dentin interface in primary and permanent teeth. 883 35

Young Osborne-Mendel rats were given different diets for 6 weeks. Effects of soft and rough food as well as acidic sport drink on the lingual surfaces of first mandibular molars were studied. In addition, the effect of fluoride on erosion was examined. A Jeol JSM-35 scanning electron microscope was used to visualize tooth surface ultrastructure. Intact surfaces were found in the rats given soft food and distilled water. Sport drink (pH 3.2) caused severe erosion with total loss of supragingival enamel and exposure of dentin. Attrition effects were seen on the cuspal parts of the surface when rough food was given. Tooth tissue loss was greatest in the rats given rough food and sport drink; signs of both erosion and attrition could be seen. When fluoride was added to the sport drink erosion lesions were less severe and if dentin was exposed, the dentinal tubules were partly occluded. These SEM observations support earlier studies which have suggested that erosion may alter tooth surface so that it is more susceptible to attrition; in those lesions, however, clinical diagnosis of the initial causes may be difficult.
Caries Res 1996
PMID:Surface ultrastructure of rat molar teeth after experimentally induced erosion and attrition. 883 42

Carious attack on enamel is not a unidirectional process but involves both demineralisation and remineralisation. The chemistry of carious attack on enamel has, to a large extent, now been clarified as far as mineral components are concerned but little attention, however, has been paid to the identity of organic material in carious lesions and its possible role in the caries process. The only clear information available is that organic material accumulates with time within enamel lesions. The present study was aimed at identifying a specific protein component known to bind to hydroxyapatite (albumin) in carious lesions with a view to investigating its role in the disease process. The distribution of albumin within both white spot and fissure lesions and adjacent sound enamel of extracted human teeth was investigated using SEM immunohistochemistry on undermineralised sections of human enamel and employing a polyclonal antibody to human serum albumin. The nature of the protein, i.e. whether it was in the form of intact molecules or degraded fragments, was investigated by Western blotting, employing the same antibody. The immunohistochemistry revealed the presence of albumin within both interproximal white spot and fissure lesions with little if any present in sound enamel. The Western blotting indicated that the albumin was in the intact form with no evidence of degradation products. The ability of albumin to bind and to inhibit growth of calcium phosphate crystals raises the question as to the possible role of such a molecule in the development of carious lesions.
Caries Res 1998
PMID:Identification of human serum albumin in human caries lesions of enamel: the role of putative inhibitors of remineralisation. 957 84

The aim of this study was to investigate the extent of natural intrinsic fluorescence in carious human dentine and any correspondence of such autofluorescence (AF) to the mineral distribution within the lesion. Two investigative techniques were used, both employing the same sample set and fields in diamond-polished block surfaces of polymethylmethacrylate-embedded carious teeth. AF at emission wavelengths >515 nm, excited by 488-nm laser light, was assessed using a confocal laser scanning optical microscope (CLSM), the recordings made under standard operating conditions. The relative mineral content was assessed using digital backscattered scanning electron microscopy (20 kV BSE-SEM). The AF intensity correlated with the level of demineralisation as seen by BSE, but the depth of the lesion as seen by CLSM was significantly greater implying that the AF is not directly related to the mineral component.
Caries Res 1998
PMID:Autofluorescence and mineral content of carious dentine: scanning optical and backscattered electron microscopic studies. 957 88

Using histological and ultrastructural techniques the aims of this study were to investigate whether the mineralization pattern and surface microanatomy of the caries-susceptible fissure enamel were different from those on the caries-inactive lingual surface. The material consisted of 31 unerupted third mandibular molars. The specimens were initially grouped into four categories: (1) without, (2) with initial, (3) with almost completed and (4) with completed root formation. One ground section with fissure-like morphology was selected from each tooth. Using water as a medium the observed birefringence was negative along the lingual and fissure transverses in specimens with almost completed and with completed root formation, while the observed birefringence was positive at different distances in the enamel in sections representing less maturation stages. Qualitative imbibition studies revealed hypomineralized enamel in the lower part of the fissures in specimens representing almost and completed root formation. Imbibed in quinoline, parts of the hypomineralized enamel behaved like a molecular sieve due to the presence of micropores, indicating that the structural arrangement is different from that in the enamel adjacent to this areas. After division of the sections into a lingual and a buccal part, SEM features were described from lower and upper parts of the buccal fissure wall and on lingual enamel in the area corresponding to the bottom part of the fissure. The surface microanatomy varied greatly. Negative developmental irregularities such as fissures and holes were associated with the immature enamel, while matured enamel - particularly fissures - housed many positive developmental irregularities such as enamel caps and protrusions. The crystal size in the mature specimens appeared smaller and more uniform than the crystals from the immature specimens. Apart from the occurrence of hypomineralized enamel in fissures and numerous positive developmental irregularities on the fissure surface, no major differences between fissure and lingual enamel were noticed, neither with respect to mineralization pattern during final stages of tooth development nor to the degree of surface porosity prior to tooth emergence.
Caries Res 1999
PMID:A polarized light and scanning electron microscopic study of human fissure and lingual enamel of unerupted mandibular third molars. 983 79

Acid etching with phosphoric acid on the prismless layer of human dental enamel may produce different patterns of dissolution. Consequently, the presence of several patterns of enamel acid conditioning may indicate better or worse formation of resin tags. In this study, the heterogeneous patterns of 35% phosphoric acid conditioning of human non-erupted deciduous teeth were reported. SEM images demonstrated type I, type II and type III aspects reported by Silverstone et al. (Caries Research 1975; 9:373-387), in spite of the etching time used and the surface area (buccal incisal, middle or cervical thirds). These characteristic features on the enamel surface may indicate the convenient use of this technique in deciduous teeth.
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PMID:Three-dimensional aspects of etched enamel in non-erupted deciduous teeth. 1021 22

This study assessed the protective effect of the salivary pellicle formed in vivo during 24 h or 7 days against demineralization of bovine enamel caused by citric acid. In addition, the influence of acid treatment on the behavior of the pellicle was investigated. Enamel specimens with and without in vivo pellicles were immersed in citric acid (0.1, 1.0%) over 30, 60, and 300 s, and processed for scanning (SEM) and transmission electron microscopy (TEM), as well as for measurement of surface microhardness (SMH). Specimens coated with the in vivo formed pellicles revealed less extensive erosive demineralization of the enamel surface compared to uncovered enamel specimens. SEM analysis and SMH results did not indicate distinct differences between erosive surface alterations on enamel slabs covered with 24-hour pellicles and on those covered with 7-day pellicles. TEM analysis showed that the pellicle layer was dissolved in part from the enamel surface due to acid exposure. However, pellicle residues could be detected by TEM in all specimens, even after 5-min exposure to 1.0% citric acid. It is concluded that the in vivo salivary pellicle can resist the acidic action to some extent and provides protection to the underlying enamel surface against erosive destruction caused by short-term action of citric acid.
Caries Res
PMID:Influence of in vivo formed salivary pellicle on enamel erosion. 1046 Sep 61

Hydroxyapatite (HAp) and fluorapatite (FAp) were synthesized in the presence of carbohydrates (glucose, fructose, galactose and sucrose). X-ray diffraction analysis showed that the crystallinity of two FAp groups that were synthesized in the presence of glucose or sucrose decreased with the increase in carbohydrate content. In SEM photographs we found that the size of their crystals was small and the shape changed. However, FAp groups that were snythesized in the presence of fructose or galactose showed little change in their crystallinity and shape. Four carbohydrates had some influence on size, but not on shape or crystallinity when synthesizing HAp. These results suggest that glucose and/or sucrose has a chemical affinity to FAp and inhibits the growth of FAp crystals.
Caries Res
PMID:Inhibiting action of carbohydrates on the growth of fluorapatite crystals. 1060 81

This study investigated the influence of "softstart-polymerization" on the clinical performance and marginal integrity of polyacid-modified resin restorations (PMR) in class V cavities. Eighty PMR restorations were placed in 20 patients [40 Dyract (DY); 40 Hytac (HY)] with (npat = 10) and without preparation (npat = 10). Restorations were light cured for 40 s either conventionally (CP) or with a lower light intensity for the first 10 s (SSP). Each patient received four restorations (DY-CP, DY-SSP, HY-CP, HY-SSP), which were examined clinically according to modified USPHS criteria, and by quantitative SEM-analysis after 7 days (baseline), 6 months and 1 year. Statistical analysis was performed using the Mann-Whitney-U test (P < or = 0.05) and error rates method. Clinically, no restoration showed recurrent caries or crevices. After 1 year, margins of 24-47% of the HY- and 36-53% of the DY-restorations were rated "Bravo". Marginal discoloration occurred in 20-37% in HY- and in 18-21% in DY-restorations. The error rates method revealed no significant differences between materials or between polymerization modes with and without preparation. Pairwise testing showed that without preparation, the marginal adaptation to dentin was significantly worse compared to enamel for HY with both polymerization modes, for DY with SSP. With preparation, no significant differences were found. Cavity preparation may have an influence on differences in marginal quality between enamel and dentin.
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PMID:Clinical performance of polyacid-modified resin restorations using "softstart-polymerization". 1080 12


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