Enamel-dentine Junction Research Articles

Dental data challenge the ubiquitous presence of Homo in the Cradle of Humankind

The origins of Homo, as well as the diversity and biogeographic distribution of early Homo species, remain critical outstanding issues in paleoanthropology. Debates about the recognition of early Homo, first appearance dates, and taxonomic diversity within Homo are particularly important for determining the role that southern African taxa may have played in the origins of the genus. The correct identification of Homo remains also has implications for reconstructing phylogenetic relationships between species of Australopithecus and Paranthropus, and the links between early Homo species and Homo erectus. We use microcomputed tomography and landmark-free deformation-based three-dimensional geometric morphometrics to extract taxonomically informative data from the internal structure of postcanine teeth attributed to Early Pleistocene Homo in the southern African hominin-bearing sites of Sterkfontein, Swartkrans, Drimolen, and Kromdraai B. Our results indicate that, from our sample of 23 specimens, only 4 are unambiguously attributed to Homo, 3 of them coming from Swartkrans member 1 (SK 27, SK 847, and SKX 21204) and 1 from Sterkfontein (Sts 9). Three other specimens from Sterkfontein (StW 80 and 81, SE 1508, and StW 669) approximate the Homo condition in terms of overall enamel-dentine junction shape, but retain Australopithecus-like dental traits, and their generic status remains unclear. The other specimens, including SK 15, present a dominant australopith dental signature. In light of these results, previous dietary and ecological interpretations can be reevaluated, showing that the geochemical signal of one tooth from Kromdraai (KB 5223) and two from Swartkrans (SK 96 and SKX 268) is consistent with that of australopiths.

Human tooth enamel tuft drapes revealed by microtomography

ObjectiveThe tufts of human dental enamel are structures located at the enamel-dentin junction and whose origin has not been clearly established. Although studies have highlighted their protein content and hypomineralization, none has been able to shed light on their 3D structure. The aim of this study was to reveal the whole structure using high-resolution conventional microtomography. DesignTen adult mandibular first and second molars and two primary mandibular first molars were sectioned and scanned with microcomputed tomography with a resolution between 4.7 and 5 micrometers. By determining the threshold discriminating dentin and tufts, we were able to reconstruct 3D meshes. ResultsWe revealed the exact pattern of the tufts in adult molars and discovered their distribution, their dynamics, and the existence of a regular undulation, forming a particular angle of approximately 30 degrees with the dentin surface. A spatial frequency of approximately 160 micrometers would be compatible with the variation in the orientation of groups of dental enamel rods. In contrast, the present setting is not sufficient to extract similar information for primary teeth. ConclusionsEnamel tufts have a specific pattern, with an oriented draped form and are regularly spaced. The possible connection between these undulations and the Hunter-Schreger bands (diazonias and parazonias) needs to be studied.

Features of Dentin-Enamel junction in different types of teeth and designated age groups

Features of Dentin-Enamel junction in different types of teeth and designated age groups

Early Pleistocene hominin teeth from Gongwangling of Lantian, Central China

The fossil hominin individual from Gongwangling of Lantian, Central China, represents one of the earliest members attributed to Homo erectus in East Asia. Recent paleomagnetic analyses have yielded an age of 1.63 Ma for the Gongwangling hominin. The fossils from this site are critical to characterize the morphological features of early hominins in East Asia and to understand their relationships with other earlier and later members of the genus Homo. However, most morphological details of the Gongwangling cranium were obliterated due to postmortem erosion and deformation. Here we used high-resolution microcomputed tomography and three-dimensional virtual imaging techniques to extract the teeth and reconstruct the worn/damaged areas, describe the external morphology, measure crown diameters, record nonmetric traits of the crown and root, and investigate the shape of the enamel-dentine junction using geometric morphometrics. We compared the data obtained from the six teeth of the Gongwangling hominin with African early Homo, African and Georgian Homo erectus s.l., Asian Homo erectus, Homo antecessor, pre-Neanderthals, Neanderthals, and modern humans. Our results show that the Gongwangling specimens display affinities with other specimens attributed to H. erectus s.l. The highly divergent and noncoalesced three-root system in the Gongwangling specimens is comparable to that in the Early Pleistocene members of H. erectus s.l., and differs from Middle Pleistocene representatives of the species. The enamel-dentine junction shape of the Gongwangling molars prefigures the Asian H. erectus pattern later found in East Asian Middle Pleistocene H. erectus. The morphological comparisons between East Asian Early Pleistocene (e.g., Gongwangling, Meipu, and Quyuan River Mouth) and Middle Pleistocene H. erectus (e.g., Zhoukoudian, Hexian, and Yiyuan) suggest a potential temporal trend within this species in East Asia.

Modifications of the Dental Hard Tissues in the Cervical Area of Occlusally Overloaded Teeth Identified Using Optical Coherence Tomography.

Background and objectives: Occlusal overloads produce a series of manifestations in teeth, especially attrition and non-carious cervical lesions (NCCL). Optical Coherence Tomography (OCT) can highlight and evaluate tooth lesions. The aim of this study was to examine the changes of dental hard tissues in the cervical area because of occlusal overload by macroscopic examination and using in vitro Swept Source OCT examination. Materials and Methods: The study was performed on 21 extracted teeth with occlusal trauma. After macroscopic and OCT examination, the 2D OCT images were transformed into 3D images using ImageJ software. Statistical analysis of macroscopic and OCT images was performed with Statistical Package for Social Sciences. Results: On 21 teeth, 88 cervical lesions (cracks) were identified. Upper premolars with an occlusal Smith and Knight tooth wear score of 2 had the most NCCL. Statistical analysis revealed significant differences in the median widths of cervical lesions between teeth with score 1 and score 3. Additionally, we obtained statistically significant differences in median widths between the buccal and oral surfaces. Conclusions: These cracks can be considered precursors of NCCL. NCCL can be located on dental surfaces in the cervical area other than the buccal one. A 3D reconstruction of OCT images emphasized that cracks are located especially at enamel level, evolving towards the enamel–dentin junction, with multiple ramifications.

Early Neanderthals in contact: The Chibanian (Middle Pleistocene) hominin dentition from Velika Balanica Cave, Southern Serbia

Neanderthals are Eurasian fossil hominins whose distinctive morphology developed in the southwestern corner of Europe and later spread throughout the continent, reaching Southwest Asia before the Late Pleistocene and spreading into Central Asia by 59–49 ka. The timing, tempo, and route of the Neanderthal movements eastward are poorly documented. The earliest probable evidence of Neanderthals in Asia comes from Karain E Cave (Anatolia, Turkey), dated to 250–200 ka. We present four Chibanian (Middle Pleistocene) hominin specimens, representing at least two individuals, from Velika Balanica Cave (Serbia): a permanent upper third molar (BH-2), a deciduous upper fourth premolar (BH-3) refitted to a poorly preserved maxillary fragment with the permanent first molar in the alveolus (BH-4), and a permanent upper central incisor (BH-5). We provide descriptions of the teeth, as well as a comparative analysis of the well-preserved M1 (BH-4), including assessments of cusp angles, relative occlusal polygon area, relative cusp base areas, two- and three-dimensional enamel thickness, and taurodontism. Morphology of both the occlusal surface and the enamel dentine junction of the M1 indicates that the maxillary fragment and associated dP4 belonged to an early Neanderthal child. The heavily worn I1 and M3 are consistent with the Neanderthal morphology, although they are less distinct taxonomically. These Chibanian remains with provenance from layer 3a are constrained by two thermoluminescence dates: 285 ± 34 ka and 295 ± 74 ka. They represent the earliest current evidence of Neanderthal spread into the Eastern Mediterranean Area. We discuss these findings in light of recent direct evidence for cultural connections between Southwestern Asia and Southeast Europe in the Chibanian.

Identifying biological affinities of Holocene northern Iberian populations through the inner structures of the upper first molars

Neolithisation was a relatively fast process that affected both the interior and coastal zones of the Iberian Peninsula, but it was also a heterogeneous process that had diverse impacts on genomic and cultural diversity. In the Late Neolithic–Chalcolithic, a change in funerary practices, cultural material and trade networks occurred, and genomic heterogeneity decreased, suggesting human mobility and genetic admixture between different Iberian populations. Dental morphology has emerged as an effective tool for understanding genomic variability and biological affinities among ancient human populations. But, surprisingly, less attention has been paid to the morphological traits of inner dental tissues in Holocene European populations and their utility for the study of population dynamics. We applied 3D geometric morphometric methods on the enamel-dentine junction (EDJ) of the first upper molars to explore the biological affinities of north-eastern Iberian Peninsula populations from the Late Neolithic–Chalcolithic to the Bronze Age. Our results show that the EDJ morphologies of the northern Iberian Peninsula populations were generally homogeneous, indicative of genetic admixture as a result of human mobility and exchange networks. However, differences in the EDJ traits in remains from the Can Sadurní site are indicative of distant biological affinities with nearby populations. Additionally, the hypocone associated dentine area and the position of the trigon dentine horns relative to each other on the occlusal surface best describe the variability found among the samples studied. This study highlights the utility of EDJ morphology as a genetic proxy in Holocene population dynamic studies when paleogenomic studies are absent.

Further analyses of the structural organization of Homo luzonensis teeth: Evolutionary implications

The species Homo luzonensis has recently been described based on a set of dental and postcranial elements found at Callao Cave (Northern Luzon, Philippines) and dated to at least 50–67 ka. Seven postcanine maxillary teeth are attributed to this taxon, five of them belonging to the same individual (CCH6) and representing the holotype of H. luzonensis, whereas the isolated upper premolar CCH8 and the upper third molar CCH9 are paratypes of the species. The teeth are characterized by their small dimensions associated with primitive features, as also found in Homo floresiensis, another hominin having evolved in an insular environment of Southeast Asia. Postcranial bones of the hands and feet of H. luzonensis and H. floresiensis show Homo habilis–like or australopith-like features, whereas cranial and dental morphology are more consistent with the Asian Homo erectus morphology. Due to this mosaic morphology, the origin and phylogenetic relationships of both H. luzonensis and H. floresiensis are still debated. To test the hypotheses that H. luzonensis derives from H. erectus or from an earlier small-brained hominin, we analyzed the µCT scans of the teeth. We investigated both external and internal tooth structure using morphometric methods including: crown outline shape, tooth crown tissue proportions, enamel-dentine junction shape, and pulp morphology. Homo luzonensis external crown morphology aligns more with H. erectus than with H. habilis/H. rudolfensis. The internal structural organization of H. luzonensis teeth exhibits more affinities with that of H. erectus and H. floresiensis than with Neanderthals and modern humans. Our results suggest that both H. floresiensis and H. luzonensis likely evolved from some H. erectus groups that dispersed in the various islands of this region and became isolated until endemic speciation events occurred at least twice during the Pleistocene in insular environments.

The nature of metabolic processes in human dental hard tissues depending on their morphological structure

Was to give a comparative assessment of the movement of enamel and dentin fluid depending on the morphological structure of different sections of human dental hard tissues. The research involved 140 female subjects aged 21-30 years. Sizes, form, surface of enamel-dentin junction, enamel prisms and their crystals in superficial, middle and deep sections, width, tortuosity, facing of dentin tubules of tested teeth were analyzed by scanning electron microscope Jeol JCM-5700 and atomic force microscope NTEGRA Prima. The biochemical study examined the quantitative content of water in the samples of enamel, dentin, enamel-dentin junction by weighing sample weights before and after drying. The data obtained were processed by methods of variation statistics using standard packages Microsoft Excel 2008, Statistica 12.0. The enamel-dentine junction of large-fastened type is characterized by zones of dentin integration into enamel at the distance of more than 10 mm, with regular arrangement of enamel prisms and wide dentine tubules of 3.55 to 4.70 μm in diameter; no water content reduction was found. The small-fastened type has less pronounced spots of dentin interference with enamel from 2 to 10 μm, the dentinal tubules are slightly curved with a diameter of 2.90 to 3.60 μm, the water content in dentin is reduced. In microfastened type, a linear structure with interpenetration zones up to 2 μm, enamel prisms slightly ordered, dentin tubules narrowed and curved in diameter from 1.30 to 1.95 μm, water content in enamel and dentin is reduced. At microfastened type of enamel-dentin junction, chaotic arrangement of enamel prisms and narrow dentin tubules water movement is broken and metabolic processes are reduced that determines high probability of exposure of dental hard tissue diseases.

Caries progression and need for reintervention on occlusal ICDAS 4 lesions after different treatments: a retrospective university-based study

Objective: To assess the caries progression and the need for reintervention on occlusal ICDAS 4 lesions afterdifferent treatments. Material and Methods: The sample consisted of records of children treated in a public settingwho had at least an occlusal ICDAS 4 lesion in primary and/or permanent molars. The radiographic images ofICDAS 4 lesions at the first and last appointments were classified as absence of radiolucency, radiolucent imageat the enamel–dentin junction, at the outer half or inner of the dentin. The need for retreatment after differenttreatments (non-invasive - topical fluoride applications, oral hygiene instructions and dietary guidance, microinvasive- resin-based sealant, or invasive - restoration) was assessed by reviewing clinical and radiographicrecords. The need for retreatment was defined as any complication requiring mending (e.g., caries progression,total loss of sealant, or restoration failure). The Poisson regression model was used to investigate the associationbetween individual and tooth-related variables and the outcome. Results: Among the 111 lesions in 81 patients,most (73.0%) lesions were in primary molars. Most lesions (52.3%) did not exhibit radiolucency, whereas 29.7%had radiolucency at the outer half of the dentin. The mean follow-up was 18.8 ± 6.5 months. After follow-up,82.9% of the lesions did not require retreatment. The prevalence of ICDAS 4 lesions that did not need retreatmentwas higher among lesions with radiolucency at dentin (p=0.01). Conclusion: Most occlusal ICDAS 4 lesions didnot require reintervention, especially those exhibiting radiolucency in the outer half of the dentin.KEYWORDSDental caries; Clinical decision-making; Dental radiography.

Microstructure, elemental composition and mechanical properties of enamel and dentine in the polar bear Ursus maritimus

ObjectiveTo investigate the microstructure, elemental composition and mechanical properties of polar bear teeth. DesignIncisors, canines and fourth premolar teeth of two subadult male museum specimens were analysed. Teeth were measured, photographed, embedded in Epoxy resin, sectioned, polished and etched for scanning electron microscope (SEM) imaging, elemental composition and nanomechanical testing analyses. ResultsThe thickness of enamel ranged from 350-430 µm in canines, 220–330 µm in incisors and 320–510 µm in premolars. SEM images showed distinct transversely-oriented undulating Hunter Schreger bands from the enamel-dentine junction (EDJ) to the outer enamel surface. Enamel prisms had a hexagonal shape, with open prism sheaths. Prisms measured 6–8 µm in diameter. The EDJ was straight with no evidence of scalloping. Larger tubules adjacent to the EDJ were observed in the mantle dentine zone. Enamel Hardness and Elastic modulus values were higher in premolars (6.9 GPa and 269 GPa), followed by canines (6.5 GPa and 230 GPa) and incisors (4.9 GPa and 187 GPa). Dentine Hardness and Elastic modulus values were higher in canines. CaO and P2O5 were the components with higher oxide weight percentage in both enamel and dentine. ConclusionsUnderstanding the microstructure, elemental composition and mechanical properties of polar bear teeth can help elucidate the biology and functional morphology of this globally threatened species and could be used as a proxy for studies with fossil ursids.

Gliridae (Rodentia) from the Villafranchian site of Węże 2 in southern Poland

A fossil assemblage of dormice (Rodentia: Gliridae) was uncovered at the (Lower?) Villafranchian site of Węże 2 in southern Poland. Based on morphometric criteria, the diagnostic M1 and m1 specimens are assignable to Glis minor and Glis sackdillingensis , two species which differ only in the dimensions of their cheek teeth. The presence of dormice at Węże 2 implies that the fossil assemblage of this site represents an at least partly wooded environment. The enamel structure in the glirids from Węże 2 is formed predominantly by radial enamel. A thin layer of lamellar enamel, occurring close to the enamel-dentine junction, may be present. Such a type of enamel structure is typical of the Myomorpha, the clade of rodents encompassing the Muroidea (the mouse-like rodents) and Gliridae.

Comparative dental study between Homo antecessor and Chinese Homo erectus: Nonmetric features and geometric morphometrics

The Chinese Middle Pleistocene fossils from Hexian, Xichuan, Yiyuan, and Zhoukoudian have been generally classified as Homo erectus s.s. These hominins share some primitive features with other Homo specimens, but they also display unique cranial and dental traits. Thus, the Chinese Middle Pleistocene hominins share with other European and Asian hominin populations the so-called ‘Eurasian dental pattern’. The late Early Pleistocene hominins from Gran Dolina-TD6.2 (Spain), representing the species Homo antecessor, also exhibit the Eurasian dental pattern, which may suggest common roots. To assess phylogenetic affinities of these two taxa, we evaluated and compared nonmetric and metric dental features and interpreted morphological differences within a comparative hominin framework. We determined that the robust roots of the molars, the shelf-like protostylid, the dendrite-like pattern of the enamel-dentine junction surface of the upper fourth premolars and molars, the strongly folded dentine of the labial surface of the upper incisors, and the rare occurrence of a mid-trigonid crest in the lower molars, are all characteristic of Chinese H. erectus. With regard to H. antecessor, we observed the consistent expression of a continuous mid-trigonid crest, the absence of a cingulum in the upper canines, a complex root pattern of the lower premolars, and a rhomboidal occlusal contour and occlusal polygon and protrusion in the external outline of a large a bulging hypocone in the first and second upper molars. Using two-dimensional geometric morphometrics, we further demonstrated that H. antecessor falls outside the range of variation of Chinese H. erectus for occlusal crown outline shape, the orientation of occlusal grooves, and relative locations of anterior and posterior foveae in the P4s, P3s, M1s, M2s, and M2s. Given their geographic and temporal separation, the differences between these two species suggest their divergence occurred at some point in the Early Pleistocene, and thereafter they followed different evolutionary paths.

Variation in Middle Stone Age mandibular molar enamel-dentine junction topography at Klasies River Main Site assessed by diffeomorphic surface matching

The morphology and variability of the Middle Stone Age (MSA) hominin fossils from Klasies River Main Site have been the focus of investigation for more than four decades. The mandibular remains have figured prominently in discussions relating to robusticity, size dimorphism, and symphyseal morphology. Variation in corpus size between the robust SAM-AP 6223 and the diminutive SAM-AP 6225 mandibles is particularly impressive, and the difference between the buccolingual diameters of their M2s significantly exceeds recent human sample variation. SAM-AP 6223 and SAM-AP 6225 are the only Klasies specimens with homologous teeth (M2 and M3) that permit comparisons of crown morphology. While the differences in dental trait expression at the outer enamel surfaces of these molars are slight, diffeomorphic surface analyses of their underlying enamel-dentine junction (EDJ) topographies reveal differences that are well beyond the means of pairwise differences among comparative samples of Later Stone Age (LSA) Khoesan and recent African homologues. The EDJs of both SAM-AP 6225 molars and the SAM-AP 6223 M3 fall outside the envelopes that define the morphospace of these two samples. Although the radiocarbon dated LSA individuals examined here differ by a maximum of some 7000 years, and the two Klasies jaws may differ by perhaps as much as 18,000 years, it is difficult to ascribe their differences to time alone. With reference to the morphoscopic traits by which the SAM-AP 6223 and SAM-AP 6225 EDJs differ, the most striking is the expression of the protoconid cingulum. This is very weakly developed on the SAM-AP 6223 molars and distinct in SAM-AP 6225. As such, this diminutive fossil exhibits a more pronounced manifestation of what is likely a plesiomorphic feature, thus adding to the morphological mosaicism that is evident in the Klasies hominin assemblage. Several possible explanations for the variation and mosaicism in this MSA sample are discussed.

Enamel daily secretion rates of deciduous molars from a global sample of children

ObjectiveTo investigate and describe the variation in enamel daily secretion rates (DSRs) of naturally exfoliated deciduous molars (n = 345) from five modern-day populations (Aotearoa New Zealand, Britain, Canada, France, and Sweden). DesignEach tooth was thin sectioned and examined using a high-powered Olympus BX51 microscope and DP25 digital microscope camera. Mean DSRs were recorded for the inner, mid, and outer regions of cuspal and lateral enamel, excluding enamel nearest the enamel-dentin junction and at the outermost crown surface. ResultsMean DSRs did not vary significantly between populations, or by sex. Cuspal enamel grew slightly faster than lateral enamel (mean difference 0.16 µm per day; p < 0.001). The trajectory of DSRs remained relatively constant from inner to outer cuspal enamel and increased slightly in lateral enamel (p = 0.003). ConclusionsThe DSRs of deciduous molars from modern-day children are remarkably consistent when compared among populations. While growth rates are faster in cuspal than lateral enamel, the trajectory of enamel formation changes only slightly from inner to outer regions. The trajectory of DSRs for deciduous molars differs to that of permanent molar enamel, which typically display a steep increase in matrix deposition from inner to outer enamel.

A software approach for identifying the effect of dental caries on dentin-enamel junction.

Dental decay is the most prevalent oral disease worldwide since more than 2.4 billion people suffer from caries of permanent teeth. Therefore, any details about its progression into the hard-dental tissues could contribute to unravelling the mechanisms underlying this process. We have analyzed dental tissue sections with and without caries in order to detect structure differences corelating them with clinical aspects observable from the tooth surface. Our working hypothesis was based on finding a link between the process of tertiary dentin laying (as a response to coronal caries) and the subsequent obliteration of dentin tubules. We have selected N=10 extracted teeth with/without coronal caries, resin-embedded and sectioned them. A specific software was used to digitally quantify the density of unobliterated dentin tubules reaching the dentin–enamel junction (DEJ), considering as positive threshold criteria the presence of the odontoblast process inside the analyzed tubule. This study showed the differences between the healthy and carious-affected hard-dental coronal tissues. More odontoblast processes reached the DEJ in unaffected teeth. Using specific software, we have quantified their density decrease near a lesion. We have studied the dynamics of the carious study and measured the consequent structural modifications of the dentin. In conclusion, there is a significant difference between the number of dentin tubules containing odontoblast processes that reach the DEJ in healthy/altered tissues. The tooth reacts not only by production of tertiary dentin to protect the pulp chamber, but also by obliteration of dentin tubules, thus reducing the number of odontoblast processes reaching the DEJ. This pilot study could serve as the starting point in developing a dedicated software that could deliver a personalized pattern for decay progression by analyzing one single tooth and extrapolate the result to all the patient’s remaining ones.

A machine learning approach to investigate the materials science of enamel aging

Understanding aging of tooth tissues is critical to the development of patient-centric oral healthcare. Yet, the traditional methods for analyzing the composition–structure–property relationships of hard tissues have limitations when considering aging and other factors. ObjectiveTo apply unsupervised machine learning tools to pursue an understanding of relationships between the composition and mechanical behavior of aging enamel. MethodsMolar teeth were collected from primary (age ≤ 8), young adult (24 ≤ age ≤ 46) and old adult (55 ≤ age) donors. The hardness and elastic modulus were quantified using nanoindentation as a function of distance from the Dentin Enamel Junction (DEJ) within the cervical, cuspal and inter-cuspal regions of the enamel crown. Similarly, a co-located analysis of the chemical composition and structure was performed using Raman spectroscopy. A Self-Organizing Maps (SOMs) algorithm was implemented to identify multi-dimensional composition–property relationships. ResultsThe hardness and elastic modulus are positively correlated to crystallinity and negatively correlated with carbonate substitution. Furthermore, the effects from fluoridation on the age-dependent properties of enamel is non-linear and depends on its location. The contributions of fluoridation to the enamel properties are different in the cervical and non-cervical regions and appear to be unique within primary and senior adult teeth. SignificanceBased on the findings, unsupervised learning methods can reveal complicated non-linear structure–property relationships in tooth tissues and help to understand the materials science of aging and its consequences.

Confocal Raman data analysis of tufts and spindles at the human dentin-enamel junction

ObjectiveThe aim of this article is to analyze the chemical mapping of tufts and spindles of the human dental enamel using confocal Raman microscopy measuring length, structuration and composition of spindles and tufts. Designwe used Raman diffusion, based on the interaction between photons and optic phonons, to reveal chemical bound. Adult molars were selected and longitudinally sectioned. Areas of 120 * 120 μm were scanned near the dentin-enamel junction and grooves. Spectra were collected and phosphate and proteins peak intensities images were reconstructed, related to HPA concentration. Images of Phosphate (PO43-, 960 cm−1) and protein (CH, 2800/3000 cm−1) intensities have been reconstructed. K-mean cluster has been calculated to compare centroid spectra from enamel, dentin and tuft or spindle. Resultsintensity profile revealed spindles as less mineralized areas than enamel, from 5 to 10 µm large. In the groove of molar, long tufts were found, more than 150 µm. ConclusionsConfocal Raman microscopy is a very interesting tool to characterize chemically secondary structure of enamel. The size of a tuft in the groove allows us make the hypothesis that they could play a role in long term resilience of mechanical stress.

Pit and fissure depth in the enamel of mandibular third molars: An open gate for microleakage?

The aim of this descriptive ex vivo study was to evaluate qualitatively the depth of pit and fissures (P&F) of the enamel in human mandibular third molars. Fifty (n=50) extracted human mandibular third molars were cleaned and disinfected. All tooth surfaces were coated with nail varnish except for a 1-mm margin around the periphery of the occlusal surface. The teeth were immersed for 48 hours at 37 °C in 1% methylene blue dye solution prepared in artificial saliva. After cleaning, the crowns were separated from the root at the cementoenamel junction and subsequently sectioned longitudinally in buccolingual direction at the location of the central fossa. All sections were examined using a stereoscopic microscope and photographed. The images were downloaded on a computer. The length of penetration of the P&F was recorded using the following scoring system: C1: P&F extended to half of the enamel thickness; C2: P&F extended beyond half of the enamel thickness without reaching the dentine-enamel junction; C3: P&F extended to the dentine-enamel junction. For pits, C1, C2 and C3 were observed in 35, 9 and 6 teeth, respectively, while for fissures, C1, C2 and C3 were observed in 15, 18 and 17 teeth, respectively. The P&F detected in the samples extended to the deepest portions of enamel, quite frequently reaching the enamel-dentine junction. Clinicians should recognize that even if pits and fissures are not clinically obvious, they penetrate deep into the enamel and frequently reach the dentine-enamel junction. Effective treatment is recommended to block access to P&F, thus preventing ingress of bacteria.

Three-dimensional non-destructive visualization of teeth enamel microcracks using X-ray micro-computed tomography

Although the topic of tooth fractures has been extensively analyzed in the dental literature, there is still insufficient information about the potential effect of enamel microcracks (EMCs) on the underlying tooth structures. For a precise examination of the extent of the damage to the tooth structure in the area of EMCs, it is necessary to carry out their volumetric [(three-dimensional (3D)] evaluation. The aim of this study was to validate an X-ray micro-computed tomography (mu CT) as a technique suitable for 3D non-destructive visualization and qualitative analysis of teeth EMCs of different severity. Extracted human maxillary premolars were examined using a mu CT instrument ZEISS Xradia 520 Versa. In order to separate crack, dentin, and enamel volumes a Deep Learning (DL) algorithm, part of the Dragonfly’s segmentation toolkit, was utilized. For segmentation needs we implemented Dragonfly’s pre-built UNet neural network. The scanning technique which was used made it possible to recognize and detect not only EMCs that are visible on the outer surface but also those that are buried deep inside the tooth. The 3D visualization, combined with DL assisted segmentation, enabled the evaluation of the dynamics of an EMC and precise examination of its position with respect to the dentin-enamel junction.