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F Sundström

Publications and source records attributed to F Sundström.

7 recordsLinked to original sources

Comparison of laser fluorescence and longitudinal microradiography for quantitative assessment of in vitro enamel caries.

A new quantitative, non-destructive method using laser-induced fluorescence (LAF) was compared with longitudinal microradiography (LMR) for assessment of mineral changes in enamel slices using an in vitro caries model. Ten enamel slices, cut longitudinally from sound natural smooth surfaces of human teeth, were exposed to de- and remineralization in a pH-cycling model. The enamel slices were subjected to LAF and LMR measurements before and at 2, 4, 7, and 9 days of demineralization. For LAF, the average fluorescence radiance decreased during the demineralization period with 11% by day 2 and 49% by day 9. For LMR, the corresponding average loss of mineral content changed with 0.01 and 0.10 kg.m-2 over the same time period. The mineral losses in each individual enamel slice measured with the two techniques were strongly correlated, r = 0.97. The Spearman rank correlation coefficient for all LAF and LMR demineralization results was 0.86. The precision (coefficient of variation) for LAF was 3.1%, corresponding to 0.005 kg.m-2, and the repeatability error for LMR was 0.02 kg.m-2, indicating a lower discrimination threshold for LAF compared to LMR. It was concluded that the new, sensitive, non-destructive LAF method provides possibilities for further improvement in the quantification of initial caries lesions in natural smooth enamel surfaces for use in in vitro studies. Furthermore, it offers potential in in situ caries studies as well as a tool in the diagnosis of early enamel caries in vivo.

Contrast Media

Fluorescence in dissolved fractions of human enamel.

Fluorescence induced by laser light is useful in early detection of enamel caries. The present work studied the fluorescence emission pattern in dissolved human enamel and in different molecular weight fractions obtained after gel chromatography or dialysis followed by ultrafiltration. For comparison, solutions of synthetic hydroxyapatite and bovine enamel were used. When the entire emission and excitation spectra of the corresponding excitation and emission wavelengths in the solutions of human enamel and bovine enamel were compared, no distinct differences were found between the solutions. With excitation at 375 nm, emission peaks were found at 460 and 560 nm, indicating the presence in human enamel solution of two different chromophores, unevenly distributed over the molecular weight fractions. The 460-nm and the lower 560-nm fluorescence peaks seem to be derived from both organic and inorganic components. The inorganic substances contributing to both the 460-nm and 560-nm peaks were incorporated in complexes. The 560-nm emission peak elucidates part of the basis of the laser fluorescence method.

Adolescent

Initial caries diagnosis in rat molars, using laser fluorescence.

Scoring of enamel caries in rat molars in ordinary light and in laser fluorescence was compared. Fifty rats were infected with Streptococcus mutans; 5 served as control rats, and the other 45 were fed a cariogenic diet for 15-20 days. With Keyes's system, the total enamel caries score for 35 of the test rats was 29.1 lesions per rat (l/r) in ordinary light and 39.6 l/r in laser fluorescence. The corresponding scores for fissure caries were 15.9 l/r and 21.6 l/r, respectively. Fissure caries scores of thin, longitudinal, central sections from the molars of the 10 remaining test rats were 18.0 l/r in ordinary light, 21.4 l/r in laser fluorescence, and 17.1 l/r in microradiographic analysis. In conclusion, the use of laser fluorescence improves scoring of early enamel carious lesions in rat molars, offering potential reductions in test time and/or sucrose load in animal caries research.

Animals

In vitro fluoride uptake by enamel and dentin. A comparative study of two varnishes.

The uptake of fluoride in enamel and dentin after application of an experimental fluoride varnish has been studied and compared with the uptake from a commercially available varnish (Duraphat). Each varnish was applied to 10 extracted human cuspid teeth. Successive etchings with perchloric acid were carried out separately in enamel and root dentin to obtain samples at three different depths. The concentrations of fluoride and calcium in the samples were determined, and the fluoride uptake was calculated. The experimental varnish gave a significantly greater fluoride uptake at all three sample depths in both enamel and dentin.

Cuspid

Evaluation of a model for short-term clinical testing of cariogenicity.

Conventional mirror and probe examination and laser fluorescence were used to score caries-like alterations on the buccal surfaces of posterior teeth in 60 panelists, allotted to one of three groups. All subjects refrained from oral hygiene for five days. In one group each subject consumed 12 sucrose candies daily between meals and in the second group each subject similarly consumed 12 palatinose (isomaltulose) candies. The third group served as a control. At the end of the experimental period the tooth surfaces reexamined. Conventional and laser fluorescence scoring techniques showed an increase in the number of caries-like alterations for all groups, but there were no significant differences between the groups. For all groups, the laser method gave significantly greater scores throughout. The findings imply that certain aspects of the early development of enamel caries in subjects regularly using fluorides must be considered in the design of a short-term cariogenicity test. It is concluded that sensitive quantitative methods for the registration of caries are necessary in such tests.

Adolescent

Intradental nerve activity and jaw-opening reflex in response to mechanical deformation of cat teeth.

Mechanical stress was applied to canine teeth in anaesthetized cats to excite intradental A-fibres and to produce digastric muscle EMG responses. Activity in the intradental sensory units was recorded by two electrodes, one inserted in a dentinal cavity, the other in contact with the gingival sulcus. A pneumatically driven piston was used to cause a mechanical stress (10-150 N) on the stabilized tooth crown for 30 s, with instantaneous onset and release. Application of a load of 30 N produced a momentary burst of impulses in 2 of 12 teeth; 8 out of 10 teeth responded when 150 N was used. Digastric EMG responses were obtained at and above 60 N. Removal of the coronal pulp or cooling of the tooth crown with ethyl chloride abolished this reflex, whereas percussion of the tooth still produced a digastric response. Our results suggest that load-induced deformation of teeth activates intradental sensory mechanisms and a reflex withdrawal reaction unrelated to periodontal stimulation.

Animals

[Cavity preparation].

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Dental Cavity Preparation