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Dentin-predentin complex and its permeability: physiologic overview.

The major channels for solute diffusion across dentin are the dentinal tubules. Since dentin permeation is proportional to the product of tubule number and diameter, both of which increase as the tubules converge on the pulp, we find that dentin permeability increases rapidly as the pulp chamber is approached. The presence of a smear layer of cutting debris on top of cut dentin decreases dentin permeability, especially when permeability is measured by fluid filtration. Further, intratubular material--such as mineral deposits, collagen fibrils, proteoglycan linings, bacteria, etc.--can greatly reduce dentin permeability. Although the presence of irregular or irritation dentin has been thought to greatly reduce dentin permeability, recent in vivo experiments in dogs indicate that the dentin permeability of freshly cut cavities prepared in sound dentin falls very rapidly (i.e., 50-60% in the first six hours) before any histologic changes can be detected, either in the pulp or the dentin. When dogs were depleted of their plasma fibrinogen, this rapid decline in dentin permeability following cavity preparation failed to take place. The results implicate leakage of plasma proteins from the underlying pulpal vessels. The proteins subsequently permeate the tubules, where they are either adsorbed to the tubule walls or physically trapped in such a way as to reduce dentin permeability.

Animals↗

Comparison of the iodide permeability test, the surface microhardness test, and mineral dissolution of bovine enamel following acid challenge.

The relationship among the iodide permeability (Ip) test, the surface microhardness (SMH) test, and enamel demineralization chemically analyzed as mineral loss was investigated using bovine enamel blocks. Demineralization periods of 0 (control) and 5, 15, 30, and 45 min using 0.05 mol/l lactate (pH 4.75) were chosen to approximate the acid challenge occurring during the intraoral enamel demineralization test. Mineral loss (Ca and PO4) was found to be directly proportional to dissolution time (r = 0.95). Changes (delta) in Ip and SMH each increased linearly over time (r = 0.58 and 0.64, respectively) and were similarly related to mineral loss (r = 0.60 and 0.65, respectively). The correlation between delta Ip and delta SMH was 0.55. When longer demineralization periods (60, 120, and 240 min) were included, the correlation between delta Ip and delta SMH was 0.68. We conclude that both the Ip test and the SMH test can be used as measures of the early stages of enamel dissolution.

Animals↗

The penetration of smear material into dentinal tubules during instrumentation with surface-active reagents: a scanning electron microscopic study.

Thirty freshly extracted, single-rooted anterior teeth were used. They were divided into three groups and instrumented conventionally with #10 to 50 K files. During instrumentation, the K files in the first group were moistened with saline solution, in the second group with 50% sodium dodecylbenzenesulfonate solution, and in the third group with Sulfapon (sodium salt of sulfonated condensation product of ethylen oxide with a fatty acid) solution. After the experimental procedure the specimens were examined in a scanning electron microscope to observe packing of smear material into dentinal tubules. Results showed the surface-active reagents cause the deeper penetration of the smear material into the dentinal tubules. These findings support the hypothesis that the phenomenon of the packing of smear material into the dentinal tubules is by capillary action and fluid dynamics.

Benzenesulfonates↗

A phenomenological interpretation of the frequency-dependent impedance behaviour of bovine dental enamel.

The permeability of dental enamel can be estimated by means of diffusion measurements with radio-isotopes. Because of the low intrinsic permeability of enamel membranes, determination via this route may take two weeks. A much faster electrochemical method is presented, in which the real and imaginary part of the membrane impedance are measured at discrete intervals in the frequency-range 1 Hz-1 MHz. Using the principles of network-analysis, a phenomenological interpretation of these electrochemical data in terms of a 6-parameter model is given. The model contains R0, the intrinsic membrane resistance, R infinity, the residual membrane resistance and the four parameters, necessary to describe the postulated enamel diffusion impedance, which bears strong resemblance to the Warburg impedance. Starting from this model, optimal estimates (with standard-errors) of a membrane's R0 and vmax (the log of the frequency where the imaginary part of the membrane impedance is maximal) were derived. These parameters were predictors of the permeability of enamel.

Animals↗

Effects of surface-active compounds on the demineralization of dental enamel.

Slices of bovine enamel and intact human enamel were treated with (a) a two-step treatment consisting of phytate followed by hexadecyl amine, or (b) 2-O-stearoylglycerol-1,3-diphosphate (Glydip), or (c) phosphatidic acid. The effect of these agents on the rate of caries lesion formation and on the permeability of dental enamel was quantitatively determined. Glydip had the most pronounced effect on lesion formation and showed a strong inhibiting effect on the rate of demineralization, combined with a reduction of the permeability. The results indicate that at least a part of the effect of Glydip on the demineralization was caused by a reduction of the rate of dissolution of the enamel mineral. The reduction in permeability may have had an additional effect.

Amines↗

A possible mechanism of acquired acid resistance of human dental enamel by laser irradiation.

A possible mechanism of acquired acid resistance of lased enamel was proposed on the basis of the investigations of optical properties, compositional and structural changes and permeability of lased and unlased human dental enamel. Lased enamel showed a high positive birefringence, suggesting the formation of 'microspaces' in enamel. No new products were found, though a decrease of lattice strain and a slight a-axis contraction were recognized in lased enamel compared with unlased enamel. The contents of water, carbonate and organic substances were reduced in lased enamel. Gradual changes of birefringence were observed in lased enamel during treatment with acid solutions, and this change was attributed to mineralization of the microspaces. The ions released by an acid decalcification would be trapped in the microspaces in lased enamel, whereas such ions diffuse to the surrounding solution in unlased enamel.

Acids↗