[Ultrastructural and crystallographic study of human enamel in endemic fluorosis]. 1976

B Kérébel, and G Daculsi

The use of physico-chemical and microscopic technics shows that in carie-free fluorotic enamel well-ordered, closely packed, parallelepiped-like crystals can be found as well as hypomineralized areas in which the crystals are disordered and the interprismatic gaps widened. The observation of 1340 crystals shows an increase in their diameter measurements (600 to 700 A instead of 400 to 500 A) and alterations in their morphology, the faces of the crystals remaining nevertheless welldeveloped, in perfect agreement and their hexagonal symmetry. Together with the increase of the fluorosis index, it must be noted that fluoroapatite is progressively filling the place of hydroxyapatite. The coexistence of two different types of apatites within the crystals might be responsible for lattice dislocations involving a greater fragility of the central part of the crystals. The fact that fluoroapatite is very likely localized in the outer part of the crystals could be the reason why they are better resisting demineralization. The central holes within the crystals are not specific of fluorosis, they might rather by due to a demineralization carious process.

UI MeSH Term Description Entries
D009050 Fluorosis, Dental A chronic endemic form of ENAMEL HYPOMINERALIZATION caused by drinking water with a high fluorine content during the time of tooth formation, and characterized by defective calcification that gives a white chalky appearance to the enamel, which gradually undergoes brown discoloration. (Jablonski's Dictionary of Dentistry, 1992, p286) Dental Fluorosis,Mottled Enamel,Mottled Teeth,Dental Fluoroses,Fluoroses, Dental,Enamel, Mottled,Mottled Enamels,Teeth, Mottled
D003461 Crystallography The branch of science that deals with the geometric description of crystals and their internal arrangement. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Crystallographies
D003743 Dental Enamel A hard thin translucent layer of calcified substance which envelops and protects the dentin of the crown of the tooth. It is the hardest substance in the body and is almost entirely composed of calcium salts. Under the microscope, it is composed of thin rods (enamel prisms) held together by cementing substance, and surrounded by an enamel sheath. (From Jablonski, Dictionary of Dentistry, 1992, p286) Enamel,Enamel Cuticle,Dental Enamels,Enamel, Dental,Enamels, Dental,Cuticle, Enamel,Cuticles, Enamel,Enamel Cuticles,Enamels
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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