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Published on: March 29, 2018
Environmental influences on the trace element content of teeth--implications for disease and nutritional status
Catriona J Brown1, Simon R N Chenery, Barry Smith
1Childrens Department, Birmingham Dental Hospital, St. Chad's Queensway, B4 6NN, UK. catriona.brown@southbirminghampct.nhs.uk
Insights
Children's primary teeth from Uganda showed higher levels of strontium, barium, cerium, lanthanum, and praseodymium, and lower zinc, compared to UK teeth. Environmental factors significantly influence tooth trace element content, potentially aiding nutritional monitoring.
Area of Science:
- Environmental Science
- Pediatric Health
- Geochemistry
Background:
- Endomyocardial fibrosis (EMF) is prevalent in certain Ugandan areas.
- EMF is potentially linked to low magnesium and high cerium exposure.
- Trace element analysis in primary teeth can offer insights into environmental exposures.
Purpose of the Study:
- To compare trace element concentrations in primary teeth from Ugandan and UK children.
- To investigate potential environmental influences on tooth element composition.
- To assess the link between EMF, magnesium, and cerium levels in Ugandan teeth.
Main Methods:
- Primary teeth were collected from Ugandan (n=21) and UK (n=27) children.
- Tooth crowns were digested and analyzed using ICP-MS and ICP-AES.
- Enamel and dentine layers were isolated and analyzed separately.
Main Results:
- Ugandan teeth had significantly higher strontium, barium, cerium, lanthanum, and praseodymium (P < 0.05).
- Ugandan teeth showed significantly lower zinc concentrations compared to UK teeth.
- No significant differences were found in aluminum, calcium, copper, magnesium, lead, or uranium.
Conclusions:
- Environmental factors significantly impact the trace element content of primary teeth.
- Tooth element analysis may serve as a tool for monitoring nutritional status.
- Current data does not confirm a link between EMF in Uganda and reduced magnesium or increased cerium in primary teeth, though cerium's role is not excluded.
Abstract:
The aim of this study was to compare the trace element content of children's primary teeth from Uganda and the UK. The Ugandan teeth were from children living in an area where endomyocardial fibrosis (EMF), a cardiac disease, is prevalent. The latter has been putatively linked to insufficient magnesium intake and excess cerium exposure. Primary teeth were collected from 21 Ugandan and 27 UK children. The crowns and roots of the teeth were separated and the former digested and analysed for several major and trace elements by inductively coupled plasma mass spectrometry (ICP-MS) and atomic emission spectrometry (ICP-AES). In addition, the enamel and dentine of eight UK and seven Ugandan primary teeth were isolated via density separation and analysed as above. The data were assessed using non-parametric statistical tests. The Ugandan teeth contained significantly (P < 0.05) greater concentrations of strontium, barium, cerium, lanthanum, praseodymium and significantly less zinc than the UK teeth. No significant difference in the concentrations of aluminium, calcium, copper, magnesium, lead and uranium were found. Analysis of enamel and dentine demonstrated that the former was enriched with several elements including cerium. It is concluded, that the environment, influences the trace element content of primary teeth and this may be useful for monitoring nutritional status. With respect to a geochemical cause for EMF, there is no positive evidence that EMF in Uganda is associated with reduced magnesium and increased cerium uptake in primary teeth. This does not, however, exclude cerium from playing a role in the aetiology of EMF.
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