Shishniashvili T, Suladze N, Beridze M, Manjavidze N
Tbilisi State Medical University; Tbilisi State University, Georgia.
Georgian Med News. 2018 Mar(276):51-55.
Lack of essential elements can lead to the development of general and dental diseases. To assess the level of microelements in the human body, the most informative biosubstrates are hair and dental hard tissues, in which the chemical elements are concentrated and fully reflect the quality of essential elements. We examined 34 6-12 years-old children to study the content of essential elements in biosubstrates, as in dental health indicators (in the period of formation and mineralization of most permanent teeth). The analysis was carried out by the X-ray fluorescence spectroscopy method. We studied 8 essential (Ca, Zn, K, Fe, Cu, Se, Mn, Cr) and 9 conditionally essential (S, Br, Cl, Co, Ag, V, Ni, Rb, Mo, Sr, Ti ) chemical elements in hair, and in the teeth - four essential (Ca, Zn, Mn, Fe) and three conditionally essential (Rb, Ni, Sr) trace elements. According to the study, in pupils, with compensated form of caries, was found minimal lack of essential chemical elements with the norm, and in children with decompensated form of caries - significantly low level of essential elements. In particular, the analysis of hair with the X-ray-fluorescence spectrometry method in second group children showed a significant lack of: Ca (0.8 times), Zn (1.2 times), K (1.5 times) Mn (1.8 times), etc. The low content of calcium (259025 ± 35224 ppm), iron (98.59±39.72 ppm), manganese (11.55±7.7ppm) was reported to be relatively low (p<0.05) in dental hard tissues. The exception was the zinc - its number exceeded the established norm by 28.1%, which should be explained by the fact that the zinc reduces the enamel penetration, and thus, transition of chemical elements from saliva to dental hard tissues. Thus, our study has showed that the composition of micro and macro elements in hair and dental hard tissues can be used as indicators of mineralization of dental enamel, dentine and alveolar bone. According to our results dental health changes are associated with the imbalance of chemical elements in biosubstrates.
必需元素的缺乏会导致全身性疾病和牙科疾病的发生。为了评估人体中的微量元素水平,最具信息价值的生物底物是头发和牙齿硬组织,其中化学元素得以浓缩并充分反映必需元素的质量。我们对34名6至12岁的儿童进行了检查,以研究生物底物中必需元素的含量,如同在牙齿健康指标方面(在大多数恒牙的形成和矿化期)。分析采用X射线荧光光谱法进行。我们研究了头发中的8种必需元素(钙、锌、钾、铁、铜、硒、锰、铬)和9种条件必需元素(硫、溴、氯、钴、银、钒、镍、铷、钼、锶、钛),以及牙齿中的4种必需元素(钙、锌、锰、铁)和3种条件必需微量元素(铷、镍、锶)。根据研究,在患龋病代偿型的小学生中,发现必需化学元素与正常水平相比仅有轻微缺乏,而在患龋病失代偿型的儿童中,必需元素水平显著偏低。特别是,用X射线荧光光谱法对第二组儿童的头发进行分析显示,明显缺乏的元素有:钙(低0.8倍)、锌(低1.2倍)、钾(低1.5倍)、锰(低1.8倍)等。据报告,牙齿硬组织中钙(259025±35224 ppm)、铁(98.59±39.72 ppm)、锰(11.55±7.7 ppm)的含量相对较低(p<0.05)。锌是个例外——其含量超过既定标准28.1%,这应该是因为锌会降低釉质渗透性,从而减少化学元素从唾液向牙齿硬组织的转移。因此,我们的研究表明,头发和牙齿硬组织中的微量和常量元素组成可作为牙釉质、牙本质和牙槽骨矿化的指标。根据我们的研究结果,牙齿健康状况的变化与生物底物中化学元素的失衡有关。