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The epidemiology of dental caries in relation to environmental trace elements

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  • Human Biometeorology and Geopathology
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Summary

This paper reviews the influence of the geochemical environment on the epidemiology of human dental caries. The best documented association is that between water borne fluoride and reduced caries prevalence. The influence of fluoride was first reported during the early decades of this century in Colorado, USA, and led to the fluoridation of some public water supplies in several countries. In all cases, fluoridation has been followed by significant improvements in dental health and no adverse effects in general health. Other trace elements in food and water have now been linked with dental caries. Molybdenum has been associated with reduced caries prevalence whereas selenium and lead appear to have adverse effects. Cavity formation in teeth probably involves a localised dissolution of the enamel surface by the products of bacterial activity. It is possible that the incorporation of trace metals into the apatite microcrystals of enamel may alter their physical properties, especially solubility, and hence their susceptibility to degradation.

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References

  1. Adkins, B.L., and Losee, F.L., A study of the covariation of dental caries prevalence and multiple trace element content of water supplies.36 (1970) 618–622.

    CAS  Google Scholar 

  2. Adler, P., and Straub, J., A water-borne caries-protective agent other than fluorine. Acta med. hung.4 (1953) 221–227.

    CAS  PubMed  Google Scholar 

  3. Ainsworth, N.J., Mottled teeth. Br. dent. J.50 (1933) 233–250.

    Google Scholar 

  4. Altshuller, L.F., Halak, D.B., and Landing, B.H., Deciduous teeth as an index of body burden of lead. J. Pediat.60 (1962) 224–229.

    Article  CAS  PubMed  Google Scholar 

  5. Anderson, R.J., Dental caries prevalence in “teart pasture” areas of Great Britain. Adv. Fluor. Res. dent. Car. Prev.3 (1965) 165–169.

    Google Scholar 

  6. Anderson, R.J., Dental caries prevalence in relation to trace elements. Br. dent. J.120 (1966) 271–275.

    CAS  PubMed  Google Scholar 

  7. Anderson, R.J., The relationship between dental conditions and the trace element molybdenum. Car. Res.3 (1969) 75–87.

    Article  CAS  Google Scholar 

  8. Anderson, R.J., and Davies, B.E., Dental caries prevalence and trace elements in soil with special reference to lead. J. geol. Soc., London137 (1980) 547–558.

    Article  Google Scholar 

  9. Anderson, R.J., Davies, B.E., and James, P.M.C., Dental caries prevalence in a heavy metal contaminated area of the west of England. Br. dent. J.141 (1976) 311–314.

    Article  CAS  PubMed  Google Scholar 

  10. Anderson, R.J., Davies, B.E., Nunn, J.H., and James, P.M.C., The dental health of children from five villages in north Somerset with reference to environmental cadmium and lead. Br. dent. J.147 (1979) 159–161.

    Article  CAS  PubMed  Google Scholar 

  11. Barmes, D.E., Caries etiology in Sepik villages-trace element, micronutrient and macronutrient content of soil and food. Caries Res.3 (1969) 44–59.

    Article  CAS  PubMed  Google Scholar 

  12. Barmes, D.E., Adkins, B.L., and Schamschula, R.G., Etiology of caries in Papua-New Guinea: associations in soil, food and water. Bull. Wld Hlth Org.43 (1970) 769–784.

    CAS  Google Scholar 

  13. Brudevold, F., and Steadman, L.T., The distribution of lead in human enamel. J. dent. Res.35 (1956) 430–437.

    Article  CAS  PubMed  Google Scholar 

  14. Black, G.V. and McKay, F.S., Mottled teeth. Dent. Cosmos53 (1916) 129–156.

    Google Scholar 

  15. Burde, B. de la, and Shapiro, M., Dental lead, blood lead, and pica in urban children. Archs envir. Hlth30 (1975) 281–283.

    Article  Google Scholar 

  16. Buttner, W., Trace elements and dental caries in experiments on animals. Caries Res.3 (1969) 1–13.

    Article  CAS  PubMed  Google Scholar 

  17. Cadell, P.B., Geographic distribution of dental caries in relation to New Zealand soils. Aust. dent. J. (1964) 32–38.

  18. Campbell, A.M.G., Herdan, G., Tatlow, W.F.T., and Whittle, E.G., Lead in relation to disseminated sclerosis. Brain73 (1950) 52–71.

    Article  CAS  PubMed  Google Scholar 

  19. Cawson, R.A., Essentials of dental surgery and pathology. Churchill-Livingstone, Edinburgh/London 1984.

    Google Scholar 

  20. Churchill, H.V., Occurrence of fluorides in some waters of the United States. Ind. Enging Chem.23 (1931) 996–998.

    Article  CAS  Google Scholar 

  21. Davies, B.E., Plant available lead and other metals in British garden soils. Sci. tot Envir.9 (1978) 243–262.

    Article  CAS  Google Scholar 

  22. Dean, H.T., Endemic fluorosis and its relation to dental caries. Publ. Hlth Rep.531 (1938) 1443–1452.

    Article  Google Scholar 

  23. Deer, W.A., Howie, R.A., and Zussman, J. Non-silicates, in: Rock Forming Minerals, vol. 5 Longmans, London 1968.

    Google Scholar 

  24. Fosse, G., and Wesenberg, G.B.R., Lead, cadmium, zinc and copper in deciduous teeth of Norwegian children in the preindustrial age. Int. J. envir. Stud.16 (1981) 163–170.

    Article  CAS  Google Scholar 

  25. Glass, R.L., Rothman, K.J., Espinal, F., Velez, H., and Smith, N.J., The prevalence of human dental caries and water-borne trace elements. Archs oral Biol.18 (1973) 1099–1104.

    Article  CAS  Google Scholar 

  26. Hadjimarkos, D.M., Effect of selenium on dental caries. Archs envir. Hlth10 (1965) 893–899.

    Article  CAS  Google Scholar 

  27. Hadjimarkos, D.M., Trace elements in public water supplies and dental caries. Archs envir. Hlth13 (1966) 102–104.

    Article  CAS  Google Scholar 

  28. Hadjimarkos, D.M., Effects of trace elements in drinking water on dental caries. J. Pediat.70 (1967) 867–869.

    Article  Google Scholar 

  29. Hadjimarkos, D.M., Selenium: a caries-enhancing trace element. Caries Res.3 (1969) 14–22.

    Article  CAS  PubMed  Google Scholar 

  30. Hadjimarkos, D.M., The role of selenium in dental caries. Trace Substances in Environmental Health-IV. pp. 301–306. Ed. D.D. Hemphill, University of Missouri-Columbia, Columbia 1971.

    Google Scholar 

  31. Hadjimarkos, D.M., and Bonhorst, C., The trace element selenium and its influence on dental caries susceptibility. Pediat.52 (1958) 274–278.

    Article  CAS  Google Scholar 

  32. Hadjimarkos, D.M., Storvick, C.A., and Remmert, L.F., Selenium and dental caries. J. Pediat.40 (1952) 451–455.

    Article  CAS  PubMed  Google Scholar 

  33. Healy, W.B., Ludwig, T.G., and Losee, F.L., Soil and dental caries in Hawke's Bay, New Zealand. Soil Sci.92 (1961) 359–366.

    Article  CAS  Google Scholar 

  34. Jenkins, G.N., Molybdenum and dental caries, Parts I, II and III. Br. dent. J. (1967) 435–441; 500–503; 545–550.

  35. Jenkins, G.N., The mode of action of fluoride and the role of molybdenum and other trace elements in dental caries. TEMA-1: Trace Element Metabolism in Animals (1970) 85–91.

  36. Kempf, G.A., and McKay, F.S., Mottled enamel in a segregated population. Publ. Hlth Rep.45 (1930) 2923–2941.

    Article  CAS  Google Scholar 

  37. Khandekar, R.N., Ashawa, S.C., and Kelkar, D.N., Dental lead levels in Bombay inhabitants. Sci. tot. Envir.10 (1978) 129–133.

    Article  CAS  Google Scholar 

  38. Lewis, A.H., The teart pastures of Somerset. J. agric. Sci., Cambridge33 (1943) 58–63.

    Article  CAS  Google Scholar 

  39. Losee, F.L., and Adkins, B.L., A study of the mineral environment of caries-resistant navy recruits. Caries Res.3 (1969) 23–31.

    Article  CAS  PubMed  Google Scholar 

  40. Ludwig, T.G., Healy, W.B., and Losee, F.L., An association between dental caries and certain soil conditions in New Zealand. Nature186 (1960) 695–696.

    Article  CAS  PubMed  Google Scholar 

  41. Ludwig, T.G., Recent marine soils and resistance to dental caries. Aust. dent. J. (1963) 109–113.

  42. Ludwig, T.G., Cadell, P.B., and Malthus, R.S., Soils and the prevalence of dental caries. Int. dent. J.14 (1964) 433–443.

    CAS  Google Scholar 

  43. McKay, F.S., Progress of the year in the investigation of mottled enamel with special reference to its association with artesian water. J. natn. dent. Ass.5 (1918) 721–750.

    Article  CAS  Google Scholar 

  44. McKay, F.S., Mottled enamel: a fundamental problem in dentistry. Dent. Cosmos67 (1925) 847–860.

    Google Scholar 

  45. McKay, F.S., Mottled enamel: the prevention of its further production through a change of the water supply at Oakley, Ida. J. Am. dent. Ass.20 (1933) 1137–1149.

    Google Scholar 

  46. McKay, F.S., and Black, G.V., An investigation of mottled teeth. Dent. Cosmos58 (1916) 477–484, 627–644, 781–792, 894–904.

    Google Scholar 

  47. Medical Research Council. The incidence of dental disease in children. Med. Res. Coun. spec. Rep. No. 97 (1925).

  48. Mills, C.F., Trace elements in animals. Philosophical Trans. r. Soc.B288 (1979) 51–63.

    Google Scholar 

  49. Murray, J.J., Fluoride in Caries Prevention. Wright, Bristol 1978.

    Google Scholar 

  50. Needleman, H.L., Lead at low dose in the child's brain: newer data. International Conference Heavy Metals in the Environment, Amsterdam, pp. 549–552. CUEP, Edinburgh 1981.

    Google Scholar 

  51. Nizel, A.E., and Bibby, B.G., Geographic variations in caries prevalence in soldiers. J. Am. dent. Ass.31 (1944) 1619–1626.

    Article  Google Scholar 

  52. Reif, A.E., The causes of cancer. Am. Scient.69 (1981) 437–447.

    CAS  Google Scholar 

  53. Sapiro, I.M., The lead content of teeth. Archs envir. Hlth30 (1975) 483–486.

    Article  Google Scholar 

  54. Steenhout, A., and Pourtois, M., Lead accumulation in teeth as a function of age with different exposures. Br. J. ind. Med.38 (1981) 297–303.

    CAS  PubMed  PubMed Central  Google Scholar 

  55. Tank, G., and Storvick, C.A., Effect of naturally occurring selenium and vanadium on dental caries. J. dent. Res. (1960) 473–488.

  56. Thornton, I., and Wegg, J.S., Geochemistry and health in the United Kingdom. Phil. Trans. r. Soc.B288 (1979) 151–168.

    Google Scholar 

  57. Warren, H.V., Some epidemiology, geochemistry and disease relationships. Ecol. Dis.1 (1982) 185–190.

    CAS  PubMed  Google Scholar 

  58. Weaver, R., Fluorosis and dental caries on Tyneside. Br. dent. J.76 (1944) 29–40.

    CAS  Google Scholar 

  59. Winneke, G., Brockhaus, A., Kramer, U., Ewars, U., Kujanek, G., Lechner, H., and Janke, W., Neuropsychological comparison of children with different tooth lead levels. Preliminary report. International Conference Heavy Metals in the Environment, Amsterdam, pp. 553–556. CUEP, Edinburgh 1981.

    Google Scholar 

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Davies, B.E., Anderson, R.J. The epidemiology of dental caries in relation to environmental trace elements. Experientia 43, 87–92 (1987). https://doi.org/10.1007/BF01940359

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