An assessment of mineral concentration of dental enamel neighbouring hypothetical orthodontic brackets using X-ray microtomography.

OBJECTIVES: Differences in the mineral concentration (MC) level of dental enamel may represent a precursor of white spot lesions adjacent to fixed orthodontic brackets. The aim of the current in vitro study was to compare the MC level central, occlusal and cervical to orthodontic attachments. METHODS AND MATERIALS: A total of 16 enamel blocks were obtained from sound human premolar samples extracted for orthodontic reasons. The buccal portion of the dental enamel blocks was divided into central, occlusal, and cervical regions and then imaged and measured to calculate the level of MC using quantitative X-ray microtomography methods (XMT) at each site. RESULTS: There was a substantial variation in the mineral concentration with the lowest level being detected in the cervical region when compared with other regions. The MC of the gingival zone was significantly lower than that of the middle zone (P<0.05) and was insignificantly lower than that of the occlusal zone. CONCLUSION: Within the limitations of the current study, it can be concluded that the cervical region of the permanent enamel had the lowest mineral concentration using XMT. The cervical region may therefore be more vulnerable to the development of white spot lesions (WSLs) adjacent to a fixed orthodontic appliance during orthodontic treatment. CLINICAL SIGNIFICANCE: Using X-ray microtomography lower mineral concentration in the cervical region of the enamel was observed. This may make these areas particularly susceptible to demineralisation during fixed appliance-based orthodontic treatment and may influence the bond strength of fixed orthodontic attachments.

Qualitative and quantitative assessment of the potential effect of cigarette smoking on enamel of human smokers' teeth.

OBJECTIVE: This study aimed to examine the potential changes in enamel surface of human smokers' teeth. MATERIALS AND METHODS: Forty extracted permanent, human, noncarious anterior teeth were used in this study. Half of these teeth were obtained from heavy smokers, while the other half of teeth were collected from nonsmokers (control teeth). The teeth were then subjected for scanning electron microscopic examination together with energy dispersive X ray and micro-hardness analysis to evaluate the qualitative and quantitative effect of smoking respectively. RESULTS: SEM of smokers' teeth showed variable degrees of destruction from small areas of demineralization as holes and pits to destruction and deterioration of the organizational pattern of the rod substance. Moreover, areas of defective remineralization were detected. The microhardness, calcium and phosphorus weight % significantly decreased whereas the Ca/P ratio was significantly increased. CONCLUSION: Cigarette smoking adversely affected the ultrastructure and mechanical properties of enamel and even hindered the normal remineralization process thus cigarette smoking cessation should be promoted in the dental office daily practices.

Early specialized maritime and maize economies on the north coast of Peru.

We assess diet and economies of middle Holocene (∼7,500 to 4,000 calibrated [cal] B.P.) humans at coexisting mound sites (Huaca Prieta and Paredones) in north coastal Peru and document regular consumption of maize by ∼6,500 to 6,000 cal B.P. and its earliest use as a staple food in this area of the Andes between 5,000 and 4,500 cal B.P. Stable isotope data from enamel carbonates and dentin collagen (childhood diet) and dental microwear texture analysis (adult diet) demonstrate dietary and economic specialization. Previous studies revealed maize and mixed-food refuse at both sites, but this study documents actual food consumption, showing that these communities situated a few hundred meters apart had significantly distinct diets in childhood and adulthood. Huaca Prieta focused on marine resources, although there are some contributions from terrestrial meat. Paredones individuals primarily consumed maize during childhood (up to 70% of the juvenile diet), as shown by δ13C values, apatite-collagen spacing, and discriminant analysis of δ13Ccoll, δ13Ccarb, and δ15N values. Maize was likely used as a weaning food (e.g., gruel and/or chicha-a maize beverage), hinting at the significant role of breastfeeding mothers, weanling infants, and children in the development of maize as a staple crop. Additionally, dental microwear data show Paredones adult diets are high in abrasives, potentially from maize processing. The distinct foodways at these neighboring sites result from and also reflect their social and political distinctions. These differences in food production, distribution, and consumption generated opportunities for exchange, an interaction that bound them together in mutual benefit.

Status, kinship, and place of burial at Early Bronze Age Bab adh-Dhra': A biogeochemical comparison of charnel house human remains.

OBJECTIVES: The Early Bronze Age (EBA; ca. 3,600-2000 BCE) of the southern Levant underwent considerable transformation as agro-pastoral communities began to utilize their land more intensively, constructing larger, fortified towns prior to site abandonment at the end of the third millennium. At the site of Bab adh-Dhra' in Jordan, the dead of the Early Bronze (EB) II-III (ca. 3,100-2,500 BCE) period were communally interred within charnel houses, but important disparities between these structures and their contents may be reflective of ownership and use by particular extended kin groups whose activity patterns, subsistence strategies, and even social status may have differed from one another. Subsequently, we hypothesized that differences in mobility and dietary intake may differentiate tomb groups from one another. MATERIALS AND METHODS: Dental enamel from 31 individuals interred in three different Early Bronze Age charnel houses (A56, A22, A55) at Bab adh-Dhra', Jordan were analyzed for strontium, oxygen, and carbon isotope values. RESULTS: Strontium isotope ratios (range: 0.70793-0.70842) possessed medians that did not differ statistically from one another, but had ranges that exhibited significant differences in variance. Carbon isotope values ( x¯ = -13.2 ± 0.5‰, 1σ) were not significantly different. DISCUSSION: General similarities in human isotopic signatures between EB II-III charnel houses A22 and A55 suggest that their activities were likely similar to one another and agree with findings from excavated domestic spaces with little archaeological evidence for economic, social, or political differentiation. More variable strontium isotope ratios and lower carbon isotope values from A22 could reflect a greater involvement with pastoralist practices or regional trade, including the consumption of more 13 C-depleted foods, while those in A55 may have led a more sedentary lifestyle with greater involvement in cultivating orchard crops. All charnel houses contained nonlocal individuals likely originating from other Dead Sea Plain sites with no EB II-III cemeteries of their own, supporting the idea that extended kin groups throughout the region returned to Bab adh-Dhra' to bury their dead.

Assessment of the Raman spectroscopy effectiveness in determining the early changes in human enamel caused by artificial caries.

Current diagnostic methods for enamel caries detection are unable to detect caries lesions at a very early stage. Previous studies indicated that Raman spectroscopy is a promising and effective tool for the detection of early caries. In our previous work, we showed that several independent parameters obtained during the analysis of the Raman spectra of enamel allow for the identification of carious lesions formed in the oral cavity (natural caries). The aim of this research was to estimate the effectiveness of Raman spectroscopy in the determination of specific changes in human enamel affected by artificial caries. The values of parameters obtained in a previous study were compared with those obtained in this work. Moreover, the direction of parameter value changes during caries formation was checked, and also compared with earlier results. The results show that Raman maps permit the determination of local variations in the enamel structure affected by the early demineralization process. As follows from these and previous results a few parameters such as depolarization ratio, polarization anisotropy, position, intensity and full width at half maximum of the Raman band allow for the identification of the enamel caries changes. This investigation contributes to the development of Raman spectroscopy for the identification of caries at a stage before visual changes in enamel.

The effect of base material composition on demineralization assessment in CPOCT dental imaging.

Cross-polarization optical coherence tomography (CP-OCT) is a promising imaging modality to detect demineralization under the margins of composite restorations. The aim of this study was to assess how base materials applied under composite resin may affect CP-OCT image assessment. Base materials are commonly used for managing deep dentinal decay but once applied residual amounts of the base materials can be inadvertently left on the inner enamel walls. This study determined that base materials have significantly different scattering properties. The order grouping in the mean backscattered reflectivity (mR) of the base material was Dycal>caries phantom>Fuji IX, Vitrebond, Fuji II (p<0.05). The calcium hydroxide base (Dycal) had a higher mR than demineralized dentin and Vitrebond before and after the resin restoration was placed (p<0.05). While calcium hydroxide maybe a confounder in CPOCT imaging, several protective base materials are compatible with this type of imaging modality.

A novel electron-microscopic method for measurement of mineral content in enamel lesions.

OBJECTIVE: To assess Scanning Electron Microscopy in Back-Scattered Emission mode (BSE-SEM) for measurement of lesion mineral content as a function of depth. Direct comparison is made with Transverse Micro-Radiography (TMR) and Surface Micro-Hardness (SMH) on carious and erosive lesions. DESIGN: Caries lesions prepared from sound bovine enamel at 37 °C and pH 4.6 in unsaturated (7d) or part-saturated (8d, 4.1 mM Ca2+, 8 mM Pi) lactic acid /methyl cellulose gel system, followed by TMR analysis. Erosive lesions prepared from sound bovine enamel (1% citric acid, pH3.8, room temperature) for 5, 10, 15 or 20 min at n = 10 per treatment group. SMH readings (Vickers diamond, 1.9 N, 20 s) were taken from acid-treated and reference areas of each sample. BSE-SEM performed on polished cross-sections of lesioned samples (Jeol JSM6490LV SEM; high vacuum, 10 keV beam voltage, magnification x500 with constant working distance of 10 mm). Under identical SEM conditions, polished standards i.e. MgF2, alumina, Mg, Al and Si provided a calibration plot of BSE-SEM signal vs. atomic number (z¯). Mineral content vs. depth plots were derived from the cross-sectional BSE-SEM data. RESULTS: Cross-sectional BSE-SEM images clearly differentiate between caries and erosive lesions. Comparison of caries lesion mineral loss from BSE-SEM with TMR data showed good correlation (R2 = 0.98). Similarly, comparison of BSE-SEM data from erosive lesions showed good correlation (R2 = 0.99) with hardness loss data from SMH. CONCLUSION: BSE-SEM provides a relatively rapid and cost-effective method for the assessment of mineral content in demineralised tooth enamel and is applicable to both caries and erosive lesions.

A comparative assessment of enamel mineral content and Streptococcus mutans population between conventional composites and composites containing nano amorphous calcium phosphate in fixed orthodontic patients: a split-mouth randomized clinical trial.

OBJECTIVES: The aim of this 'split-mouth design' trial was to evaluate the effect of the nano amorphous calcium phosphate (NACP) containing composite on enamel mineral contents and streptococcus mutans population in fixed orthodontic patients. DESIGN, SETTING, PARTICIPANTS, AND INTERVENTION: Randomized, prospective, single-center controlled trial. Twenty-four patients between the ages of 13-18 years participated in this study. The control and test sides were randomly selected by a coin toss (1:1 ratio). On the control side orthodontic brackets were bonded on the buccal surfaces of upper premolars and laterals using an orthodontic composite (Transbond XT), and on the study side NACP-containing composite was used. Outcome measures were the mineral content around the brackets and S.mutans count. The later were calculated in the plaque around the brackets by real-time PCR at 3 months, and 6 months after the initiation of treatment. All stages of the study were blind using coding system. Paired t-test and repeated measurements were used for data analysis. RESULTS: In the third and sixth month, the bacterial population was significantly lower in the study side than the control side (P = 0.01 and 0.000).The mineral content of the study side was significantly higher than the controls, 6 months after brocket bonding (P = 0.004). There were no significant differences between the premolars and lateral teeth for all measurements. LIMITATIONS: This research was performed in a single-center by one experienced clinician. CONCLUSION: NACP-containing composites have the potential to inhibit mineral content loss and S.mutans colonization around orthodontic brackets during fixed orthodontic treatments. TRIAL REGISTRATION: This trial was not registered. PROTOCOL: The protocol was not published before trial commencement.

Qualitative Assessment of Wear Resistance and Surface Hardness of Different Commercially Available Dental Porcelain: An in vitro Study.

INTRODUCTION: In an attempt to minimize wear damage to the enamel of antagonist teeth, new low and medium fusing ceramic materials have been developed. Manufacturers usually claim that these ceramics are wear-friendly because of their lower hardness, lower concentrations of crystal phase, and smaller crystal sizes. This study aimed to quantitatively analyze the wear strength of various commercially available dental porcelain with tooth enamel as well as the surface hardness of these dental porcelain. MATERIALS AND METHODS: The basic model was designed as a pin on plate arrangement. The tooth specimens were mounted on the stylus which was centered on the ceramic specimen in a wear testing machine. The dental ceramic specimen was centered in the metal die. A load of 40 N was applied at a rate of 80 cycles/minute for 15 minutes. In the current study, mean wear depth (Ra) value, volumetric loss, and surface hardness were obtained by standard quantification method and were statistically evaluated. RESULTS: Ceramco-3 was reported to be most abrasive for enamel; however, Duceram love significantly more abraded itself than the other two, Ceramco-3 and Vita Alpha, and generated the lowest loss of enamel. Also, same abrasive type of wear was revealed for all three variants of tested ceramics. CONCLUSION: Ceramco-3 was the most abrasive for enamel, while surface roughness (mean wear depth) of Duceram love was maximum and for Ceramco-3 it was minimum. The value of surface roughness for Vita Alpha was in between Duceram love and Ceramco-3. Nonetheless, the mean surface hardness of Duceram love was found to be least and maximum for Vita Alpha. CLINICAL SIGNIFICANCE: In situations of dental wear and wasting tooth disease (Attrition/Abrasion), Duceram can be applied in lieu of Ceramco-3 so as to prevent worsening of existing dentition. However, in younger patients Vita Alpha would offer maximum durability due to its greater surface hardness.

Factors Affecting the Quality of Tooth Enamel for In Vivo EPR-Based Retrospective Biodosimetry.

In vivo electron paramagnetic resonance biodosimetry on tooth enamel is likely to be an important technology for triage of overexposed individuals after a major radiological incident. The accuracy and robustness of the technique relies on various properties of the enamel such as the geometry of the tooth, the presence of restorations, whitening treatments or exposition to sunlight. Those factors are reviewed, and their influence on dosimetry specifically for triage purposes is discussed.

Assessment of Enamel Bond Strength of Hypoplastic Primary Teeth.

PURPOSE: The purpose of this study was to compare the enamel bond strength of hypoplastic and healthy primary teeth. METHODS: Twenty-five hypoplastic teeth (experimental group) and 25 healthy primary teeth (control group) were selected and conditioned with 35 percent orthophosphoric acid before a two-layer adhesive system (Single Bond) was applied. Composite resin (Filtek Z350) was inserted in a single application, two-mm high and one-mm in diameter, and then light-cured for 20 seconds. After being stored in distilled water for 24 hours, the specimens were submitted to a shear bond strength test. Fractures were analyzed under a stereomicroscope. RESULTS: No significant differences in bond strength were observed between the experimental group (70.27±20.40 MPa) and control group (67.84±23.37 MPa; P>0.05). However, adhesive fractures were more frequently observed in healthy teeth (72 percent) while hypoplastic teeth presented mixed fractures (60 percent) and enamel cohesive fractures (36 percent). CONCLUSIONS: The shear bond strength of the enamel of hypoplastic primary teeth was similar to that of healthy teeth. However, distinct characteristics were observed in the dental samples following fracture.

Evidence for Patterns of Selective Urban Migration in the Greater Indus Valley (2600-1900 BC): A Lead and Strontium Isotope Mortuary Analysis.

Just as modern nation-states struggle to manage the cultural and economic impacts of migration, ancient civilizations dealt with similar external pressures and set policies to regulate people's movements. In one of the earliest urban societies, the Indus Civilization, mechanisms linking city populations to hinterland groups remain enigmatic in the absence of written documents. However, isotopic data from human tooth enamel associated with Harappa Phase (2600-1900 BC) cemetery burials at Harappa (Pakistan) and Farmana (India) provide individual biogeochemical life histories of migration. Strontium and lead isotope ratios allow us to reinterpret the Indus tradition of cemetery inhumation as part of a specific and highly regulated institution of migration. Intra-individual isotopic shifts are consistent with immigration from resource-rich hinterlands during childhood. Furthermore, mortuary populations formed over hundreds of years and composed almost entirely of first-generation immigrants suggest that inhumation was the final step in a process linking certain urban Indus communities to diverse hinterland groups. Additional multi disciplinary analyses are warranted to confirm inferred patterns of Indus mobility, but the available isotopic data suggest that efforts to classify and regulate human movement in the ancient Indus region likely helped structure socioeconomic integration across an ethnically diverse landscape.

Apotropaic practices and the undead: a biogeochemical assessment of deviant burials in post-medieval poland.

Apotropaic observances-traditional practices intended to prevent evil-were not uncommon in post-medieval Poland, and included specific treatment of the dead for those considered at risk for becoming vampires. Excavations at the Drawsko 1 cemetery (17th-18th c. AD) have revealed multiple examples (n = 6) of such deviant burials amidst hundreds of normative interments. While historic records describe the many potential reasons why some were more susceptible to vampirism than others, no study has attempted to discern differences in social identity between individuals within standard and deviant burials using biogeochemical analyses of human skeletal remains. The hypothesis that the individuals selected for apotropaic burial rites were non-local immigrants whose geographic origins differed from the local community was tested using radiogenic strontium isotope ratios from archaeological dental enamel. 87Sr/86Sr ratios ( = 0.7112±0.0006, 1σ) from the permanent molars of 60 individuals reflect a predominantly local population, with all individuals interred as potential vampires exhibiting local strontium isotope ratios. These data indicate that those targeted for apotropaic practices were not migrants to the region, but instead, represented local individuals whose social identity or manner of death marked them with suspicion in some other way. Cholera epidemics that swept across much of Eastern Europe during the 17th century may provide one alternate explanation as to the reason behind these apotropaic mortuary customs, as the first person to die from an infectious disease outbreak was presumed more likely to return from the dead as a vampire.

An in-vitro assessment of erosive potential of a calcium-fortified fruit juice.

AIM: To evaluate and compare the in vitro pH, buffer capacity and calcium loss from tooth enamel before and after calcium fortification of a packaged fruit juice. METHODS: An approved brand of packaged mixed fruit juice was selected as a test drink on the basis of a pilot questionnaire. The test drink was fortified with 1,000 mg/l (0.1% w/v) of calcium citrate malate to obtain two test groups: Group 1: original beverage (serving as control) and Group 2: calcium-fortified drink. The pH and buffering capacity for the test drinks were measured before and after calcium fortification; 90 prepared enamel samples were divided and immersed into three test subgroups: (1) buffer solution pH 7 (positive control), (2) original fruit juice (negative control) and (3) calcium-fortified fruit juice for 3 min. Calcium loss from the enamel of immersed teeth was measured as a quantitative estimate of tooth mineral loss. RESULTS: After calcium fortification of the fruit juice the mean pH raised from 3.4 to 4.0 (p = 0.029), the mean buffer capacity decreased from 9.73 to 9.16 (p < 0.001) and the mean calcium loss from enamel specimens decreased from 3.5 to 0.26 mg/dl (p < 0.001). STATISTICS: To compare the change in mean pH and buffering capacity between the subject groups, t test was used, and to compare the calcium loss from enamel specimens, among the three subgroups, ANOVA was used. CONCLUSION: Calcium fortification of packaged fruit juice in vitro, improves its pH and buffering capacity. Consequently, the fortified juice causes significantly less mineral loss from human enamel. Fortifying juice with calcium may exert a significant protective potential against dental erosion particularly due to frequent exposure of acidic drinks.

Geographic origins and dietary transitions during the Bronze Age in the Oman Peninsula.

The nature of the Bronze Age transition from the Umm an-Nar (ca. 2700-2000 BC) to the Wadi Suq (ca. 2000-1300 BC) period in the Oman Peninsula has been highly debated by archaeologists, with some characterizing the latter as a time of cultural isolation, social collapse, and/or population replacement following the successful involvement of the area in widespread interregional exchange networks across Arabia and South Asia. The hypothesis that a substantial change in residential mobility, immigration, and diet took place in response to considerable societal changes as reflected by the archaeological record was tested using stable oxygen and carbon isotope analysis. Archaeological human dental enamel from individuals interred in six Umm an-Nar (n = 100) and seven Wadi Suq (n = 16) communal tombs in the United Arab Emirates was used. Oxygen isotope data reveal largely homogeneous ratios indicative of a predominantly local population that acquired water from isotopically similar sources, although the presence of immigrants during both periods suggests that the region was not as isolated as previously held. Carbon isotope data exhibit a substantial temporal shift from an extremely varied to a more restricted diet, demonstrating that while considerable changes in subsistence strategies and social organization took place in the early second millennium BC, population continuity and sustained (although lessened) participation in pan-Gulf trade systems best characterizes this regional transformation.

Nondestructive assessment of current one-step self-etch dental adhesives using optical coherence tomography.

ABSTRACT. This study aimed to nondestructively evaluate sealing performance of eight one-step self-etch adhesives (1-SEAs) using optical coherence tomography (OCT). The two-step self-etch adhesive (2-SEA) served as the control. Round tapered class-I cavities (D=4 mm, H=2 mm) were prepared in bovine incisors, treated with each adhesive (n=5), and restored with a flowable resin composite. Cross-sections were obtained from each restoration using swept-source OCT with 1310-nm laser. The average percentage of the sealed interface (SI%) for each adhesive was calculated using image analysis software, considering increased signal intensity at the interface as gap. Samples were then sectioned and observed under confocal laser scanning microscope (CLSM). Significantly different SI% values were found among different adhesives (analysis of variance, Bonferroni, p<0.05). There was also a significant correlation in SI% between OCT and CLSM (p<0.0001, r=0.96). Additionally, microscopic analysis revealed that the gaps in 1-SEAs occurred not only at dentine-adhesive interfaces but also frequently at adhesive-composite interfaces. Some recent 1-SEAs could achieve reliable short-term sealing comparable to 2-SEA. OCT is a unique tool to nondestructively evaluate the sealing performance of the restoratives through the cavity, provided that cavity walls have a certain minimum inclination with respect to the beam.

Effect of hydration on assessment of early enamel lesion using swept-source optical coherence tomography.

Establishing reproducible methodologies for assessment of early enamel lesions using optical coherence tomography (OCT) appears to be challenging. This in vitro study longitudinally evaluated the subsurface enamel lesion progression after 3, 9 and 15 days by cross-sectional scanning using 1310 nm centered swept-source OCT (SS-OCT) under hydrated and dry conditions. The positive difference between the depth-integrated OCT signals at dry and hydrated conditions were calculated and adopted as dehydration parameter (DH). A linear regression was found between DH and the square root of demineralization time (R(2) = 0.99). Significant differences were found in DH between sound and demineralized enamel, and between different periods of demineralization (p < 0.001). Hydration state affects the reflectivity of demineralized porous enamel, and the effect can be potentially used for assessment of early enamel lesion using OCT.

Assessment of dental fluorosis in Mmp20 +/- mice.

The molecular mechanisms that underlie dental fluorosis are poorly understood. The retention of enamel proteins hallmarking fluorotic enamel may result from impaired hydrolysis and/or removal of enamel proteins. Previous studies have suggested that partial inhibition of Mmp20 expression is involved in the etiology of dental fluorosis. Here we ask if mice expressing only one functional Mmp20 allele are more susceptible to fluorosis. We demonstrate that Mmp20 (+/-) mice express approximately half the amount of MMP20 as do wild-type mice. The Mmp20 heterozygous mice have normal-appearing enamel, with Vickers microhardness values similar to those of wild-type control enamel. Therefore, reduced MMP20 expression is not solely responsible for dental fluorosis. With 50-ppm-fluoride (F(-)) treatment ad libitum, the Mmp20 (+/-) mice had F(-) tissue levels similar to those of Mmp20 (+/+) mice. No significant difference in enamel hardness was observed between the F(-)-treated heterozygous and wild-type mice. Interestingly, we did find a small but significant difference in quantitative fluorescence between these two groups, which may be attributable to slightly higher protein content in the Mmp20 (+/-) mouse enamel. We conclude that MMP20 plays a nominal role in dental enamel fluorosis.

Association of dental enamel lead levels with risk factors for environmental exposure.

OBJECTIVE: To analyze household risk factors associated with high lead levels in surface dental enamel. METHODS: A cross-sectional study was conducted with 160 Brazilian adolescents aged 1418 years living in poor neighborhoods in the city of Bauru, southeastern Brazil, from August to December 2008. Body lead concentrations were assessed in surface dental enamel acid-etch microbiopsies. Dental enamel lead levels were measured by graphite furnace atomic absorption spectrometry and phosphorus levels were measured by inductively coupled plasma optical emission spectrometry. The parents answered a questionnaire about their children's potential early (05 years old) exposure to well-known lead sources. Logistic regression was used to identify associations between dental enamel lead levels and each environmental risk factor studied. Social and familial covariables were included in the models. RESULTS: The results suggest that the adolescents studied were exposed to lead sources during their first years of life. Risk factors associated with high dental enamel lead levels were living in or close to a contaminated area (OR = 4.49; 95% CI: 1.69;11.97); and member of the household worked in the manufacturing of paints, paint pigments, ceramics or batteries (OR = 3.43; 95% CI: 1.31;9.00). Home-based use of lead-glazed ceramics, low-quality pirated toys, anticorrosive paint on gates and/or sale of used car batteries (OR = 1.31; 95% CI: 0.56;3.03) and smoking (OR = 1.66; 95% CI: 0.52;5.28) were not found to be associated with high dental enamel lead levels. CONCLUSIONS: Surface dental enamel can be used as a marker of past environmental exposure to lead and lead concentrations detected are associated to well-known sources of lead contamination.