Anisotropic fatigue behavior of human enamel characterized by multi-cycling nanoindentation

Dosimetric parameters and radiotherapy simulation methods used in preclinical studies of radiation damage to the dentition: a systematic review

OBJECTIVE

This systematic review investigated the dosimetric parameters used in preclinical studies.

STUDY DESIGN

Searches were performed in 3 databases (PubMed, Scopus, and Embase) and gray literature to identify studies for review. In vitro and ex vivo studies that examined the effect of radiation on human permanent teeth were included. The modified Consolidated Standards Of Reporting Trials checklist of items for reporting preclinical in vitro studies was used to assess the risk of bias.

RESULTS

In total, 32 studies met the inclusion criteria. The average radiation dose of in vitro studies was 53 (±22) Gy and in ex vivo studies was 69 (±1) Gy. Twenty-two studies used 5 different fractionation schemes. Twenty-two of the included studies did not report the radiotherapy modality of those reporting. Twenty studies used linear accelerators, and 7 used Cobalt-60 with the source-surface-distance of radiation ranging from 1.5 to 100 cm. Distilled water was the storage solution for the dental structure used most commonly. Biases were observed, including small sample sizes, lack of randomization, and blinding processes.

CONCLUSION

The dosimetric parameters used in the preclinical studies, including radiation dose, radiotherapy modality, fractionation regime, and the storage solutions used did not support the hypothesis of direct effects of radiation on the dental structure.

Biomimetic Mineralization of Tooth Enamel Using Nanocrystalline Hydroxyapatite under Various Dental Surface Pretreatment Conditions

In this report, we demonstrated the formation of a biomimetic mineralizing layer obtained on the surface of dental enamel (biotemplate) using bioinspired nanocrystalline carbonate-substituted calcium hydroxyapatite (ncHAp), whose physical and chemical properties are closest to the natural apatite dental matrix, together with a complex of polyfunctional organic and polar amino acids. Using a set of structural, spectroscopy, and advanced microscopy techniques, we confirmed the formation of a nanosized ncHAp-based mineralized layer, as well as studying its chemical, substructural, and morphological features by means of various methods for the pretreatment of dental enamel. The pretreatment of a biotemplate in an alkaline solution of Ca(OH)₂ and an amino acid booster, together with the executed subsequent mineralization with ncHAp, led to the formation of a mineralized layer with homogeneous micromorphology and the preferential orientation of the ncHAp nanocrystals. It was shown that the homogeneous crystallization of hydroxyapatite on the biotemplate surface and binding of individual nanocrystals and agglomerates into a single complex by an amino acid booster resulted in an increase (~15%) in the nanohardness value in the enamel rods area, compared to that of healthy natural enamel. Obtaining a similar hierarchy and cleavage characteristics as natural enamel in the mineralized layer, taking into account the micromorphological features of dental tissue, is an urgent problem for future research.

Characterization of cold atmospheric plasma-modified dentin collagen

The aim of this study was to evaluate the crosslinking effect of the radio-frequency atmospheric-pressure glow discharge (RF-APGD) plasma jet treatment on dentin collagen. The dentin collagen was treated by an RF-APGD plasma jet with the gas temperature of 4°C under different treatment times, while the control was a non-treatment group. The dentin collagen was characterized in terms of atomic force microscopy-based nanoindentation, differential scanning calorimeter, Raman analysis and X-ray photoelectron spectroscopy (XPS) measurement. The crosslinking effect of the plasma-treated dentin collagen was found compared to that of the control group. The elastic modulus and denaturation temperature of the dentin collagen after plasma treatment for 30 s were significantly higher than those in the control group (p<0.05). The RF-APGD plasma jet treatment can promote the crosslinking of the dentin collagen, which is of great significance to improve its mechanical and thermal stabilities.

Tooth structure, mechanical properties, and diet specialization of Piranha and Pacu (Serrasalmidae): A comparative study

The relationship between diet, bite performance, and tooth structure is a topic of common interest for ecologists, biologists, materials scientists, and engineers. The highly specialized group of biters found in Serrasalmidae offers a unique opportunity to explore their functional diversity. Surprisingly, the piranha, whose teeth have a predominantly cutting function and whose main diet is soft flesh, is capable of exerting a greater bite force than a similarly sized pacu, who feeds on a hard durophagous diet. Herein, we expand our understanding of diet specialization in the Serrasalmidae family by investigating the influence of elemental composition and hierarchical structure on the local mechanical properties, stress distribution, and deformation mechanics of teeth from piranha (Pygocentrus nattereri) and pacu (Colossoma macropomum). Microscopic and spectroscopic analyses combined with nanoindentation and finite element simulations are used to probe the hierarchical features to uncover the structure-property relationships in piranha and pacu teeth. We show that the pacu teeth support a durophagous diet through its broad cusped-shaped teeth, thicker-irregular enameloid, interlocking interface of the dentin-enameloid junction, and increased hardness of the cuticle layer due to the larger concentrations of iron present. Comparatively, the piranha teeth are well suited for piercing due to their conical-shape which we report as having the greatest stiffness at the tip and evenly distributed enameloid. STATEMENT OF SIGNIFICANCE: The hierarchical structure and local mechanical properties of the piranha and pacu teeth are characterized and related to their feeding habits. Finite element models of the anterior teeth are generated to map local stress distribution under compressive loading. Bioinspired designs from the DEJ interface are developed and 3D printed. The pacu teeth are hierarchically structured and have local mechanical properties more suitable to a durophagous diet than the piranha. The findings here can provide insight into the design and fabrication of layered materials with suture interfaces for applications that require compressive loading conditions.

Response of pre-crystallized CAD/CAM zirconia-reinforced lithium silicate glass ceramic to cyclic nanoindentation

This paper reports on a cyclic nanoindentation approach of a pre-crystallized zirconia-reinforced lithium silicate glass ceramic (ZLS) to understand its material behavior associated with its machinability in dental CAD/CAM diamond abrasive milling. The material response to the cyclic nanoindentation using a Berkovich diamond tip was quantitatively determined in terms of the indentation contact hardness, elastic modulus, elasticity and plasticity for each loading cycle at peak loads of 2.5-10 mN. The cyclic load-displacement curves at different load levels indicate discrete discontinuities and hysteresis loops, which might have arisen from viscoelasticity behavior. Material properties degraded with an increasing number of loading cycles due to the mechanical softening which may facilitate machining in dental CAD/CAM milling. Elastic and plastic displacements and indentation energies revealed the pre-crystallized ZLS experiences predominantly elastic deformation and thus has a high capacity to retain its structure and shape. Furthermore, elastic energy dominated cyclic loading led to pseudoelasticity due to plastic strain accumulation. In situ scanning probe microscopy (SPM) images of cyclic indentation imprints reveal the fracture-free plastic deformation of the pre-crystallized ZLS under cyclic nanoindentation conditions. The outcomes of this study provide the mechanics model of diamond milling of the pre-crystallized ZLS due to the cyclic loading nature of dental CAD/CAM abrasive processing.

Viscoplastic response of tooth enamel under cyclic microindentation

Cyclic microindentations were performed on the occlusal surface and axial section of tooth enamel, using the Berkovich indenter. Under the action of a cyclic indentation load, the indenter continuously penetrated into the tooth enamel and reached a quasi-steady state at which the penetration depth per cycle was a constant. At the quasi-steady state, both the amplitude of the indentation depth and the penetration depth per cycle for the cyclic indentation of the axial section are larger than those for the indentation of the occlusal section under the same loading condition. The energy dissipation per cycle consists of two contributions; one is the plastic energy dissipated per cycle due to the propagation of the plastic zone underneath the indentation and the other is the energy dissipation due to the viscous flow during the cyclic indentation. Both the penetration depth and the plastic energy dissipated per cycle at the quasi-steady state are independent of the maximum applied load and increase with increasing the amplitude of the cyclic indentation load.

Anisotropic local physical properties of human dental enamel in comparison to properties of some common dental filling materials

OBJECTIVE

A major aspect in evaluating the quality of dental materials is their physical properties. Their properties should be a best fit of the ones of dental hard tissues. Manufacturers give data sheets for each material. The properties listed are characterized by a specific value. This assumes (but does not prove) that there is no direction dependence of the properties. However, dental enamel has direction-dependent properties which additionally vary with location in the tooth. The aim of this paper is to show the local direction dependence of physical properties like the elastic modulus or the thermal expansion in dental hard tissues. With this knowledge the 'perfect filling/dental material' could be characterized.

MATERIALS AND METHOD

Enamel sections of ∼400-500 μm thickness have been cut with a diamond saw from labial/buccal to palatal/lingual (canine, premolar and molar) and parallel to labial (incisor). Crystallite arrangements have been measured in over 400 data points on all types of teeth with x-ray scattering techniques, known from materials science.

RESULTS

X-ray scattering measurements show impressively that dental enamel has a strong direction dependence of its physical properties which also varies with location within the tooth. Dental materials possess only little or no property direction dependence. Therefore, a mismatch was found between enamel and dental materials properties.

CONCLUSION

Since dental materials should possess equal (direction depending) properties, worthwhile properties could be characterized by transferring the directional properties of enamel into a property 'wish list' which future dental materials should fulfil. Hereby the 'perfect dental material' can be characterized.