Calibration of EPR signal dose response of tooth enamel to photons: experiment and Monte Carlo simulation

The experimental energy dependence of the electron paramagnetic resonance (EPR) radiation-induced signal at irradiation by photons in the energy range of 13 keV-1.25 MeV was analysed in terms of the absorbed dose in human tooth enamel. The latter was calculated using a Monte Carlo simulation of the photon and electron transport. The dependence of the calculated absorbed dose on the sample thickness was analysed. No energy dependence of the EPR signal on the absorbed dose in enamel was verified in the range of 37 keV-1.25 MeV. At 13 and 20 keV the EPR signal dose response was reduced by 8% probably due to sample powdering. Dose-depth profiles in enamel samples irradiated by 1.25 MeV photons in polymethylmethacrylate and aluminium build-up materials were calculated. It was concluded that secondary electron equilibrium conditions are better fulfilled for irradiation in aluminium, which makes this material preferable for calibration.     

Monte Carlo calculation and experimental verification of the photon energy response of tooth enamel in a head-sized plexiglas phantom

The use of electron paramagnetic resonance (EPR) tooth dosimetry for calculation of organ doses requires conversion of the measured absorbed dose in enamel. Before deriving conversion factors from simulation calculations with a realistic anthropomorphic human phantom, in the current study a simplified phantom was chosen to compare EPR measurement and Monte Carlo calculation. The dose response of tooth enamel of molars at various positions inside a cylindrical Plexiglas phantom of head-size was calculated hy Monte Carlo modelling in parallel photon beams of X rays of 63 keV equivalent energy and 60Co gamma rays (1.25 Mev). For X ray exposure, preliminary results of EPR dosimetry with tooth enamel samples prepared from molars irradiated in the phantom were in agreement with calculation. The mean value of the ratio of the measured to the calculated dose was 0.93 +/- 0.08.     

The Third International Intercomparison on EPR Tooth Dosimetry: part 2, final analysis

The objective of the Third International Intercomparison on EPR Tooth Dosimetry was to evaluate laboratories performing tooth enamel dosimetry <300 mGy. Final analysis of results included a correlation analysis between features of laboratory dose reconstruction protocols and dosimetry performance. Applicability of electron paramagnetic resonance (EPR) tooth dosimetry at low dose was shown at two applied dose levels of 79 and 176 mGy. Most (9 of 12) laboratories reported the dose to be within 50 mGy of the delivered dose of 79 mGy, and 10 of 12 laboratories reported the dose to be within 100 mGy of the delivered dose of 176 mGy. At the high-dose tested (704 mGy) agreement within 25% of the delivered dose was found in 10 laboratories. Features of EPR dose reconstruction protocols that affect dosimetry performance were found to be magnetic field modulation amplitude in EPR spectrum recording, EPR signal model in spectrum deconvolution and duration of latency period for tooth enamel samples after preparation.     

Electron paramagnetic resonance of human tooth enamel at high gamma ray doses

Powdered human tooth enamel was exposed to 60Co gamma rays up to a dose of 100 kGy. The electron paramagnetic resonance (EPR) signal intensity (1) of the radiation-generated carbon dioxide radicals was measured for dependence on absorbed dose (D). The EPR dose response can be fitted with an exponential saturation function I = I(M)[1 - exp(-D/D37)] with the saturated signal intensity (I(M)) and the dose saturation value (D37). The obtained value D37 = 9.64 (+/- 0.96) kGy (measured at least one month after irradiation) exceeds those given in the literature. The saturated concentration of orthorhombic CO2- radicals was estimated at 6.5 x 10(17) per gram of enamel by comparing the integrated EPR spectra of enamel and a standard MgO:Cr probe. For enamel samples, which were heated before irradiation for one hour at +405 degrees C, the value of D37T = 3.89 (+/- 0.44) kGy and the saturated value of CO2- radicals 3.4 x 10(17) per gram of enamel were lower than for unheated samples. The initial rise of the signal with the dose was slightly higher (8.8 x 10(13) radicals/g x Gy) for heated compared with unheated samples (6.8 x 10(13) radicals/g x Gy).     

Monte Carlo calculations of the dose distribution in teeth due to internal exposure from 90Sr: application to EPR tooth dosimetry

This paper addresses issues in the application of the electron paramagnetic resonance (EPR) retrospective dosimetry with dental tissues exposed by radionuclides accumulated in the dentin. A simple dosimetric model of a tooth incorporating 90Sr is presented. The tooth is modelled as two concentric cylinders: the inner cylinder composed of dentin, and the outer cylindrical shell of enamel. Extensive Monte Carlo calculations were done to obtain the distributions of absorbed dose in dentin and enamel for teeth of different sizes. The results were used to calculate the mean absorbed doses in enamel that are directly measurable by EPR. A relationship between such measured doses and the specific activity of 90Sr in dentin was derived based on a simple model of 90Sr accumulation. The roles of different tooth tissues as dose detectors are analysed, and the importance of dentin as a dosimetric material for internal exposure is pointed out.     

Relations between tooth enamel dose and organ doses for electron spin resonance dosimetry against external photon exposure

An analysis of doses to tooth enamel and to organs was carried out to develop a method that can predict the organ doses and the effective dose by electron spin resonance (ESR) dosimetry using tooth samples for external photon exposure. Absorbed dose to tooth enamel and organ doses were obtained by Monte Carlo calculations using the EGS4 code in combination with a mathematical human model with a newly defined teeth part. The calculations gave quantitative relations between tooth enamel dose and organ doses for some cases of external photon exposure. It was also found that tooth enamel dose depends more significantly on energy of incident photons than the other organ dose or the effective dose. The obtained data are to be useful for the assessment of individual dose in past exposure events by the ESR dosimetry using tooth enamel.     

Gamma-ray and neutron dosimetry by EPR and AMS, using tooth enamel from atomic-bomb survivors: a mini review

The electron paramagnetic resonance (EPR, or electron spin resonance) method was used to measure CO??· radicals recorded in tooth enamel by exposure to atomic-bomb gamma rays. The EPR-estimated doses (i.e. ??Co gamma-ray equivalent dose) were generally in good correlation with cytogenetic data of the same survivors, whereas plots of EPR-estimated dose or cytogenetically estimated dose against DS02 doses turned out to scatter more widely. Because those survivors whose EPR doses were higher (or lower) than DS02 doses tended to show also higher (or lower) responses for cytogenetic responses, the apparent variation appears primarily due to problems in individual DS02 doses rather than the measurement errors associated with the EPR or cytogenetic technique. A part of the enamel samples were also used for evaluation of neutron doses by measuring ?1Ca/??Ca ratios using the accelerator mass spectrometry technique. The results for the measured ratios were on average ~85 % of the calculated ratios by DS02 (but within the 95 % confidence bounds of the simulated results), which lends support to DS02-derived neutron doses to the survivors.     

Thin layer alpha-Al2O3:C beta dosemeters for the assessment of current dose rate in teeth due to 90Sr intake,and comparison with electron paramagnetic resonance dosimetry

The use of thin-layer alpha-Al2O3:C thermoluminescent detectors (TLDs) for the assessment of current beta dose rate in human teeth due to 90Sr intake is investigated. The teeth used in this study were collected from members of the Techa river population who were exposed to radiation as a result of releases of the Mayak plutonium production facilities (Southern Urals-Russia) between 1949 and 1956. The beta dose rates from different parts of the tooth (enamel, crown dentine, and root) were determined by storing the detectors over the samples in a shielded environment. The cumulative dose measured by electron paramagnetic resonance (EPR) in different dental tissues is found to be proportional to current dose rate obtained from alpha-Al2O3:C thermoluminescence dosemeters. The retention of 90Sr in various parts of the teeth is discussed.     

EPR dosimetry in a mixed neutron and gamma radiation field

Suitability of Electron Paramagnetic Resonance (EPR) spectroscopy for criticality dosimetry was evaluated for tooth enamel, mannose and alanine pellets during the 'international intercomparison of criticality dosimetry techniques' at the SILENE reactor held in Valduc in June 2002, France. These three materials were irradiated in neutron and gamma-ray fields of various relative intensities and spectral distributions in order to evaluate their neutron sensitivity. The neutron response was found to be around 10% for tooth enamel, 45% for mannose and between 40 and 90% for alanine pellets according their type. According to the IAEA recommendations on the early estimate of criticality accident absorbed dose, analyzed results show the EPR potentiality and complementarity with regular criticality techniques.     

Dose reconstruction with electron paramagnetic resonance spectroscopy of deciduous teeth

In the present study the feasibility of using whole, naturally loose deciduous incisors for dose reconstruction with electron paramagnetic resonance (EPR) spectroscopy was investigated. The properties of EPR signals were analysed before and after laboratory irradiation. The parameters of the native EPR signal of deciduous incisors was found to be different from those from enamel of permanent molars. The native EPR signal of deciduous incisors with peak-to-peak line width of 0.65 mT was located at g = 2.0050. The evaluated parameters of the dosimetric EPR signal (CO2-) of deciduous incisors were in agreement with those for enamel of permanent molars. A detection threshold for absorbed dose of about 100 mGy was estimated.     

Organ dose conversions from ESR measurements using tooth enamel of atomic bomb survivors

Dose conversions were studied for dosimetry of atomic bomb survivors based upon electron spin resonance (ESR) measurements of tooth enamel. Previously analysed data had clarified that the tooth enamel dose could be much larger than other organ doses from a low-energy photon exposure. The radiation doses to other organs or whole-body doses, however, are assumed to be near the tooth enamel dose for photon energies which are dominant in the leakage spectrum of the Hiroshima atomic bomb assumed in DS02. In addition, the thyroid can be a candidate for a surrogate organ in cases where the tooth enamel dose is not available in organ dosimetry. This paper also suggests the application of new Japanese voxel phantoms to derive tooth enamel doses by numerical analyses.     

Diagnostic X ray dose profiles in molar teeth using Monte Carlo simulation

The dose profiles in molar teeth from diagnostic X rays was calculated using the Monte Carlo software program MCNP4c2. The information calculated supports needs in EPR retrospective dosimetry to account for diagnostic X ray exposures in teeth. Only tooth positions 6, 7 and 8 were simulated (the three teeth furthest back including the wisdom teeth) using a very detailed model of the pertinent physiology. The lingual and buccal halves of teeth were evaluated as were the crown dentin and roots in tooth position 7. Linear dose profiles through the enamel were also calculated.     

Artefacts of electron paramagnetic resonance dosimetry caused by a mechanical effect on samples of tooth enamel

It has been ascertained that in the process of the mechanical preparation of tooth enamel, two types of paramagnetic centres are formed. The centres of one type, the long-lived ones, occurred in the process of friction of dental borers against the enamel. Their number grew with an increase of the treated surface area and the rotation rate of the borers. The electron paramagnetic resonance signal of such radicals looked like a symmetric singlet with the width deltaHpp=0.094 mT and g=2.0029. The other, short-lived centres, occurred when tooth enamel was crushed into small granules, which caused an increase in the background signal intensity. The mechanism of formation of paramagnetic centres in enamel during the process of teeth treatment and prepartion has been considered. The estimation of an increase in the reconstructed absorbed dose due to the contribution from the mechanically induced signal has been made. Contamination of tooth enamel samples with diamond crumb during diamond borer preparation has been shown to lead to an imaginary increase in radiation-induced signal intensity and, consequently, to an increase in the reconstructed dose.     

Quantification of low dose signal in EPR tooth dosimetry--a novel approach

For radiation exposures below 100 mGy, the dosimetric signal in tooth enamel is too small to be measured by using the traditional dose reconstruction procedure. This is because low amplitude zero-added-dose signal can not be identified in an EPR spectrometer. A technique is presented wherein, zero-added-dose signal. when amplified by a proper known dose, can be measured in the EPR spectrometer. Mathematically, the accidental dose x is modified by a known amount of exposure, y (large enough so that the signal is now visible), and total exposure becomes x' = x + y, which is the modified-zero-added dose. The exposure x' is then quantified using the conventional backward extrapolation method and the accidental dose can be measured. In a laboratory controlled experiment, the feasibility of dose reconstruction in the 100 mGy range has been demonstrated. This may enable measurements of dose even due to suspected low exposure in tooth enamel.     

Aluminablasting of human tooth enamel

As part of a programme aimed at enhancing the degree of bonding that can be developed between dental polymer and human tooth enamel, the enamel has been subjected to two types of pretreatment, namely, aluminablasting (a mechanical etching) and aluminablasting followed by surface etching with orthophosphoric acid. Analysis of the surfaces so prepared by scanning electron microscopy has shown that enamel patterns with different degrees of retention ability have been obtained, and that the surfaces should be capable of bonding with dental polymer.     

Influence of nanocomposite surface coating on biofilm formation in situ

Caries and periodontitis, the most wide-spread oral diseases around the world, are caused by bacterial adherence and biofilm formation onto the natural as well as restored tooth surface. One possible way to prevent the pathogenic consequences of intraoral biofilm formation might be the modification of the tooth surface by application of an anti-adhesive coating that interferes with the bacterial attachment and subsequent bacterial accumulation. The objective of this study was to investigate the effect of an experimental, low surface free energy nano-composite coating material on biofilm formation in situ. For this purpose, an organic/inorganic nano-composite coating (NANOMER, INM, Saarbrücken, Germany) with a surface free energy of 18-20 mJ/m2 was applied to enamel as well as titanium specimens. The nano-composite coated specimens and un-coated controls were attached to removable intraoral splints and carried by volunteers over 24 h in the oral cavity. After intraoral exposure, specimens were processed for transmission electron microscopic analysis. On non-coated enamel and titanium control samples a multi-layer of adherent bacteria was found. In contrast, on nano-composite coated specimens strongly reduced biofilm formation was observed. In most areas of the surface-coated specimens only a 10-20 nm thick electron dense layer of adsorbed salivary proteins with adherent protein agglomerates of 20-80 nm diameter could be detected. In addition, detachment of the adsorbed biofilm from the nano-composite coated surfaces was evident in electron microscopic micrographs. The present investigation provides ultrastructural evidence that it is possible to cover enamel as well as titanium with a nano-composite coating revealing easy-to-clean surface properties that cause reduced biofilm formation and accelerated removal of adherent biofilms under oral conditions.     

Mechanical and tribological characterization of human tooth

In order to develop new dental restorative materials, it is imperative to evaluate and understand the structure–property relationships of the human tooth. Three major structural parts of human tooth i.e. enamel, dentin and dentin–enamel junction have been characterized in the present work in terms of microstructure, phase analysis and compositional gradient. It has been observed that microindentation hardness varies from enamel to dentin with the highest hardness observed for enamel at the outermost surface (around 3.5 GPa). Hardness values monotonically decrease with depth to less than 1 GPa, measured at the interior dentin. Furthermore, the measured hardness variation is found to have a noticeable correlation with the compositional variation.

In order to evaluate the tribological properties of the human tooth, fretting wear tests were carried out against sintered alumina under a load of 1 N for 2000 to 10,000 cycles. A variation in coefficient of friction (ranging from 0.12 to 0.55) was measured in our experiments. The wear mechanism is dominated by fretting fatigue and adhesive wear, involving the formation of oxidized calcium phosphate based compounds and its subsequent transfer from tooth to alumina surface. The experimental results also reveal that the human tooth is more susceptible to adhesion wear than abrasion or attrition at fretting contacts.     

尿沉渣白细胞计数标准物质的研制

运用扫描电子显微成像技术拍摄经过固定处理的人血液白细胞,确定其细胞形态真实性后,分散重悬制备成尿沉渣白细胞计数标准物质候选物.使用高通量显微成像法和流式细胞术对标准物质候选物进行联合定值;通过方差分析法和回归曲线法考察了其均匀性和稳定性;与20份临床样本进行了评价基质效应的互通性验证,并对标准物质候选物进行了不确定度评...     

Ion migration from fluoride-releasing dental restorative materials into dental hard tissues

This study was carried out in order to determine the extent to which ions released from fluoride-containing dental restoratives migrated through the enamel and dentine of extracted teeth. A total of 40 permanent human 3rd molars were used. They were extracted for orthodontic reasons, and employed within 1 month of extraction. A cervical (Class V) cavity was prepared in each tooth, then filled with one of: a conventional glass-ionomer, a resin-modified glass-ionomer, a polyacid-modified composite resin (“compomer”) or a fluoride-releasing resin composite. Ten samples were prepared per material. After 1 month, five specimens per material were prepared and examined under SEM/EDX. Concentrations of sodium, aluminium, strontium, fluorine, magnesium, silicon, phosphorus and calcium were determined within the tooth. After 18 months, the remaining five specimens for each material were prepared and studied in the same way. The greatest extent of ion migration into the tooth was found with the conventional glass-ionomer and least migration was found for the fluoride-releasing composite, which showed no evidence of fluoride migration at all. Levels of migrating ions were generally higher in the 18 month specimens than in the 1 month specimens, and also higher in the dentine than in the enamel. Ions released by restorative dental materials have been shown conclusively for the first time to be capable of migrating into the enamel and dentine surrounding the restoration. The conventional glass-ionomer showed the highest level of ion migration whereas the fluoridated composite resin showed little if any ion migration. This suggests that the conventional glass-ionomer has the greatest caries inhibiting effects of all the materials tested, and the fluoridated composite the least.     

Fracture behavior of human molars

Despite the durability of human teeth, which are able to withstand repeated loading while maintaining form and function, they are still susceptible to fracture. We focus here on longitudinal fracture in molar teeth??channel-like cracks that run along the enamel sidewall of the tooth between the gum line (cemento-enamel junction??CEJ) and the occlusal surface. Such fractures can often be painful and necessitate costly restorative work. The following study describes fracture experiments made on molar teeth of humans in which the molars are placed under axial compressive load using a hard indenting plate in order to induce longitudinal cracks in the enamel. Observed damage modes include fractures originating in the occlusal region (??radial-median cracks??) and fractures emanating from the margin of the enamel in the region of the CEJ (??margin cracks??), as well as ??spalling?? of enamel (the linking of longitudinal cracks). The loading conditions that govern fracture behavior in enamel are reported and observations made of the evolution of fracture as the load is increased. Relatively low loads were required to induce observable crack initiation??approximately 100?N for radial-median cracks and 200?N for margin cracks??both of which are less than the reported maximum biting force on a single molar tooth of several hundred Newtons. Unstable crack growth was observed to take place soon after and occurred at loads lower than those calculated by the current fracture models. Multiple cracks were observed on a single cusp, their interactions influencing crack growth behavior. The majority of the teeth tested in this study were noted to exhibit margin cracks prior to compression testing, which were apparently formed during the functional lifetime of the tooth. Such teeth were still able to withstand additional loading prior to catastrophic fracture, highlighting the remarkable damage containment capabilities of the natural tooth structure.