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Toshiro Sakae


sakae.toshiro@nihon-u.ac.jp

Journal articles

2007
Hiroshi Nakada, Toshiro Sakae, Racquel Z LeGeros, John P LeGeros, Taketoshi Suwa, Yasuko Numata, Kihei Kobayashi (2007)  Early tissue response to modified implant surfaces using back scattered imaging.   Implant Dent 16: 3. 281-289 Sep  
Abstract: PURPOSE: It is now well known that implant surface properties affect osseointegration. Grit-blasting with abrasives and coating by plasma are methods to modify implant surfaces. This study aimed to compare the direction of new bone formation associated with three types of surfaces. MATERIALS AND METHODS: Titanium (Ti) alloy rods grit-blasted with alumina abrasive (Group 1, G1), with apatitic abrasive (Group 2, G2), and with apatitic abrasive and plasma-sprayed with hydroxyapatite (Group 3, G3) were implanted in surgically created defects in tibias of New Zealand white rabbits for 2 and 4 weeks. After sacrifice, the implants and surrounding bones were obtained and analyzed using back scattered imaging. RESULTS: Differences in patterns of bone formation among the groups were observed: originating from the cortical bone towards the implant surface (Type A), surrounding the implant (Type B) and originating from the medullary cavity (Type C). G1 and G3 showed Types A and B while G2 exhibited Types A, B and C. After 4 weeks, greater amount of new bone was observed in G2 group compared with those in G1 and G3 groups. CONCLUSIONS: This study demonstrated that patterns of bone formation are influenced by methods of surface modification.
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Toshiro Sakae, Yukie Sato, Yasuko Numata, Taketoshi Suwa, Tohru Hayakawa, Kunihiro Suzuki, Takao Kuwada, Ken Hayakawa, Yasushi Hayakawa, Toshinari Tanaka, Isamu Sato (2007)  Thermal ablation of FEL irradiation using gypsum as an indicator.   Lasers Med Sci 22: 1. 15-20 Mar  
Abstract: Thermal effects produced in a laser-irradiated sample were studied by micro-X-ray diffraction and micro-Fourier transform infrared spectroscopy (FTIR). Gypsum, transformed into bassanite at 124 degrees C and into anhydrite at 147 degrees C, was used as a thermal indicator. Pit formation by a wavelength-tunable free electron laser (FEL) irradiation on the gypsum pellet maximized at a wavelength of 3.0 microm, 2 mJ/shot, and pits were not detected in those irradiated at 2.6 or 3.8 microm compared with the maximum at 3.0 microm and diminished at 2.0 or 4.0 microm in the human tooth case. Micro-X-ray diffraction and micro-FTIR did not reveal any appreciable bassanite or anhydrite in the irradiated regions. From the laser ablation viewpoint, these results allow the FEL ablation to be considered as plasma or evaporative ones. This study indicated that the micro-pulse of laser was effective to prevent thermal damages of laser irradiation.
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2006
Yasuhiro Tanimoto, Tohru Hayakawa, Toshiro Sakae, Kimiya Nemoto (2006)  Characterization and bioactivity of tape-cast and sintered TCP sheets.   J Biomed Mater Res A 76: 3. 571-579 Mar  
Abstract: The purpose of this study was to investigate the influence of sintering temperature on in vivo and in vitro bioactivities of sintered tricalcium phosphate (TCP) sheets prepared by the tape casting technique. Green sheets of beta-TCP prepared by tape casting were sintered for 2 h in a furnace at atmospheric pressure, at five different sintering temperatures: 900, 1000, 1100, 1150, and 1200 degrees C. Measurement of X-ray diffraction and Fourier transform infrared spectrometry showed the presence of alpha-tricalcium phosphate phase in the TCP sheet sintered at 1200 degrees C, in addition to beta-TCP phase. As compared with the other sintered TCP sheet, the TCP sheet sintered at 1200 degrees C demonstrated a lower dissolution rate in phosphate buffered saline solution at 37 degrees C and pH 7.4 over 24 weeks, and more amount of apatite formation in Hanks' balanced salt solution with pH 7.4 was observed. After 4 weeks' implantation of sintered TCP sheets into tibial diaphyses of rabbits, the bone-sheet contact of the TCP sheet sintered at 1200 degrees C was significantly higher than that of the TCP sheet sintered at 900 degrees C. These results indicate that a flat sintered TCP sheet prepared by tape casting is a promising material for a bone substitute.
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2004
T Hayakawa, M Yoshinari, T Sakae, K Nemoto (2004)  Calcium phosphate formation on the phosphorylated dental bonding agent in electrolyte solution.   J Oral Rehabil 31: 1. 67-73 Jan  
Abstract: The aim of the present study was to study the mineral formation on a phosphorylated dental bonding agent using a mineralization inductive solution. Clearfil Photobond, which contained phosphate monomer, was cured by photo-irradiation and heat treated, and was then immersed in Hanks' balanced salt solution (HBSS) with pH = 7.4 for 1, 3, 5, 7, 14, and 28 days at 37 degrees C. The white substances were deposited on the phosphorylated polymer, i.e. cured Photobond disk, after the immersion in HBSS. The white substances become visible after 3 days immersion. After 7 days immersion, surface of the phosphorylated polymer disk was almost covered with white substance layers. The measurement of white substances by means of X-ray diffraction, Fourier-transform infrared and electron probe microanalysis revealed that their main component was carbonate-containing hydroxyapatite. Scanning electron microscopy pictures showed that a large number of globules of hydroxyapatite were fused together, and that each globule was composed of a group of numerous thin-film form flakes uniting and/or clustering together. The results obtained in this study concluded that the presence of phosphonic acid and phosphate group of phosphorylated dental bonding agent enhanced the nucleation and growth of hydroxyapatite crystals on its surface.
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2000
T Hayakawa, H Mishima, I Yokota, T Sakae, Y Kozawa, K Nemoto (2000)  Application of high resolution microfocus X-ray CT for the observation of human tooth.   Dent Mater J 19: 1. 87-95 Mar  
Abstract: The calcification degree of extracted human teeth was observed by using high resolution microfocus X-ray CT. As samples, upper and lower first premolars extracted from a 21-year-old female were used. The computed tomograms were produced by high resolution microfocus X-ray CT with a open vacuum X-ray source, rotating sample stage, and image sensor. The distinction between enamel and dentin was very clear, and the shape of the pulp cavity was also clearly identified. The secondary dentin was visible in the circumpulpal dentin. The color map displays showed the heterogeneity of the calcification degree not only in the dentin but also in the enamel. The enamel was divided into three layers according to the calcification degree. High resolution microfocus X-ray CT was very useful for the observation of the internal structure of human teeth without destroying the samples.
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1998
K Suzuki, T Sakae, Y Kozawa (1998)  Helix structure of ribbon-like crystals in bovine enamel.   Connect Tissue Res 38: 1-4. 113-7; discussion 139-45  
Abstract: In the early mineralized enamel crystals, ribbon-like crystals appear near the ameloblasts. Some ribbon-like crystals showed helical or spiral structure within restricted environment during the preparation of embryonic bovine specimens for electron microscope. These specimens did not suffer from the cutting damages nor staining effects. The main cause of the helix structure is considered a result of the dehydration during preparation. The periodic structure must reflect the regularity of initial enamel crystals. If dehydration caused the ribbon-like crystal to induce the periodic helix, it is one possibility that the earliest enamel crystal is OCP which has been proposed as a precursor of HA. Because it is considered that OCP is more sensitive to dehydration and more symmetric structure than biological HA. The periodicity of the helical ribbon-like structure was about 25 to 55 nm long and could be compared to the periodicity of organic helices which had observed in an immature rat enamel.
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1996
H Okada, Y Sato, T Sakae, H Yamamoto (1996)  Ultrastructure of the ankylotic area in the osteopetrotic op/op mouse.   J Nihon Univ Sch Dent 38: 2. 87-93 Jul  
Abstract: The op/op mouse, which carries an osteopetrotic mutation, suffers from complete failure of tooth eruption. Commonly the teeth are ankylosed to the bone. Previous reports of ankylosis in the op/op mouse have been based on light microscopy. The aim of this study was to clarify the ultrastructural features of the ankylotic area using the oolong tea extract (OTE) staining technique. The ultrastructural features of ankylosis did not parallel the findings of light microscopy. OTE staining clearly stained the collagen fibers of bone and tooth, and the space dividing the tooth and bone was revealed by transmission electron microscopy. In comparison, light microscopy failed to reveal this space and the ankylosis was unclear. The true ankylotic area was smooth and the tooth was tightly ankylosed to the bone.
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1995
T Sakae, H Mishima, Y Kozawa, R Z LeGeros (1995)  Thermal stability of mineralized and demineralized dentin: a differential scanning calorimetric study.   Connect Tissue Res 33: 1-3. 193-196  
Abstract: The purpose of this study was to determine the difference, if any, in the thermal stability of collagen in mineralized and demineralized dentine compared to that in unmineralized tissues, using differential scanning calorimetry, DSC. Human tooth dentin blocks, about 1 x 1 x 2 mm in size, were used in this study. Some dentin blocks were demineralized using a Plank Rychlo solution; others, using EDTA solution. The mineralized dentin showed an exothermic peak at about 310 degrees C and the combustion of organic materials was completed at about 450 degrees C. For the demineralized dentin, the combustion was completed at higher temperature range and showed a strong exothermic peak at about 470 degrees C. An exotherm at the temperature between 450 degrees C and 470 degrees C was also observed in DSC pattern of native type I collagen from calf skin and rat tail tendon. DSC pattern of rat tail collagen showed a close similarity to that of the demineralized dentin. Statistically, the same heat flow value was obtained both from the mineralized dentin and the demineralized dentin and from the native type I collagen. These findings indicated that the thermal stability of collagen in dentin is lower than collagen in uncalcified connective tissue. It is suggested that in calcified collagen, the apatite crystallites may have intruded into spaces of the crosslinks of intra- and inter-fibrils, and in so doing, destroyed the crosslinks.
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H Mishima, T Sakae, Y Kozawa (1995)  Scanning electron microscopy and energy dispersive spectroscopy analysis of calciotraumatic lines in rat labial dentin after acute exposure to strontium chloride.   Scanning Microsc 9: 3. 797-803 Sep  
Abstract: Rats were given strontium chloride (SrCl2) intraperitoneally at a dose of 500 mg/kg. The upper incisors were removed after injection of strontium. These incisors were studied by scanning electron microscopy-energy dispersive spectroscopy analysis (SEM-EDS) and light microscopy to examine the calciotraumatic lines of strontium in the rat incisor labial dentin. At 24 hours after injection of strontium, the calciotraumatic response was observed in the predentin using hematoxylin and eosin (H-E) staining. At 5 days, three layers of calciotraumatic lines were present in the labial dentin using an H-E staining and backscattered electron imaging in the SEM. The external layer consisted of unmineralized dentin, the intermediate layer of relatively unmineralized dentin, ane the internal layer of unmineralized dentin. By SEM-EDS analysis, strontium was detected in these layers. The elemental dot map showed that the external and internal unmineralized layers had a low calcium content. The magnesium concentration was higher in the internal unmineralized layer than the external unmineralized layer.
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T Kaneda, H Okada, Y Sato, T Sakae, T Jinkoji, F Tomiyama, Y Akimoto, H Suzuki, Y Kozawa, H Yamamoto (1995)  Evaluation of jawbone calcification in osteopetrotic (op/op) mice using computed tomography.   J Nihon Univ Sch Dent 37: 3. 152-155 Sep  
Abstract: The study was conducted to evaluate the degree of calcification in the jawbones of 3 pairs of 4-week-old male op/op mice and littermates using computed tomography (CT) numbers. The mean CT numbers for op/op mice (n = 3) were 251.3 HU (range, 226 to 278) in the maxillary bone and 353.7 HU (range, 320 to 398) in the mandibular bone. The mean CT numbers for littermates were 336.7 HU (range, 324 to 350) and 596.6 HU (range, 580 to 604), respectively. The CT numbers of littermates were higher than in op/op mice for both maxillary and mandibular bones. These results indicated that the degree of bony calcification in littermates was higher than that in 4-week-old op/op mice in both the maxillary and mandibular bones. CT is able to demonstrate the degree of bony calcification in the jawbones of op/op mice using CT numbers, and it is suggested that CT is an extremely effective tool for examining the conditions of bone in vivo. This study also shows that op/op mice are useful for investigation of bone calcification or maturation.
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1993
H Mishima, Y Kunuki, T Sakae, Y Kozawa, N Watabe (1993)  Calcospherites in rabbit incisor predentin.   Scanning Microsc 7: 1. 255-64; discussion 264-5 Mar  
Abstract: Calcospherites from the lower incisor dentin of rabbits were investigated by scanning and transmission electron microscopy (TEM), energy dispersive spectroscopy (EDS) and electron diffraction analyses. In the labial predentin, globular calcospherites of 8-31 microns were present at the root apex, decreasing in size toward the incisal region. The calcospherites at the intermediate region were of mulberry- as well as of spindle-shape of 1.5-4 microns diameter. The incisal pulp horn contained micro-calcospherites of 0.3-0.6 micron in diameter. In the lingual predentin, small granular calcospherites of 1.8-3 microns were present at the root apex, increasing in size toward the intermediate region. Ultrathin sections of globular calcospherites showed bundles of collagen fibrils at the root apex of the labial predentin. The diameters of individual bundles ranged from 1.2-3.4 microns. The width of the fibrils in the bundles was approximately 120-170 nm. Bundles of collagen fibrils were not found in the lingual predentin. Crystals of calcospherites were identified as apatite by electron diffraction. Those at the intermediate region showed preferred orientation of the c-axis. TEM-EDS analyses indicated that Ca and P were the major elements, with small amounts of Mg. The Mg/Ca molar ratios decreased from the root apex to the incisal pulp horn. Ca peak intensities increased from the root apex to the incisal region.
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H Tanaka, T Sakae, H Mishima, H Yamamoto (1993)  Calcium phosphate in aspergillosis of the maxillary sinus.   Scanning Microsc 7: 4. 1241-5; discussion 1245-6 Dec  
Abstract: The unique appearance of apatite in fungus balls of aspergillosis in the maxillary sinus was investigated using scanning electron microscopy (SEM), energy-dispersive spectroscopy (EDS), X-ray microdiffraction and Fourier transform infrared spectroscopy (FT-IR). Rod-shaped fragments with tubular structures, and globular vesicles covered with conidia were observed in the fungus balls. Massive fragments of a solid substance were demonstrated inside the fungus balls. Calcium and phosphate were detected in necrotic areas of the fungus balls by EDS. X-ray microdiffraction and FT-IR showed the presence of an apatite-like substance, but failed to demonstrate the presence of calcium oxalate crystals usually found in such fungus balls.
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1992
H Mishima, H Yamamoto, T Sakae (1992)  Scanning electron microscopy-energy dispersive spectroscopy and X-ray diffraction analyses of human salivary stones.   Scanning Microsc 6: 2. 487-93; discussion 493-4 Jun  
Abstract: Ten salivary stones in the human submandibular gland were investigated by scanning electron microscopy-energy dispersive spectroscopy (SEM-EDS) and X-ray diffraction analyses. The stones usually showed a lamellar pattern. SEM observations revealed cubical, plate-like, granular, small and large granules, polyhedral or globular structures in these stones. By X-ray powder diffraction analysis, the main constituents of salivary stones were found to be apatite and whitlockite. SEM-EDS analyses showed that Ca and P were the major elements, frequently accompanied by Mg and S, and less frequently by Na, Al, Si, Cl, K, Fe, Cu and Zn. Ca/P molar ratios ranged from 1.00 to 2.00 with the average of 1.53, showing two maxima of about 1.50 and 1.60. The Ca/P molar ratio of about 1.50 corresponded to the value of whitlockite. The Ca/P molar ratio of 1.60 corresponded approximately to the value of apatite.
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T Sakae, J E Davies (1992)  Infrared spectroscopic method for analysis of precipitates on a cell culture dish.   J Biol Buccale 20: 2. 129-133 Jun  
Abstract: A new quick infrared spectroscopic method was developed and applied to analyze precipitates formed by cultured cells on a Petri dish. This IR method allows a dish to be placed directly on the sample beam window of a normal double beam IR spectrometer. Placing a blank dish on the reference beam window of the spectrometer compensates for the high background absorption due to the dish on the sample beam window and enables an identifiable spectrum to be obtained. Using this technique with a Petri dish, a high correlation factor of 0.998 was found between the PO4 peak absorbance and the weight of synthetic hydroxyapatite in the range of 0.5-2.5 mg/cm2. The IR pattern, however, showed a shift in the positions of the absorption band and the appearance of ghost peaks. Using a thin based Petriperm dish, these difficulties were overcome producing a correlation factor of 0.992 at the lower range of 0.05-1.45 mg/cm2. Application of this technique to the precipitates formed on a Petri dish by rat bone marrow derived cells showed the presence of collagen and apatite-like substance.
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1991
H Mishima, T Sakae, Y Kozawa (1991)  Morphological study of calcospherites in rat and rabbit incisor dentin.   Scanning Microsc 5: 3. 723-8; discussion 728-9 Sep  
Abstract: Calcospherites from incisors of rats and rabbits were studied, by means of secondary and backscattered electron images, using scanning electron microscopy. Part of each incisor specimen was made anorganic to allow observation of the surface of the mineralization front by scanning electron microscopy; the other part was ground on one side for observation by scanning electron microscopy with a backscattered electron image detector. In both species the labial mineralization front was wavy and the image showed fused calcospherites, whereas the lingual mineralization front appeared to consist of a combination of linear and globular forms. In rat labial dentin the calcospherites were large and globular form, but they did not develop in the lingual dentin and were small and oval. The shape and size of rabbit incisor calcospherites varied from the pulp horn to the root apex. There were great differences between rats and rabbits with respect to the size and shape of the calcospherites at the mineralization front. This may be due to species differences and possibly the differing rates of dentinogenesis in rats and rabbits.
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1990
T Sakae, M Sekikawa (1990)  X-ray crystallography of incisor enamel from red kangaroo.   J Nihon Univ Sch Dent 32: 2. 99-103 Jun  
Abstract: X-ray powder diffraction of red kangaroo (Macropus rufus) dental enamel, with a relative density greater than 2.60, showed a longer a-axis length of the apatite unit cell, a = 9.462 A, a shorter c-axis length, c = 6.877 A, and a smaller crystallite size, ca. 185 A, than those of human dental enamel. The a-axis of red kangaroo dental enamel was one of the longest among the values reported previously, whereas the c-axis was one of the shortest. The crystallite size was almost equal to that of dentin crystallites. It is suggested that the chemical composition of the dental enamel apatite of the red kangaroo is markedly substituted, resulting in lattice distortion.
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1989
H Yamamoto, T Sakae, J E Davies (1989)  Cleidocranial dysplasia: a light microscope, electron microscope, and crystallographic study.   Oral Surg Oral Med Oral Pathol 68: 2. 195-200 Aug  
Abstract: An unusual case of cleidocranial dysplasia associated with more than 60 unerupted teeth is presented and examined with light and scanning electron microscopes and crystallographic techniques. The present case revealed pseudoprognathism with facial asymmetry, the right side being larger than the left. The extracted teeth showed enamel hypoplasia in light and scanning electron microscopy, yet the crystalline composition did not differ from that of the normal teeth. The potential causes of lack of eruption and supernumerary tooth formation in cleidocranial dysplasia are discussed.
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T Sakae, H Yamamoto, H Mishima, T Matsumoto, Y Kozawa (1989)  Morphology and chemical composition of dental calculi mainly composed of whitlockite.   Scanning Microsc 3: 3. 855-860 Sep  
Abstract: The morphology and chemical composition of two subgingival calculus samples, which were composed of magnesium-whitlockite with a Mg/Ca molar ratio of approximately 0.1 as shown by X-ray powder diffraction, were analyzed semiquantitatively using energy-dispersive spectroscopy (EDS) combined with scanning electron microscopy (SEM). The Ca/P molar ratio values for 33 EDS-analyzed materials ranged from 1.24 to 2.03 with an average of 1.49, and the (Mg+Ca)/P molar ratio values ranged from 1.43 to 2.28 with an average of 1.63. The average Mg/Ca molar ratio was 0.10, a value very close to that obtained by X-ray diffraction analysis. The EDS-analyzed materials were grouped morphologically into three types; Type A materials were typical rhombohedral crystals, Type B were crystals of ill-defined form or small crystallite aggregations and Type C materials had a small granular structure or were amorphous. The values of (Mg+Ca)/P molar ratio for Type A ranged from 1.57 to 2.28 and averaged 1.81, those for Type B ranged from 1.43 to 1.56 and averaged 1.48, and those for Type C ranged from 1.46 to 2.06 and averaged 1.62. Type A crystals had higher molar ratios while Type B crystallites had values similar to that of whitlockite. Type C materials covered the ranges of both Type A and Type B. These results show that the materials resembling whitlockite morphologically did not have the (Mg+Ca)/P ratio of whitlockite and vice versa. This suggests that whitlockite crystals may substitute some ions for PO4 as well as Mg for Ca to a larger extent than thought previously, and that care is needed in the identification of these materials.
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1988
T Sakae, H Mishima, Y Kozawa (1988)  Changes in bovine dentin mineral with sodium hypochlorite treatment.   J Dent Res 67: 9. 1229-1234 Sep  
Abstract: Dentin powders from bovine incisors were treated with 10% NaClO solution. Differential thermal analysis (DTA) indicated the removal of organic material from the dentin sample following the treatment, since the exothermic reaction at 320 degrees C had disappeared. X-ray diffraction studies revealed a change in the crystallinity of the dentin crystals and the formation of calcite after the treatment. Infrared absorption analysis showed that the band due to carbonate ions was weakened after the treatment, while atomic absorption spectroscopic analysis showed that magnesium ions had been dissolved from the dentin sample. The a-axis lengths of treated and heated dentin samples differed from those of untreated and heated samples. Whitlockite was always found in the untreated/heated samples, whereas it was absent in the treated/heated samples. The unit cell dimensions of the whitlockite indicated the partial substitution of magnesium for calcium. Magnesium ions seemed to be more effective than carbonate ions in forming whitlockite. These results showed that some magnesium and carbonate ions were removed from the dentin crystal structure upon NaClO treatment, while at the same time organic materials were removed from the dentin sample. It was suggested that crystals in the NaClO-treated dentin were similar to enamel crystals from a crystallographic viewpoint.
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Y Kozawa, T Sakae, H Mishima, R H Barckhaus, E R Krefting, P F Schmidt, H J Höhling (1988)  Electron-microscopic and microprobe analyses on the pigmented and unpigmented enamel of Sorex (Insectivora).   Histochemistry 90: 1. 61-65  
Abstract: Sorex belongs to the Insectivora and has a pigmented tooth enamel due to iron. The pigmented enamel (PE) has a mean Ca/P weight ratio, analyzed by quantitative electronprobe X-ray microanalysis, of about 1.9 (mean molar Ca/P ratio 1.46), and the unpigmented enamel (UE) a Ca/P weight ratio of about 2.0 (mean molar Ca/P ratio 1.59). The PE has a higher iron content (with a value of about 8%) than the UE, as shown by microanalysis of ultrathin sections. Laser microprobe mass analysis (LAMMA) has shown that the carbonate content in the UE is higher than in the PE. In the LAMMA spectrum of the negatively charged ions the carbonate lines could be compared directly with those of negatively charged iron ions. The pigmentation is associated with a low Ca/P ratio but may transfer mechanical strength and acid resistance strength to the PE.
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T Sakae (1988)  X-ray diffraction and thermal studies of crystals from the outer and inner layers of human dental enamel.   Arch Oral Biol 33: 10. 707-713  
Abstract: X-ray diffraction showed that crystals from the outer layer had larger crystallite sizes, a-axis length and peak intensities than the inner layer crystals. Upon heating, apatites in both layers showed a contraction of a-axis length and changed their crystallite sizes along the direction of the a-axis independently of changes along the c-axis. The contraction of the a-axis length is attributed to loss of structurally incorporated water from the apatite lattice, causing void formation along the c-axis and altering the crystallite size normal to the c-axis. Whitlockite was detected in samples from both layers at temperatures above 800 degrees C, and the temperature required for whitlockite formation was considered to be influenced by the experimental atmosphere. The peak shift of whitlockite with temperature indicates that the whitlockite initially formed was magnesium rich. As to the amount of structurally incorporated water in both layers' apatites, the a-axis contraction data were inconsistent with the a-axis length data. This inconsistency indicates a larger degree of magnesium substitution in the inner layer apatite. A larger degree of magnesium substitution in apatite would show a smaller crystallite size, a weaker apatite peak intensity and a larger amount of whitlockite formation.
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1987
T Sakae, H Yamamoto (1987)  Crystals and calcification patterns in two lymph node calcifications.   J Oral Pathol 16: 9. 456-462 Oct  
Abstract: Two calcified lymph nodes from the submandibular and neck regions, were studied by micro-radiography, X-ray micro-diffraction and X-ray micro-analysis. The submandibular specimen showed a conglomerate texture of small blocks which seemed to reflect the lobular structure of the lymph node. The degree of calcification of these blocks varied from one location to another. The neck specimen was composed of several islets surrounded by soft tissues. The main islet showed a central X-ray translucent region and outer calcified layers which could be subdivided into 2 types; those with spherulitic calcification and those with smooth calcification. In the submandibular specimen, well crystallized apatite was found, sometimes together with a minor amount of whitlockite. In the neck specimen, isolated and well-crystallized whitlockite was found most frequently in the regions of spherulitic calcification. The occurrence of whitlockite in both specimens was attributed to the sporadic distribution of magnesium, as revealed by X-ray micro-analysis.
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H Yamamoto, T Sakae (1987)  Brushite in fibrous dysplasia of the jaw bone.   Acta Pathol Jpn 37: 10. 1699-1705 Oct  
Abstract: Crystals associated with the maxillary bone in a case of fibrous dysplasia were investigated histopathologically, crystallo-graphically and by infrared absorption spectroscopy. Light microscopically, the crystals showed a transparent and plate-like appearance, and were revealed to be piled, incomplete monoclinic structures up to 250 micron in size by scanning electron microscopy. These crystals were identified as brushite, dicalcium phosphate dihydrate CaHPO4.2H2O, by X-ray microdiffraction and infrared absorption spectroscopic analysis. From consideration of the equilibrium of brushite, it was assumed in this case that inflammation had occurred initially and that the tissue fluid conditions at the site of the lesion had deviated from normal, eventually resulting in the deposition of brushite crystals on the bone apatite. From a crystallographic view point, the mode of occurrence of brushite suggested that the bone at the lesion site would not recover through normal healing.
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