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[A comparative study about the influence of lanthanum, calcium, fluoride on plaque pH].

OBJECTIVE: The study is designed to compare the effects of Lanthanum (La), Calcium (Ca), Fluoride (F) on pH changes of plaque, and to discuss the anti-cariogenic mechanisms of Lanthanum in terms of metabolism. METHODS: Plaque pH values after sucrose solution (containing La3+, Ca2+, F-) rinse were measured contiguously using micro-touch method, and then the minimum pH, time of minimum pH, ranges of plaque pH (delta pH), and areas of the response curves below (AUC6.5) were analyzed using two-way analysis of variance (ANOVA). RESULTS: No statistical difference was found in the above monitored parameters of 8 subjects. For the decreasing degree of plaque pH, the pH value in the control group fell down the most obvious, and the second was that in the Ca group. The pH value decreased the least in the F and La group, and there was no significant difference between the F and La group. The time of minimum pH was the same in each group. CONCLUSION: Ca, La, F can decrease the range of plaque pH drop after sucrose solution rinse. The degree of Ca was the weakest, and F and La were same. All the above evidences prove that La may inhibit the acidogenicity of plaque.

Adult↗

Effect of oral calcium and calcium + fluoride treatments on mouse bone properties during suspension.

The bone effects of oral dosages of calcium chloride with or without supplementary sodium fluoride were assessed in antiorthostatically suspended mice. Two calcium dosages were used to replace half (3.1 mM) or all(6.3 mM) of the dietary calcium lost due to reduced food intake by the suspended mice. Two groups of 6.3 mM CaCl2-treated mice were additionally treated with 0.25 or 2.5 mM NaF. The results indicate that supplementation of the mouse drinking water with calcium salts prevents bone changes induced by short-term suspension, while calcium salts in combination with fluoride are less effective as fluoride dosage increases. However, the calcium supplements change the relationship between the femur mechanical properties and the mineral composition of the bone. Because of this, it appears that oral calcium supplements are effective through a mechanism other than simple dietary supplementation and may indicate a dependence of bone consistency on systemic and local fluid conditions.

Animals↗

Effect of brushing with fluoride toothpastes on the fluoride, calcium, and inorganic phosphorus concentrations in approximal plaque of young adults.

A within-subject cross-over study was carried out to examine whether brushing with fluoride toothpastes would alter the composition of approximal plaque. Approximal plaque was collected from 22 subjects following brushing with toothpastes containing sodium fluoride and sodium monofluorophosphate with calcium glycerophosphate and a fluoride-free control toothpaste. Concentrations of plaque calcium, inorganic phosphorus, and fluoride were estimated. Toothbrushing with the fluoride toothpastes resulted in significantly greater concentrations of fluoride in approximal plaque when compared with the control toothpaste. However, there was no significant difference between the two fluoride toothpastes. The use of the sodium monofluorophosphate containing toothpaste resulted in significantly elevated concentrations of calcium and inorganic phosphorus in approximal plaque when compared to both sodium fluoride and control toothpastes. It was concluded that the use of a fluoride toothpaste can alter the chemical composition of approximal plaque.

Adult↗

Hydrolysis of dicalcium phosphate dihydrate in the presence or absence of calcium fluoride.

Effects of temperature (25 and 37 degrees C), pH (4.9-10.5), and CaF2 on CaHPO4.2H2O (DCPD) hydrolysis were studied in a pH-stat. Octa-calcium phosphate (OCP) was the product at pH 6.2-6.8 and 25-37 degrees C; thermodynamically stable apatitic compounds were formed at higher pH and/or higher temperature. In the presence of CaF2, apatite was the product, its crystallinity improved, and the fluoride content increased as pH of the reaction decreased. The results demonstrate the remarkable ability of fluoride to promote the hydrolysis of an acidic calcium phosphate, DCPD, to apatite.

Apatites↗

The in vitro demineralization potential of a sodium fluoride, calcium and phosphate ion-containing dentifrice under various experimental conditions.

While fluoride has had a dramatic effect in reducing the rate of caries, it has failed to provide complete protection against caries development, and tooth decay is still widely prevalent. The objective of this study was to determine the demineralization prevention potential of a remineralizing dentifrice with fluoride (Enamelon), and an assured supply of calcium and phosphate ions on bovine enamel in a cyclic remin/demin regimen using various experimental conditions. A conventional fluoride toothpaste, Crest, and a placebo dentifrice were used as controls. One-hundred and forty-four ground and polished 4 mm bovine enamel cores were prepared and assigned to various test treatments using six specimens per treatment group. They were subjected to six cyclic treatments consisting of one-minute exposures at room temperature to the test product diluted 1:2 in water, remineralization for a specified time at 37 degrees C, and demineralization for a specified time at 37 degrees C. The enamel specimens were tested for micro-hardness initially, and after the first, third and sixth treatment, remineralization and demineralization cycles using a Buehler Micro-hardness Tester with a 200 g load. Differences in micro-hardness between the test groups were analyzed for significance by performing multiple pair-wise comparisons using Bonferroni significance levels at the 95% confidence level. The results of this study showed that Enamelon Toothpaste was generally more effective in preventing demineralization of enamel than the fluoride dentifrice at 0.5 and 1.5 hours, and the non-fluoride control dentifrice at all time measurements. Prevention of enamel demineralization by the dentifrices was affected by changes in demineralization time and pH, but not by changes in remineralization time.

Animals↗

Calcium fluoride in demineralized bones from rats with experimental chronic fluorosis.

Thirteen male rats, 7 or 10 months old, were given 0.005% NaF in the diet or 0.025 NaF in the drinking water fro periods of 3 to 20 weeks. Femur/tibia bones were demineralized in 3.25% HNO3, the process being watched on radiographs. As soon as all radiopaque material representing mineralized bone had disappeared, demineralization was discontinued. In some instances the process was stopped while some radiopaque material was still present. Hematoxylin-eosin stained paraffin sections from all bones showed deep blue granules, fluoride granules. Transmission electron microscopy and selected area diffraction revealed that the fluoride granules contain microcrystalline CaF2. X-ray diffraction of hydrazine-deproteinated, demineralized fluorotic bones revealed the presence of CaF2 and a minor unidentified component. The results are discussed in relation to (1) the identity of the fluoride granules, and (2) their inconsistent presence in demineralized hard tissues.

Animals↗

Dissolution of calcium fluoride tablets in vitro and bioavailability in man.

The dissolution rate of CaF2 tablets in vitro and the degree of F absorption in vivo after tablet intake in man were investigated. 50% of total F was released in 0.1 N HCl after 45 min whereas virtually no release was seen in H2O or in 0.2 M PO4-buffer pH 6.8. In spite of the modest release of F in simulated gastric juice in vitro no F absorption as judged from the plasma fluoride concentration curve was seen within 6 h after intake of 4 mg F as CaF2 tablets.

Adult↗

Safety of osteoporosis treatment with sodium fluoride, calcium phosphate and vitamin D.

During an 8-year period, 163 consecutive patients with spinal crush fracture osteoporosis started a 5-year treatment with a combination of sodium fluoride (60 mg/day), calcium phosphate (45 mmol/day) and vitamin D2 (18,000 IU/day), and were followed in the outpatient clinic every 3 months. Fourty-three patients completed the 5-year treatment. Mean observation time was 2.8 years, totalling 460 patient-years. Fifty-one percent of the patients experienced joint-related (37%) or gastrointestinal (25%) side effects at one time or another. All side effects subsided after a median 6-week withdrawal of fluoride. Six percent of the patients withdrew from treatment due to side effects. Mean serum calcium values slightly decreased during treatment and no hypercalcemic episodes were seen. Urinary excretion of calcium did not change during treatment. No changes in renal, bone marrow or thyroid functions could be detected. The liver function might be slightly affected as indicated by minute increases in serum bilirubin and decreases in serum coagulation factors and albumin, but no other changes in liver function were observed.

Adolescent↗