New perspectives on tooth wear

Dental sculpting and compensatory shearing crests demonstrated in a WEAR series of Presbytis rubicunda (Cercopithecoidea, Colobidae) with dental topography analysis

OBJECTIVES

Maintaining effective and efficient occlusal morphology presents adaptive challenges for mammals, particularly because mastication produces interactions with foods and other materials that alters the geometry of occlusal surfaces through macrowear and/or catastrophic failure (i.e. "chipping"). Altered occlusal morphologies are often less effective for masticating materials of given diet-but not always-some species exhibit dental sculpting, meaning their dentitions are set up to harness macrowear to hone their occlusal surfaces into more effective morphologies (i.e. secondary morphologies). Here we show that dental sculpting is present in the folivorous Presbytis rubicunda of Borneo.

METHODS

Thirty-one undamaged lower second molars of P. rubicunda exhibiting various stages of macroscopic wear were micro-CT scanned and processed into digital surfaces. The surfaces were measured for convex Dirichlet normal energy (vDNE, a measure of surface sharpness), and degree of surface wear. Regression analyses compared surface sharpness with several measures of wear to test for the presence and magnitude of dental sculpting.

RESULTS

Positive correlations between the wear proxies and vDNE reveal that P. rubicunda wear in such a way as to become sharper, and therefore more effective chewing surfaces by exposing enamel-dentine junctions on their occlusal surfaces and then honing these junctions into sharpened edges. Compared to another primate folivore in which increasing surface sharpness with macrowear has been demonstrated (i.e., Alouatta palliata), the worn surfaces are similarly sharp, but the dental sculpting process appears to be different.

DISCUSSION

The results presented here suggest that not only do some primates exhibit dental sculpting and the attendant secondary morphology, but that there appear to be multiple different morphological configurations that can achieve this result. P. rubicunda has thicker enamel and a more stereotyped wear pattern than A. palliata, although both show positive correlations of occlusal surface sharpness (vDNE) with various wear proxies. These findings shed light on the varied approaches for the maintenance of effective and efficient occlusal surfaces in primates.

Dental topography of the Oligocene anthropoids Aegyptopithecus zeuxis and Apidium phiomense: Paleodietary insights from analysis of wear series

Fossil primate dietary inference is enhanced when ascertained through multiple, distinct proxies. Dental topography can be used to assess changes in occlusal morphology with macrowear, providing insight on tooth use and function across the lifespans of individuals. We measured convex Dirichlet normal energy-a dental topography metric reflecting occlusal sharpness of features such as cusps and crests-in macrowear series of the second mandibular molars of two African anthropoid taxa from ∼30 Ma (Aegyptopithecus zeuxis and Apidium phiomense). Wear was quantified via three proxies: occlusal dentine exposure, inverse relief index, and inverse occlusal relief. The same measurements were calculated on macrowear series of four extant platyrrhine taxa (Alouatta, Ateles, Plecturocebus, and Sapajus apella) to provide an analogical framework for dietary inference in the fossil taxa. We predicted that Ae. zeuxis and Ap. phiomense would show similar patterns in topographic change with wear to one another and to extant platyrrhine frugivores like Ateles and Plecturocebus. The fossil taxa have similar distributions of convex Dirichlet normal energy to one another, and high amounts of concave Dirichlet normal energy 'noise' in unworn molars-a pattern shared with extant hominids that may distort dietary interpretations. Inverse relief index was the most useful wear proxy for comparison among the taxa in this study which possess disparate enamel thicknesses. Contrary to expectations, Ae. zeuxis and Ap. phiomense both resemble S. apella in exhibiting an initial decline in convex Dirichlet normal energy followed by an increase at the latest stages of wear as measured by inverse relief index, lending support to previous suggestions that hard-object feeding played a role in their dietary ecology. Based on these results and previous analyses of molar shearing quotients, microwear, and enamel microstructure, we suggest that Ae. zeuxis had a pitheciine-like strategy of seed predation, whereas Ap. phiomense potentially consumed berry-like compound fruits with hard seeds.

Prevalence, severity and explanatory factors of tooth wear in Arab populations

OBJECTIVES

The aim of this study was to assess the prevalence and severity of tooth wear and related risk indicators in six Arab countries.

METHODS

This multicenter, multinational cross-sectional study was conducted among 2924 participants between the ages of 18-35 years old from six Arab countries. Calibrated dentists assessed tooth wear using the Basic Erosive Wear Examination Index (BEWE). Participants were also asked to complete a questionnaire that assessed their dietary and oral health habits. Each participant was identified by the sextant with the highest BEWE score in the upper and lower jaws.

RESULTS

Odds ratios were estimated for correlates of tooth wear anterior and posterior regions. Oman had the highest prevalence of BEWE score 3 (N = 255 (60.2%)). Overall, the highest BEWE score 3 was observed on the incisal edge of the upper anterior teeth (N = 602 (20.6%)) and in the lower left posterior region (sextant 6) on the occlusal surface (N = 466 (15.9%)). Correlates of severe tooth wear in both regions were eating or drinking more than six times per day, age and education. Drinking soft drinks "once a day" was significantly associated with severe tooth wear in the posterior region (OR: 1.3, 95% CI:1.05, 1.6). Brushing teeth more than twice a day was inversely associated with tooth wear in the anterior region (OR:0.75, 95% CI: 0.57,0.97).

CONCLUSION

The prevalence of tooth wear in Arab populations is relatively high, specific preventive and therapeutic measures should be developed to target people at higher risk of this condition.

CLINICAL SIGNIFICANCE

Tooth wear is now regarded as a significant oral health problems, dentists should advise their patients about dietary and oral health habits that can lead to severe tooth wear.

The wear and tear of teeth

A review is presented of the mechanical damage suffered by tooth crowns. This has been the subject of much recent research, resulting in a need to revise some of the thinking about the mechanisms involved. Damage is classified here by scale into macro-, meso- and microfracture. The focus is on the outer enamel coat because this is the contact tissue and where most fractures start. Enamel properties appear to be tailored to maximize hardness, but also to prevent fracture. The latter is achieved by the deployment of developmental flaws called enamel tufts. Macrofractures usually appear to initiate as extensions of tufts on the undersurface of the enamel adjacent to the enamel-dentine junction and extend from there into the enamel. Cracks that pass from the tooth surface tend to be deflected by an enamel region of high toughness; if they find the surface again, a chip (mesofracture) is produced. The real protection of the enamel-dentine junction here is the layer of decussating inner enamel. Finally, a novel analysis of mechanical wear (microfracture) suggests that the local toughness of the enamel is very important to its ability to resist tissue loss. Enamel and dentine have contrasting behaviours. Seen on a large scale, dentine is isotropic (behaving similarly in all directions) while enamel is anisotropic, but vice versa on a very small scale. These patterns have implications for anyone studying the fracture behaviour of teeth.

Tooth cusp sharpness as a dietary correlate in great apes

Mammalian molars have undergone heavy scrutiny to determine correlates between morphology and diet. Here, the relationship between one aspect of occlusal morphology, tooth cusp radius of curvature (RoC), and two broad dietary categories, folivory and frugivory, is analyzed in apes. The author hypothesizes that there is a relationship between tooth cusp RoC and diet, and that folivores have sharper teeth than frugivores, and further test the correlation between tooth cusp RoC and tooth cusp size. Eight measures of tooth cusp RoC (two RoCs per cusp) were taken from 53 M(2) s from four species and subspecies of frugivorous apes (Pongo pygmaeus, Pan troglodytes troglodytes, Pan troglodytes schweinfurthii, and Gorilla gorilla gorilla) and two subspecies of folivorous apes (Gorilla beringei beringei, and Gorilla beringei graueri). Phylogenetically corrected ANOVAs were run on the full dataset and several subsets of the full dataset, revealing that, when buccolingual RoCs are taken into account, tooth cusp RoCs can successfully differentiate folivores and frugivores. PCAs revealed that folivores consistently had duller teeth than frugivores. In addition, a weak, statistically significant positive correlation exists between tooth cusp size and tooth cusp RoC. The author hypothesizes differences in tooth cusp RoC are correlated with wear rates, where, per vertical unit of wear, duller cusps will have a longer length of exposed enamel ridge than sharper cusps. More data need to be gathered to determine if the correlation between tooth cusp RoC and tooth cusp size holds true when small primates are considered.

How does tooth cusp radius of curvature affect brittle food item processing?

Tooth cusp sharpness, measured by radius of curvature (RoC), has been predicted to play a significant role in brittle/hard food item fracture. Here, we set out to test three existing hypotheses about this relationship: namely, the Blunt and Strong Cusp hypotheses, which predict that dull cusps will be most efficient at brittle food item fracture, and the Pointed Cusp hypothesis, which predicts that sharp cusps will be most efficient at brittle food item fracture using a four cusp bunodont molar. We also put forth and test the newly constructed Complex Cusp hypothesis, which predicts that a mixture of dull and sharp cusps will be most efficient at brittle food item fracture. We tested the four hypotheses using finite-element models of four cusped, bunodont molars. When testing the three existing hypotheses, we assumed all cusps had the same level of sharpness (RoC), and gained partial support for the Blunt Cusp hypotheses. We found no support for the Pointed Cusp or Strong Cusp hypotheses. We used the Taguchi sampling method to test the Complex Cusps hypothesis with a morphospace created by independently varying the radii of curvature of the four cusps in the buccolingual and mesiodistal directions. The optimal occlusal morphology for fracturing brittle food items consists of a combination of sharp and dull cusps, which creates high stress concentrations in the food item while stabilizing the food item and keeping the stress concentrations in the enamel low. This model performed better than the Blunt Cusp hypothesis, suggesting a role for optimality in the evolution of cusp form.

Mechanisms and causes of wear in tooth enamel: implications for hominin diets

The wear of teeth is a major factor limiting mammalian lifespans in the wild. One method of describing worn surfaces, dental microwear texture analysis, has proved powerful for reconstructing the diets of extinct vertebrates, but has yielded unexpected results in early hominins. In particular, although australopiths exhibit derived craniodental features interpreted as adaptations for eating hard foods, most do not exhibit microwear signals indicative of this diet. However, no experiments have yet demonstrated the fundamental mechanisms and causes of this wear. Here, we report nanowear experiments where individual dust particles, phytoliths and enamel chips were slid across a flat enamel surface. Microwear features produced were influenced strongly by interacting mechanical properties and particle geometry. Quartz dust was a rigid abrasive, capable of fracturing and removing enamel pieces. By contrast, phytoliths and enamel chips deformed during sliding, forming U-shaped grooves or flat troughs in enamel, without tissue loss. Other plant tissues seem too soft to mark enamel, acting as particle transporters. We conclude that dust has overwhelming importance as a wear agent and that dietary signals preserved in dental microwear are indirect. Nanowear studies should resolve controversies over adaptive trends in mammals like enamel thickening or hypsodonty that delay functional dental loss.