Anderson P, Levinkind M, Elliot J C
Department of Biophysics in relation to Dentistry, St. Bartholomew's and the Royal London School of Medicine and Dentistry, Queen Mary and Westfield College, UK.
Arch Oral Biol. 1998 Aug;43(8):649-56. doi: 10.1016/s0003-9969(98)00052-1.
The aim was to measure frequently and with precision the local integrated mineral loss through small areas of the natural surface of human and bovine enamel during in vitro demineralization using an X-ray photon-counting system (scanning microradiography). The method used was an adaptation of photographic longitudinal microradiography in which the attenuation of X-rays through the enamel is measured in the direction of acid attack, i.e., normal to the enamel surface. The mass of mineral (assumed to be hydroxyapatite) per unit exposed area was measured over 15 microm dia. circles at a series of positions as a function of time in blocks of human and bovine enamel immersed in 0.1 mol/l acetic acid buffered to pH 4.0 with NaOH. There was an initial period (approx. 45 h for human, approx. 75 h for bovine enamel) during which the mineral loss with time was sigmoidal, followed by a nearly linear loss for the remainder of the experiment, in some cases up to 500 h. The initial sigmoidal period may be due to properties of surface enamel or be associated with the development of a surface layer overlying subsurface demineralization. The essentially constant rate of mineral loss after the surface layer has formed confirms earlier observations and is consistent with a rate-limiting process occurring at the dissolving enamel surfaces of the advancing front, and not by transport of ions within the lesion. Small perturbations from a linear loss were seen, which were approximately periodic for human enamel. The slope of the linear period was rather constant within one human or bovine block, but variable between blocks without a clear distinction between human and bovine enamel.
目的是使用X射线光子计数系统(扫描显微放射成像),在体外脱矿过程中频繁且精确地测量人类和牛牙釉质自然表面小区域的局部综合矿物质损失。所采用的方法是对摄影纵向显微放射成像的一种改进,其中在酸侵蚀方向(即垂直于牙釉质表面)测量X射线穿过牙釉质的衰减。在一系列位置上,以时间为函数,测量浸泡在0.1 mol/l用NaOH缓冲至pH 4.0的乙酸中的人类和牛牙釉质块中直径15微米的圆内每单位暴露面积的矿物质(假定为羟基磷灰石)质量。在初始阶段(人类约45小时,牛牙釉质约75小时),矿物质损失随时间呈S形,随后在实验剩余时间内几乎呈线性损失,在某些情况下长达500小时。初始的S形阶段可能归因于表面牙釉质的特性,或者与覆盖表面下脱矿的表面层的形成有关。表面层形成后矿物质损失的基本恒定速率证实了早期的观察结果,并且与在前进前沿的溶解牙釉质表面发生的限速过程一致,而不是由病变内离子的运输所致。观察到与线性损失有小的偏差,对于人类牙釉质而言这些偏差近似周期性。线性阶段的斜率在一个人类或牛的牙釉质块内相当恒定,但在不同块之间有所变化,且人类和牛牙釉质之间没有明显区别。