Individual Variations in the Hardness and Elastic Modulus of the Human Cementum

Evaluating the Effects of Cigarette Smoking and Heated Tobacco Products on Hard Dental Tissues: A Comparative Histological and Colorimetric Analysis

OBJECTIVES

This study aimed to evaluate and compare the impact of cigarette smoking (CS) and heated tobacco (HT) on the alteration of color and ultrastructural characteristics of human enamel and cementum.

BACKGROUND

According to tobacco companies, a less harmful substitute for CS is HT products. Nevertheless, comprehensive research on the effects of HT on tooth structures has been lacking. This study aimed to evaluate and compare the impact of CS and HT on the alteration of color and ultrastructural characteristics of human enamel and cementum.

MATERIALS AND METHODS

Thirty intact and noncarious human maxillary premolars extracted for orthodontic treatment purposes, previously disinfected, were used in the study. The specimens were randomly separated into six groups (n = 10), as follows: Group 1: enamel without smoking exposure; Group 2: enamel exposed to CS; Group 3: enamel exposed to HT; Group 4: cementum without smoking exposure; Group 5: cementum exposed to CS; and Group 6: cementum exposed to HT. The measurement of color change was conducted using a spectrophotometer. The surface alterations and mineral composition of enamel and cementum were evaluated using scanning electron microscopy and energy-dispersive X-ray spectroscopy. ANOVA test followed by Tukey's post hoc test was used to determine significant differences between groups.

RESULTS

Results showed that CS had a more pronounced effect on enamel and cementum color changes than HT. The impact of CS and HT on color changes was more evident in cementum than in enamel. Surface morphology of enamel and cementum showed alterations in histology following exposure to both smoking types. Moreover, the mineral content experienced a significant reduction after using CS and HT. The reduction in calcium content after CS and HT exposure was similar. However, HT led to a significant decrease in the phosphorus content of enamel when compared with CS. At the same time, CS exposure in cementum resulted in a more significant reduction in Ca/P ratio than HT.

CONCLUSIONS

Although HT may appear to present a lower danger to hard dental tissues than CS, it is not entirely harmless. CS results in more color changes on the enamel and cementum of teeth. Both smoking methods affected the mineral content of teeth, with CS having a significant effect on the roots, while HT significantly affected the crowns' mineral composition.

A Preliminary In Vitro Study of 3D Full-Field Strain Distribution in Human Whole Premolars Using Digital Image Correlation

Full-field measurements can provide a more complete description of the behavior of human whole tooth under load. To that end, in vitro experiments were carried out to measure the full-field buccal surface strains of human premolars free of caries and abrasion using digital image correlation (DIC). Experimental results show that both the value field and the orientation field of strains can be observed exactly, both of which contain a wealth of information. Furthermore, the strain distributions between the crown and the root of specimens were significantly different (p < 0.001). An interesting observation was a watershed at the cementoenamel junction (CEJ) which separates the orientation field of strains into two distinct parts; the watershed was also observed in the value field of strains in some specimens whose geometries changed obviously at the CEJ. Another interesting observation was that the minor strains increased linearly from cervical to apical regions in the root cementum. Experimental results also support the viewpoint that mechanisms of non-carious cervical lesions (NCCLs) may in part be due to the changing orientation of tensile strains, as well as their magnitude, and they also support the hypothesis that occlusal force can contribute to root fractures.

Relationship between root resorption and individual variation in the calcium/phosphorous ratio of cementum

INTRODUCTION

The purpose of this study was to investigate whether individual variation in the hardness and chemical composition of the cementum in the root apex affects the degree of root resorption.

METHODS

In a previous study, we evaluated the Vickers hardness scale of 50 extracted teeth. For this study, we classified the 50 extracted teeth into soft, moderate, and hard groups according to the Vickers hardness scale. Then, we randomly selected 7 teeth from each group and measured the resorbed areas of the apical cementum in vitro using human osteoclast precursor cells. We also investigated the calcium/phosphorous (Ca/P) and magnesium/calcium ratios of these 21 extracted teeth using energy-dispersive x-ray microanalysis studies to determine the chemical composition of the cementum in the root apex.

RESULTS

In the pit formation assay, the resorbed area in the soft group showed a greater extent than it did in the moderate and hard groups (P < 0.01). A correlation was noted between the Vickers hardness and the resorbed area of the cementum in the root apex (r = -0.714; P < 0.01). The Ca/P ratios in the soft and moderate groups were lower than the ratio in the hard group (P < 0.01 and P < 0.05, respectively). A correlation was noted between the Vickers hardness and the Ca/P ratio of the cementum in the root apex (r = 0.741; P < 0.01).

CONCLUSIONS

These results suggest that the hardness and Ca/P ratio of the cementum may be involved in root resorption caused by orthodontic forces.