Research Article
Organic Compounds Detected in Deciduous Teeth: A Replication
Study from Children with Autism in Two Samples
Raymond F. Palmer,
1
Lynne Heilbrun,
1
David Camann,
2
Alice Yau,
2
Stephen Schultz,
1
Viola Elisco,
1
Beatriz Tapia,
1
Noe Garza,
1
and Claudia Miller
1
1
Department of Family and Community Medicine, University of Texas Health Science Center, 7703 Floyd Curl Drive,
San Antonio, TX 78229-3900, USA
2
Department of Analytical and Environmental Chemistry, Southwest Research Institute, 6220 Culebra Road, San Antonio,
TX 78238-5166, USA
Correspondence should be addressed to Raymond F. Palmer; palmerr@uthscsa.edu
Received 4 May 2015; Accepted 2 July 2015
Academic Editor: Chit Ming Wong
Copyright © 2015 Raymond F. Palmer et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Biological samples are an important part of investigating toxic exposures and disease outcomes. However, blood, urine, saliva, or
hair can only refect relatively recent exposures. Alternatively, deciduous teeth have served as a biomarker of early developmental
exposure to heavy metals, but little has been done to assess organic toxic exposures such as pesticides, plastics, or medications. Te
purpose of our study was to determine if organic chemicals previously detected in a sample of typically developing children could be
detected in teeth from a sample of children with autism. Eighty-three deciduous teeth from children with autism spectrum disorders
(ASD) were chosen from our tooth repository. Organic compounds were assessed using liquid chromatography tandem mass
spectrometry and gas chromatography methods. Consistent with a prior report from Camann et al., (2013), we have demonstrated
that specifc semivolatile organic chemicals relevant to autism etiology can be detected in deciduous teeth. Tis report provides
evidence that teeth can be useful biomarkers of early life exposure for use in epidemiologic case-control studies seeking to identify
diferential unbiased exposures during development between those with and without specifc disorders such as autism.
1. Introduction
Biological samples are an important part of epidemiological
investigations of toxic exposures and their disease out-
comes. Blood, urine, saliva, or hair has ofen been utilized
to assess risk factors for a specifc disease by comparing
the concentrations of some environmental toxic substances
between afected and unafected individuals. While this is
a useful approach in some endeavors, these biosamples are
only measures of recent exposure and cannot inform about
distant past exposures. Terefore, the use of these types of
biomarkers is limited.
Alternatively, the use of deciduous teeth has served
as a biomarker of early developmental exposure to heavy
metals. Te mineralization of primary teeth begins prenatally
between 14-and 16-week gestation and concludes postnatally
at 1.5 to 3 months for incisors, 9 months for canines, and 5.5 to
11 months for molars [1]. It has been demonstrated that metals
in circulation, which are present during the period of tooth
formation, become incorporated into forming dental tissue
and are stored in the mineral component of teeth [2–4].
Deciduous teeth have been used as biomarkers of heavy
metal exposure in disease outcome studies for some time.
Needleman et al. [5] demonstrated that lead measured
in deciduous teeth was associated with lowered cognitive
performance in children. Since that landmark study, the
concentrations of lead in deciduous teeth have been widely
used as a biomarker for lead exposure and body burden in
a variety of other studies [6]. Along with lead, other heavy
metals such as cadmium, zinc, and copper have also been
measured in deciduous teeth [7].
A major development in the assessment of heavy metals
using deciduous teeth has been the use of Laser Ablation
Electrospray Ionization (LAESI) methods [8]. Tese methods
Hindawi Publishing Corporation
Journal of Environmental and Public Health
Volume 2015, Article ID 862414, 9 pages
http://dx.doi.org/10.1155/2015/862414