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Mohamed Abdoul-Latif F, Ainane A, Merito A, Houmed Aboubaker I, Mohamed H, Cherroud S, Ainane T. The Effects of Khat Chewing among Djiboutians: Dental Chemical Studies, Gingival Histopathological Analyses and Bioinformatics Approaches. Bioengineering (Basel) 2024; 11:716. [PMID: 39061798 PMCID: PMC11274310 DOI: 10.3390/bioengineering11070716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2024] [Revised: 07/10/2024] [Accepted: 07/11/2024] [Indexed: 07/28/2024] Open
Abstract
This study examined the effects of khat chewing on oral gingival conditions by adopting a targeted process which combined physicochemical analyses of the teeth, histopathological examinations of the gums, and bioinformatics modeling. The physicochemical evaluation of teeth in khat consumers compared to non-consumers was carried out using specific analytical techniques; hence, the results of this initial investigation revealed significant erosion of the tooth enamel due to khat chewing, as well as an alteration of the essential chemical composition of the teeth. Additionally, the histopathological analyses complemented preliminary studies by showing severe inflammation of the gums and oral mucosa in khat users. The understanding of these studies was enriched by bioinformatics analysis, where modeling was carried out via computational methods. This analytical phase examined molecular docking mechanisms, including the interaction between cathinone, the main alkaloid of khat, and the protein receptors involved in the protection of gingival tissues against infections. In summary, this multidisciplinary research provided an in-depth view of the oral health issues related to khat chewing, combining experimental studies with bioinformatics perspectives.
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Affiliation(s)
| | - Ayoub Ainane
- Superior School of Technology, University of Sultan Moulay Slimane, BP 170, Khenifra 54000, Morocco
| | - Ali Merito
- Center for Research and Study of Djibouti, Medicinal Research Institute, Djibouti BP 486, Djibouti
| | - Ibrahim Houmed Aboubaker
- Center for Research and Study of Djibouti, Medicinal Research Institute, Djibouti BP 486, Djibouti
- Peltier Hospital of Djibouti, Djibouti P.O. Box 2123, Djibouti
| | - Houda Mohamed
- Center for Research and Study of Djibouti, Medicinal Research Institute, Djibouti BP 486, Djibouti
- Peltier Hospital of Djibouti, Djibouti P.O. Box 2123, Djibouti
| | - Sanaa Cherroud
- Superior School of Technology, University of Sultan Moulay Slimane, BP 170, Khenifra 54000, Morocco
| | - Tarik Ainane
- Superior School of Technology, University of Sultan Moulay Slimane, BP 170, Khenifra 54000, Morocco
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Sarna-Boś K, Boguta P, Szymańska-Chargot M, Skic K, Zdunek A, Stachurski P, Vodanovic M, Chałas R. Insight into structural and chemical profile / composition of powdered enamel and dentine in different types of permanent human teeth. Micron 2024; 179:103608. [PMID: 38354449 DOI: 10.1016/j.micron.2024.103608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Revised: 02/03/2024] [Accepted: 02/05/2024] [Indexed: 02/16/2024]
Abstract
Research on the structure and chemical composition of dental tissues allows for the optimisation of materials used in the treatment and care of teeth. Understanding pathological processes occurring in dental tissues and their reactions to various substances, including dental materials, are crucial for the development of new dental technologies. The aim of the study was to check the similarities in the chemical and morphological structure of enamel and dentine powders in various groups of permanent teeth, as well as differential chemical analysis for both grinded tissues tested. The extracted non-carious and non-pathological human permanent teeth were divided into four groups: incisors, canines, premolars and molars. Each tooth was sectioned to thick slices. Enamel and dentine were mechanically separated and ground in an agate mortar and pestle. FT-Raman and FTIR spectroscopy methods were used for the analysis of biological tissues. SEM method was applied to visualise hard dental tissues structures present on the surface and within the particles. The morphological structures were the same within the analysed tissues and did not depend on the analysed group of teeth. A comparison of the mineral-to-organic ratios of enamel and dentine in each tooth group showed that the bands related to PO43- were clearly higher in content for enamel than for dentine. Higher absorbance measured at the region of 2800-3700 cm-1 and at 1500-1800 cm-1 for dentine as compared to enamel samples were indicative of a higher content of organic structures. The highest contribution of phosphates was in canine enamel samples.The studies showed that the carbonate-to-phosphate ratio was higher for dentine (0.20 - 0.48) compared to the values obtained for enamel (0.13 - 0.22), however, minor differences were found in each group of enamel or dentine samples. The lack of significant differences between the enamel and dentine powders of incisors, canines, premolars and molars may prove that each extracted tooth, regardless of the tooth group, is an excellent substrate for their substitution.
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Affiliation(s)
- Katarzyna Sarna-Boś
- Department of Dental Prosthetics, Medical University of Lublin, Chodźki 6, Lublin 20-093, Poland.
| | - Patrycja Boguta
- Institute of Agrophysics, Polish Academy of Sciences, Doświadczalna 4, Lublin 20-290, Poland
| | | | - Kamil Skic
- Institute of Agrophysics, Polish Academy of Sciences, Doświadczalna 4, Lublin 20-290, Poland
| | - Artur Zdunek
- Institute of Agrophysics, Polish Academy of Sciences, Doświadczalna 4, Lublin 20-290, Poland
| | - Piotr Stachurski
- Department of Paediatric Dentistry, Medical University of Lublin, Chodźki 6, Lublin 20-093, Poland
| | - Marin Vodanovic
- Department of Dental Anthropology, University of Zagreb School of Dental Medicine, University Hospital Centre Zagreb, Gundulićeva 5, Zagreb HR-10000, Croatia; Department of Oral Medicine, Medical University of Lublin, Chodźki 6, Lublin 20-093, Poland
| | - Renata Chałas
- Department of Oral Medicine, Medical University of Lublin, Chodźki 6, Lublin 20-093, Poland
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Woodfield PL, Rode AV, Dao D, Dau VT, Madden S, Walsh LJ, Spallek H, Walsh L, Sutton AJ, Zuaiter O, Habeb A, Hirst TR, Rapp L. Optical penetration models for practical prediction of femtosecond laser ablation of dental hard tissue. Lasers Surg Med 2024; 56:371-381. [PMID: 38563442 DOI: 10.1002/lsm.23784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 01/30/2024] [Accepted: 03/20/2024] [Indexed: 04/04/2024]
Abstract
OBJECTIVES To develop and practically test high-precision femtosecond laser ablation models for dental hard tissue that are useful for detailed planning of automated laser dental restorative treatment. METHODS Analytical models are proposed, derived, and demonstrated for practical calculation of ablation rates, ablation efficiency and ablated morphology of human dental enamel and dentin using femtosecond lasers. The models assume an effective optical attenuation coefficient for the irradiated material. To achieve ablation, it is necessary for the local energy density of the attenuated pulse in the hard tissue to surpass a predefined threshold that signifies the minimum energy density required for material ionization. A 1029 nm, 40 W carbide 275 fs laser was used to ablate sliced adult human teeth and generate the data necessary for testing the models. The volume of material removed, and the shape of the ablated channel were measured using optical profilometry. RESULTS The models fit with the measured ablation efficiency curve against laser fluence for both enamel and dentin, correctly capturing the fluence for optimum ablation and the volume of ablated material per pulse. The detailed shapes of a 400-micrometer wide channel and a single-pulse width channel are accurately predicted using the superposition of the analytical result for a single pulse. CONCLUSIONS The findings have value for planning automated dental restorative treatment using femtosecond lasers. The measurements and analysis give estimates of the optical properties of enamel and dentin irradiated with an infrared femtosecond laser at above-threshold fluence and the proposed models give insight into the physics of femtosecond laser processing of dental hard tissue.
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Affiliation(s)
- Peter L Woodfield
- School of Engineering and Built Environment, Griffith University, Gold Coast, Queensland, Australia
| | - Andrei V Rode
- Department of Quantum Science and Technology, Research School of Physics, Laser Physics Centre, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Dzung Dao
- School of Engineering and Built Environment, Griffith University, Gold Coast, Queensland, Australia
| | - Van Thanh Dau
- School of Engineering and Built Environment, Griffith University, Gold Coast, Queensland, Australia
| | - Steve Madden
- Department of Quantum Science and Technology, Research School of Physics, Laser Physics Centre, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Laurence J Walsh
- School of Dentistry, The University of Queensland, Herston, Queensland, Australia
- Dentroid Pty Ltd, Canberra, Australian Capital Territory, Australia
| | - Heiko Spallek
- Faculty of Medicine and Health, The University of Sydney School of Dentistry, Surry Hills, New South Wales, Australia
| | - Lee Walsh
- Platypus MedTech Consulting Pty Ltd, Barton, Australian Capital Territory, Australia
| | - Andrew J Sutton
- Centre for Gravitational Astrophysics, The Australian National University, Acton, Australian Capital Territory, Australia
| | - Omar Zuaiter
- Dentroid Pty Ltd, Canberra, Australian Capital Territory, Australia
| | - Alaa Habeb
- Dentroid Pty Ltd, Canberra, Australian Capital Territory, Australia
| | - Timothy R Hirst
- Dentroid Pty Ltd, Canberra, Australian Capital Territory, Australia
| | - Ludovic Rapp
- Department of Quantum Science and Technology, Research School of Physics, Laser Physics Centre, Australian National University, Canberra, Australian Capital Territory, Australia
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Rapp L, Madden S, Brand J, Maximova K, Walsh LJ, Spallek H, Zuaiter O, Habeb A, Hirst TR, Rode AV. Investigation of laser wavelength effect on the ablation of enamel and dentin using femtosecond laser pulses. Sci Rep 2023; 13:20156. [PMID: 37978230 PMCID: PMC10656487 DOI: 10.1038/s41598-023-47551-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 11/15/2023] [Indexed: 11/19/2023] Open
Abstract
We investigated the effect of femtosecond (fs) laser ablation of enamel and dentin for different pulse wavelengths: infrared (1030 nm), green (515 nm), and ultra-violet (343 nm) and for different pulse separations to determine the optimal irradiation conditions for the precise removal of dental hard tissues with the absence of structural and compositional damage. The ablation rates and efficiencies were established for all three laser wavelengths for both enamel and dentin at room temperature without using any irrigation or cooling system, and the surfaces were assessed with optical and scanning electron microscopy, optical profilometry, and Raman spectroscopy. We demonstrated that 515 nm fs irradiation provides the highest rate and efficiency for ablation, followed by infrared. Finally, we explored the temperature variations inside the dental pulp during the laser procedures for all three wavelengths and showed that the maximum increase at the optimum conditions for both infrared and green irradiations was 5.5 °C, within the acceptable limit of temperature increase during conventional dental treatments. Ultra-violet irradiation significantly increased the internal temperature of the teeth, well above the acceptable limit, and caused severe damage to tooth structures. Thus, ultra-violet is not a compatible laser wavelength for femtosecond teeth ablation.
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Affiliation(s)
- Ludovic Rapp
- Laser Physics Centre, Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT, 2600, Australia.
| | - Steve Madden
- Laser Physics Centre, Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT, 2600, Australia
| | - Julia Brand
- Laser Physics Centre, Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT, 2600, Australia
| | - Ksenia Maximova
- Laser Physics Centre, Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT, 2600, Australia
| | - Laurence J Walsh
- The University of Queensland School of Dentistry, Herston, QLD, 4006, Australia
- Dentroid Pty Ltd, Canberra, ACT, 2601, Australia
| | - Heiko Spallek
- Faculty of Medicine and Health, The University of Sydney School of Dentistry, Surry Hills, NSW, 2010, Australia
| | - Omar Zuaiter
- Dentroid Pty Ltd, Canberra, ACT, 2601, Australia
| | - Alaa Habeb
- Dentroid Pty Ltd, Canberra, ACT, 2601, Australia
| | | | - Andrei V Rode
- Laser Physics Centre, Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT, 2600, Australia
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Gurdán Z, Turzó K, Lőrinc L, Szabó P, Karádi K, Lukács A, Told R, Kardos K, Maróti P. Mechanical Characterization and Structural Analysis of Latex-Containing and Latex-Free Intermaxillary Orthodontic Elastics. Polymers (Basel) 2022; 14:4488. [PMID: 36365482 PMCID: PMC9654203 DOI: 10.3390/polym14214488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 10/15/2022] [Accepted: 10/18/2022] [Indexed: 06/16/2023] Open
Abstract
Class II malocclusion is one of the most common dental anomalies and the use of intermaxillary elastomers is the standard method in its treatment. However, orthodontic elastics cannot exert continuous force over a period of time due to force degradation. Our goal was to mechanically characterize the different types of elastomers during static and cyclic loads, based on uniform methodology and examine the morphological changes after loading. Ten types of latex-containing and four latex-free intermaxillary elastics were examined from six different manufacturers. To determine the mechanical characteristics of the elastomers, tensile tests, cyclical tensile fatigue tests and 24 h relaxation tests were performed, and the elastics were also subjected to scanning electron microscopy (SEM) and Raman spectroscopy. Regardless of the manufacturer, the latex-containing elastomers did not show significant differences in the percentage of elongation at break during the tensile test. Only one type of latex-containing elastomer did not tear during the 24 h cyclical fatigue test. Fatigue was confirmed by electron microscopy images, and the pulling force reduced significantly. During the force relaxation test, only one latex-free ligature was torn; the force degradation was between 7.8% and 20.3% for latex ligatures and between 29.6% and 40.1% for latex-free elastomers. The results showed that dynamic loading was more damaging to ligatures than static loading, latex-containing elastomers were more resistant than latex-free elastics, and which observation could have clinical consequences or a potential effect on patient outcome.
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Affiliation(s)
- Zsuzsanna Gurdán
- Department of Paediatric and Adolescent Dentistry, Clinical Center, Medical School, University of Pécs, Tüzér Str. 1., H-7623 Pécs, Hungary
| | - Kinga Turzó
- Department of Paediatric and Adolescent Dentistry, Clinical Center, Medical School, University of Pécs, Tüzér Str. 1., H-7623 Pécs, Hungary
| | - Laura Lőrinc
- Department of Paediatric and Adolescent Dentistry, Clinical Center, Medical School, University of Pécs, Tüzér Str. 1., H-7623 Pécs, Hungary
| | - Péter Szabó
- Environmental Analytical and Geoanalytical Research Group, University of Pécs, Ifjúság Str. 20, H-7624 Pécs, Hungary
| | - Kristóf Karádi
- Department of Biophysics, Clinical Center, Medical School, University of Pécs, Szigeti Str. 12, H-7624 Pécs, Hungary
| | - András Lukács
- Department of Biophysics, Clinical Center, Medical School, University of Pécs, Szigeti Str. 12, H-7624 Pécs, Hungary
| | - Roland Told
- 3D Printing and Visualisation Centre, University of Pécs, Boszorkány Str. 2, H-7624 Pécs, Hungary
| | - Kinga Kardos
- 3D Printing and Visualisation Centre, University of Pécs, Boszorkány Str. 2, H-7624 Pécs, Hungary
| | - Péter Maróti
- 3D Printing and Visualisation Centre, University of Pécs, Boszorkány Str. 2, H-7624 Pécs, Hungary
- Medical Simulation Education Centre, Medical School, University of Pécs, Szigeti Str. 12, H-7624 Pecs, Hungary
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Rapp L, Madden S, Brand J, Walsh LJ, Spallek H, Zuaiter O, Habeb A, Hirst TR, Rode AV. Femtosecond laser dentistry for precise and efficient cavity preparation in teeth. BIOMEDICAL OPTICS EXPRESS 2022; 13:4559-4571. [PMID: 36187240 PMCID: PMC9484447 DOI: 10.1364/boe.463756] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Revised: 07/19/2022] [Accepted: 07/25/2022] [Indexed: 06/16/2023]
Abstract
High fluence focused femtosecond laser pulses were used to perform fast, high precision and minimally damaging cavity cutting of teeth at room temperature without using any irrigation or cooling system. The optimal ablation rates were established for both enamel and dentin, and the surfaces were assessed with optical and scanning electron microscopy, Raman spectroscopy and optical profilometry. No chemical change in the composition of enamel and dentin was observed. We explored temperature variations inside the dental pulp during the laser procedure and showed the maximum increase was 5.5°C, within the acceptable limit of temperature increase during conventional dental treatments.
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Affiliation(s)
- Ludovic Rapp
- Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT 2600, Australia
| | - Steve Madden
- Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT 2600, Australia
| | - Julia Brand
- Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT 2600, Australia
- Centre for Creative and Cultural Research, Faculty of Art and Design, University of Canberra, ACT 2617, Australia
| | - Laurence J. Walsh
- The University of Queensland School of Dentistry QLD 4006, Australia
- Dentroid (Emudent Technologies Pty Ltd), Canberra ACT 2601, Australia
| | - Heiko Spallek
- The University of Sydney School of Dentistry, Faculty of Medicine and Health, NSW 2010, Australia
| | - Omar Zuaiter
- Dentroid (Emudent Technologies Pty Ltd), Canberra ACT 2601, Australia
| | - Alaa Habeb
- Dentroid (Emudent Technologies Pty Ltd), Canberra ACT 2601, Australia
| | - Timothy R. Hirst
- Dentroid (Emudent Technologies Pty Ltd), Canberra ACT 2601, Australia
| | - Andrei V. Rode
- Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT 2600, Australia
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Casarin HH, Mattos VS, de Castro Neto JC, Chinelatti MA. Chemical and morphological changes of femtosecond laser-irradiated enamel using subablative parameters. Microsc Res Tech 2021; 84:2399-2408. [PMID: 33908132 DOI: 10.1002/jemt.23795] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 04/14/2021] [Indexed: 01/30/2023]
Abstract
Chemical composition of dental enamel has a great relationship with the prevention of caries. The objective of the present work was to evaluate the chemical and morphological changes of femtosecond laser-irradiated enamel with subablative parameters using Raman spectroscopy, confocal laser scanning microscopy (CLSM), and scanning electron microscopy (SEM). Bovine incisor teeth were used to obtain 30 enamel specimens (5 × 5 mm2 ). The chemical composition of the control sample was analyzed by Raman spectrometry to acquire the absorption spectrum, delimiting the areas under the carbonate and phosphate bands. This analysis was used to evaluate the change in the chemical composition of the sample after irradiation. The specimens were irradiated (IRR) with a Ti:Sapphire laser system (pulsed and focused modes, femtosecond regime 70 fs, average power of 1 W and exposure time of 15 s). After irradiation, the areas under the carbonate and phosphate absorption bands were delimited in each specimen. Raman spectrometry data were analyzed using Student's t-test (α = 5%). By comparing the spectra of the IRR and non-irradiated (NI) specimens, the results showed a significant increase in the area value for the phosphate peaks and a significant reduction in the area value for the carbonate peak and the carbonate:phosphate ratio. CLSM and SEM analyses did not reveal structural alterations in the subsurface nor morphological alterations in the IRR enamel surface, respectively. It was concluded that femtosecond laser irradiation using subablative parameters reduced the carbonate content and the carbonate/phosphate ratio without altering the structure and morphology of the dental enamel.
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Affiliation(s)
- Heitor Hussni Casarin
- School of Dentistry, Central Paulista University Center - UNICEP São Carlos, São Carlos, Brazil
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