Enamel Rods Research Articles

Microstructure and hardness of bovine enamel in roselle extract solution

The aim of this study was to analyze the effect of roselle extract solution on the microstructure and hardness of bovine enamel. Ten bovine teeth and a 5% concentration of roselle extract solution were prepared. Immersions of each bovine tooth in roselle extract solution were conducted up to 60 minutes. The bovine enamel surface was characterized in hardness and microscopy. It was apparent that the initial hardness was 328 KHN, and after immersion in 15 and 60 min, the values decrease to 57.4 KHN and 11 KHN, respectively. Scanning electron microscopy (SEM) revealed changes in enamel rods after immersion in the roselle extract solution.

SCANNING ELECTRON MICROSCOPIC EVALUATION OF ENAMEL AND DENTIN AFTER LASER VS CONVENTIONAL CLASS V CAVITY PREPARATION IN PRIMARY MOLARS: IN VITRO STUDY

Aim or Purpose: Scanning electron Microscopic evaluation of enamel and dentin after laser (Er, Cr: YSGG) versus conventional class V cavity preparation and after restoration of prepared primary molars with injectable Giomer.Materials-Methods: Forty primary mandibular second molars were collected. Molars were divided into four equal groups, group (I) class V prepared with the high-speed Diamond bur, group (II) class V prepared with the high-speed Diamond bur and restored with injectable Giomer after adhesive application, group (III) class V prepared with non-contact (Er, Cr: YSGG) laser and group (IV) class V prepared with non-contact (Er, Cr: YSGG) laser and restored with injectable Giomer without adhesive application. Molars were sectioned perpendicular to the long axis of the tooth using a low speed diamond disc under water coolant. Evaluation of enamel and dentin after cavity preparation, and at enamel and dentin / restoration interfaces were observed with Scanning Electron Microscope.Results: In group (I) well-defined smooth cavity floor and walls were almost covered with a debris-like smear layer. In group (II) After acid etching, the smear layer was completely removed and enamel rods or dentinal tubules were clearly visible. In group (III) Irradiated enamel had a characteristic appearance resembling (Lava flow) with open enamel prisms. Protruding dentinal tubules were observed. No visible cracks or carbonization were detected. In group (IV) Laser produced micro-retentive morphological pattern without the production of smearlayer.Conclusions: It can be concluded that (Er, Cr: YSGG) laser can be an alternative technique for conservative caries removal and provided better bonding of the restoration to primary teeth.

Biomimetic Enamel Regeneration Mediated by Leucine-Rich Amelogenin Peptide

We report here a novel biomimetic approach to the regeneration of human enamel. The approach combines the use of inorganic pyrophosphate (PPi) to control the onset and rate of enamel regeneration and the use of leucine-rich amelogenin peptide (LRAP), a nonphosphorylated 56–amino acid alternative splice product of amelogenin, to regulate the shape and orientation of growing enamel crystals. This study builds on our previous findings that show LRAP can effectively guide the formation of ordered arrays of needle-like hydroxyapatite (HA) crystals in vitro and on the known role mineralization inhibitors, like PPi, play in the regulation of mineralized tissue formation. Acid-etched enamel surfaces of extracted human molars, cut perpendicular or parallel to the direction of the enamel rods, were exposed to a PPi-stabilized supersaturated calcium phosphate (CaP) solution containing 0 to 0.06 mg/mL LRAP for 20 h. In the absence of LRAP, PPi inhibition was reversed by the presence of etched enamel surfaces and led to the formation of large, randomly distributed plate-like HA crystals that were weakly attached, regardless of rod orientation. In the presence of 0.04 mg/mL LRAP, however, densely packed mineral layers, comprising bundles of small needle-like HA crystals, formed on etched surfaces that were cut perpendicular to the enamel rods. These crystals were strongly attached, and their arrangement reflected to a significant degree the underlying enamel prism pattern. In contrast, under the same conditions with LRAP, little to no crystal formation was found on enamel surfaces that were cut parallel to the direction of the enamel rods. These results suggest that LRAP preferentially interacts with ab surfaces of mature enamel crystals, inhibiting their directional growth, thus selectively promoting linear growth along the c-axis of enamel crystals. The present findings demonstrate a potential for the development of a new approach to regenerate enamel structure and properties.

SEM Evaluation of Enamel Surface Changes and Enamel Microhardness around Orthodontic Brackets after Application of CO2 Laser, Er,Cr:YSGG Laser and Fluoride Varnish: An In vivo Study.

One of the most undesirable consequences of orthodontic treatment is occurrence of enamel demineralization around orthodontic brackets. Numerous in vitro studies have reported the prevention of enamel demineralization by surface treatment with lasers and fluoride varnish. To evaluate the changes on the enamel surface and microhardness around orthodontic brackets after surface treatment by CO2 laser, Er, Cr:YSGG laser and fluoride varnish in vivo. A double blind interventional study was carried out on 100 premolars which were equally divided into five groups, out of which one was the control group (Group 0). The intervention groups (Group I to IV) comprised of patients requiring fixed orthodontic treatment with all 4 first premolars extraction. Brackets were bonded on all 80 premolars which were to be extracted. Enamel surface treatment of Groups I, II and III was done by CO2 laser, Er, Cr:YSGG laser and 5% sodium fluoride varnish respectively and Group IV did not receive any surface treatment. A modified T-loop was ligated to the bracket and after two months, the premolars were extracted. Surface changes were evaluated by Scanning Electron Microscopic (SEM) and microhardness testing. Comparison of mean microhardness between all the groups was assessed using post-hoc test with Bonferroni correction. Group I showed a melted enamel appearance with fine cracks and fissures while Group II showed a glossy, homogenous enamel surface with well coalesced enamel rods. Group III showed slight areas of erosions and Group IV presented areas of stripped enamel. Significant difference was observed between the mean microhardness (VHN) of Group I, Group II, Group III, Group IV and Group 0 with p<0.001. A significant difference of p<0.001 was observed while comparing Group I vs II,III,IV,0 and Group II vs III,IV,0. However, difference while comparing Group III vs IV was p=0.005 and difference between the mean microhardness of Group 0 vs Group III was non significant. Surface treatment with Er,Cr:YSGG laser causes a positive alteration of the enamel surface increasing its ability to resist demineralization with optimum microhardness as compared to CO2 laser and sodium fluoride varnish.

Are Tooth Prints a Hard Tissue Equivalence of Finger Print in Mass Disaster: A Rationalized Review.

Personal identification methods may not be efficient when bodies are decomposed, burned, in cases of mass disasters when soft tissue cannot provide reliable information or has been lost. Various methods currently employed in forensic odontology for personal identification include comparing with antemortem dental charts, rugoscopy, denture labeling, DNA analysis from dental pulp, bite mark analysis, etc., Recently, there is growing interest in the study of enamel rod end patterns. These enamel rod end patterns are termed as “Tooth prints” and the study of these prints is known as “Ameloglyphics” (amelo: Enamel, Glyphics: Carvings). This review encompasses about the basis of using enamel rod end patterns, methods of obtaining the patterns and further suggests these tooth prints as an analogy to finger print in personal identification in mass disasters.

Postmortem identification in forensic odontology

Forensic odontology is that part of dentistry which deals with the identification of a deceased individual by carefully examining and studying dental evidence. Over the years, many methods have been developed to identify the identity of a person. By studying the teeth and oral cavity, a forensic dentist can determine the age, gender, race and quite possible the identity of the individual. The key component in forensic sciences is to identify and compare a particular trait which is unique to that individual. In forensic odontology, a few traits have been identified such as bitemarks, enamel rod patterns, lip patterns, and genetic information embedded within the hard tissue of the tooth.

Can dead man tooth do tell tales? Tooth prints in forensic identification.

Background:We know that teeth trouble us a lot when we are alive, but they last longer for thousands of years even after we are dead. Teeth being the strongest and resistant structure are the most significant tool in forensic investigations. Patterns of enamel rod end on the tooth surface are known as tooth prints.Aim:This study is aimed to know whether these tooth prints can become a forensic tool in personal identification such as finger prints. A study has been targeted toward the same.Settings and Design:In the present in-vivo study, acetate peel technique has been used to obtain the replica of enamel rod end patterns.Materials and Methods:Tooth prints of upper first premolars were recorded from 80 individuals after acid etching using cellulose acetate strips. Then, digital images of the tooth prints obtained at two different intervals were subjected to biometric conversion using Verifinger standard software development kit version 6.5 software followed by the use of Automated Fingerprint Identification System (AFIS) software for comparison of the tooth prints. Similarly, each individual's finger prints were also recorded and were subjected to the same software.Statistical Analysis:Further, recordings of AFIS scores obtained from images were statistically analyzed using Cronbach's test.Results:We observed that comparing two tooth prints taken from an individual at two intervals exhibited similarity in many cases, with wavy pattern tooth print being the predominant type. However, the same prints showed dissimilarity when compared with other individuals. We also found that most of the individuals with whorl pattern finger print showed wavy pattern tooth print and few loop type fingerprints showed linear pattern of tooth prints.Conclusions:Further more experiments on both tooth prints and finger prints are required in establishing an individual's identity.

Giant panda׳s tooth enamel: Structure, mechanical behavior and toughening mechanisms under indentation

The giant panda׳s teeth possess remarkable load-bearing capacity and damage resistance for masticating bamboos. In this study, the hierarchical structure and mechanical behavior of the giant panda׳s tooth enamel were investigated under indentation. The effects of loading orientation and location on mechanical properties of the enamel were clarified and the evolution of damage in the enamel under increasing load evaluated. The nature of the damage, both at and beneath the indentation surfaces, and the underlying toughening mechanisms were explored. Indentation cracks invariably were seen to propagate along the internal interfaces, specifically the sheaths between enamel rods, and multiple extrinsic toughening mechanisms, e.g., crack deflection/twisting and uncracked-ligament bridging, were active to shield the tips of cracks from the applied stress. The giant panda׳s tooth enamel is analogous to human enamel in its mechanical properties, yet it has superior hardness and Young׳s modulus but inferior toughness as compared to the bamboo that pandas primarily feed on, highlighting the critical roles of the integration of underlying tissues in the entire tooth and the highly hydrated state of bamboo foods. Our objective is that this study can aid the understanding of the structure-mechanical property relations in the tooth enamel of mammals and further provide some insight on the food habits of the giant pandas.

Amelogenin-Ameloblastin Spatial Interaction around Maturing Enamel Rods

Amelogenin and ameloblastin are 2 extracellular matrix proteins that are essential for the proper development of enamel. We recently reported that amelogenin and ameloblastin colocalized during the secretory stage of enamel formation when nucleation of enamel crystallites occurs. Direct interactions between the 2 proteins have been also demonstrated in our in vitro studies. Here, we explore interactions between their fragments during enamel maturation. We applied in vivo immunofluorescence imaging, quantitative co-localization analysis, and a new FRET (fluorescence resonance energy transfer) technique to demonstrate ameloblastin and amelogenin interaction in the maturing mouse enamel. Using immunochemical analysis of protein samples extracted from 8-d-old (P8) first molars from mice as a model for maturation-stage enamel, we identified the ~17-kDa ameloblastin (Ambn-N) and the TRAP (tyrosine-rich amelogenin peptide) fragments. We used Ambn-N18 and Ambn-M300 antibodies raised against the N-terminal and C-terminal segments of ameloblastin, as well as Amel-FL and Amel-C19 antibodies against full-length recombinant mouse amelogenin (rM179) and C-terminal amelogenin, respectively. In transverse sections, co-localization images of N-terminal fragments of amelogenin and ameloblastin around the prism boundary revealed the “fish net” pattern of the enamel matrix. Using in vivo FRET microscopy, we further demonstrated spatial interactions between amelogenin and ameloblastin N-terminal fragments. In the maturing mouse enamel, the association of these residual protein fragments created a discontinuity between enamel rods, which we suggest is important for support and maintenance of enamel rods and eventual contribution to unique enamel mechanical properties. We present data that support cooperative functions of enamel matrix proteins in mediating the structural hierarchy of enamel and that contribute to our efforts to design and develop enamel biomimetic material.

Full Spectrum of Postnatal Tooth Phenotypes in a Novel Irf6 Cleft Lip Model

Clefting of the lip, with or without palatal involvement (CLP), is associated with a higher incidence of developmental tooth abnormalities, including hypodontia and supernumerary teeth, aberrant crown and root morphologies, and enamel defects, although the underlying mechanistic link is poorly understood. As most CLP genes are expressed throughout the oral epithelium, the authors hypothesized that the expression of CLP genes may persist in the dental epithelium and thus, in addition to their earlier role in labiopalatine development, may play an important functional role in subsequent tooth patterning and amelogenesis. To address this, the authors generated a unique conditional knockout model involving the major CLP gene, Irf6, that overcomes the previously reported perinatal lethality to enable assessment of any posteruption dental phenotypes. A dental epithelium–specific Irf6 conditional knockout (Irf6-cKO) mouse was generated via a Pitx2-Cre driver line. Dental development was analyzed by microcomputed tomography, scanning electron microscopy, histology, immunohistochemistry, and quantitative polymerase chain reaction. Irf6-cKO mice displayed variable hypodontia, occasional supernumerary incisors and molars, as well as crown and root patterning anomalies, including peg-shaped first molars and taurodontic and C-shaped mandibular second molars. Enamel density was reduced in preeruption Irf6-cKO mice, and some shearing of enamel rods was noted in posteruption incisors. There was also rapid attrition of Irf6-cKO molars following eruption. Histologically, Irf6-cKO ameloblasts exhibited disturbances in adhesion and polarity, and delayed enamel formation was confirmed immunohistochemically. Altered structure of Hertwig’s epithelial root sheath was also observed. These data support a role for IRF6 in tooth number, crown and root morphology and amelogenesis that is likely due to a functional role of Irf6 in organization and polarity of epithelial cell types. This data reinforce the notion that various isolated tooth defects could be considered part of the CLP spectrum in relatives of an affected individual.

Mechanical behavior of enamel rods under micro-compression

Exploring the structural strategies behind the optimized mechanical performance of hierarchical materials has been a focal point of extensive research over the past decades. Dental enamel is one such natural material, comprising a complicated hierarchical structure with a high level of mineral content. Bundles of hydroxyapatite nanofibers (level-1) Ø: 50nm form enamel rods (level-2) Ø: 5µm, which constitute bands (level-3) Ø: 50µm. While a number of studies in the last decade using advanced fracture mechanical methods have revealed an increasing trend in the fracture toughness of enamel with each additional level of hierarchy, there is still no general agreement on how hierarchical structuring affects the stiffness and strength of enamel. In this study, we identified the stiffness and strength values of the isolated rods (level-2) via micro-compression. The rods were tested in three different orientations with respect to the loading direction: parallel, perpendicular and oblique. The highest stress level withstood before catastrophic fracture was observed to be ~1500MPa in perpendicular orientation. In the oblique loading, the specimens failed by shearing and exhibited a damage-tolerant deformation behavior, which was attributed to the conjugation spots identified between the rods and interrod sheets. The elastic modulus was ~60GPa on average and similar in all orientations. The isotropy in stiffness was attributed to the mineral contacts residing between rods. This was verified by an analytical model derived for level-1 and extended over higher hierarchical levels. The experimental results obtained at level-2 were comparable to the compressive strength and stiffness values reported for level-1 and bulk enamel in the literature. In general, our results suggest that hierarchy has only a minor influence on the compressive properties of enamel.

Abrogation of epithelial BMP2 and BMP4 causes Amelogenesis Imperfecta by reducing MMP20 and KLK4 expression.

Amelogenesis Imperfecta (AI) can be caused by the deficiencies of enamel matrix proteins, molecules responsible for the transportation and secretion of enamel matrix components, and proteases processing enamel matrix proteins. In the present study, we discovered the double deletion of bone morphogenetic protein 2 (Bmp2) and bone morphogenetic protein 4 (Bmp4) in the dental epithelium by K14-cre resulted in hypoplastic enamel and reduced density in X-ray radiography as well as shortened enamel rods under scanning electron microscopy. Such enamel phenotype was consistent with the diagnosis of hypoplastic amelogenesis imperfecta. Histological and molecular analyses revealed that the removal of matrix proteins in the mutant enamel was drastically delayed, which was coincided with the greatly reduced expression of matrix metalloproteinase 20 (MMP20) and kallikrein 4 (KLK4). Although the expression of multiple enamel matrix proteins was down-regulated in the mutant ameloblasts, the cleavage of ameloblastin was drastically impaired. Therefore, we attributed the AI primarily to the reduction of MMP20 and KLK4. Further investigation found that BMP/Smad4 signaling pathway was down-regulated in the K14-cre;Bmp2f/f;Bmp4f/fameloblasts, suggesting that the reduced MMP20 and KLK4 expression may be due to the attenuated epithelial BMP/Smad4 signaling.

The Micrograph Image of Early Experimental Dental Caries in Permanent Teeth in Hanoi Medical University

Objectives: This reseach aimed to describe micrograph images of experimental carious lesions at early stage. Method: Experimental study . 60 permanent extracted premolars (patient aged 18-25) were cleaned and removed remaining soft tissue. Each tooth was painted with acid-resistant coating leaving an enamel window of approximately 1 × 1 mm 2 in buccal surface. After 96 hours being soaked in demineralization solution to create artificial carious lesion, the coating was removed, and all teeth would be evaluated using ICDAS criteria and made tooth specimens to be observed under a scanning electronic microscope (SEM). Results: After being soaked in demineralization solution, the carious lesion gained was at stage ICDAS 1 with 66.7% ; and 33.3% at stage 2. Mean depth and area of the lesions was 107.6 µm and 1.14 µm 2 , respectively. The difference in depth and area of lesions between group ICDAS 1 va ICDAS 2 was significantly statistical with p=0.0001. Micrograph images showed that after being soaked in demineralization solution, enamel surface became rough, enamel rods lost minerals in the body more than in the sheath, cross-sectional images showed widened gaps between the rods due to demineralization. There was a difference in demineralization degree between group ICDAS 1 and 2. Conclusion: Image of cariouslesions gained after being soaked in demineralization solution showed that naturally carious and artificially carious -like lesions shared many similar characteristics due to theevaluation based on ICDAS criteria for detecting early carious lesions and scanning electronic microscope. DOI: 10.14693/jdi.v23i1.973

Beta-catenin is essential for ameloblast movement during enamel development.

Beta-catenin is a multifunctional protein that plays key roles in cadherin-based cell adherens junctions and in the Wnt signaling pathway. The canonical Wnt/β-catenin pathway can regulate transcription factors that control cell movement/invasion. We investigated whether β-catenin regulates ameloblast movement through canonical Wnt signaling. The morphological and physical properties of enamel were assessed in enamel from control and β-catenin conditional knockout (cKO) mice. Ameloblast-lineage cells (ALC) were used to investigate the potential roles of β-catenin in cell migration and in E-cadherin expression. Compared with controls, incisors from β-catenin cKO mice were short, blunt, and where enamel was present, it was soft and malformed. Scanning electron microscopy revealed a dysplastic rod pattern within the enamel of incisors from β-catenin cKO mice, and Vickers microhardness measurements confirmed that mice with β-catenin ablated from their enamel organ had enamel that was significantly softer than normal. Amelogenesis was disrupted in the absence of β-catenin and the ameloblasts did not differentiate properly. We further demonstrated that migration of ALCs was inhibited in vitro and that E-cadherin expression was significantly up-regulated when ALCs were treated with the β-catenin inhibitor, ICG-001. Beta-catenin ablation causes enamel malformation in mice and this phenotype may occur, in part, by a lack of ameloblast differentiation and/or movement necessary to form the decussating enamel rod structure.

Contact fatigue of human enamel: Experiments, mechanisms and modeling

Cyclic contact between natural tooth structure and engineered ceramics is increasingly common. Fatigue of the enamel due to cyclic contact is rarely considered. The objectives of this investigation were to evaluate the fatigue behavior of human enamel by cyclic contact, and to assess the extent of damage over clinically relevant conditions. Cyclic contact experiments were conducted using the crowns of caries-free molars obtained from young donors. The cuspal locations were polished flat and subjected to cyclic contact with a spherical indenter of alumina at 2Hz. The progression of damage was monitored through the evolution in contact displacement, changes in the contact hysteresis and characteristics of the fracture pattern. The contact fatigue life diagram exhibited a decrease in cycles to failure with increasing cyclic load magnitude. Two distinct trends were identified, which corresponded to the development and propagation of a combination of cylindrical and radial cracks. Under contact loads of less than 400N, enamel rod decussation resisted the growth of subsurface cracks. However, at greater loads the damage progressed rapidly and accelerated fatigue failure. Overall, cyclic contact between ceramic appliances and natural tooth structure causes fatigue of the enamel. The extent of damage is dependent on the magnitude of cyclic stress and the ability of the decussation to arrest the fatigue damage.

Mechanical properties of human enamel under compression: On the feature of calculations

The paper is aimed at determination of the causes of shape effect in human tooth enamel under compression and correction of the relevant mechanical characteristics. For this purpose, six groups of samples with different ratios of the compression surface diagonal to the sample height, which consisted of 10 cuboid samples in each, were prepared from the backside of human enamel. The lateral deformation of a sample was calculated at the maximum compressive stress for correction of the mechanical characteristics. It is shown that the ratio between the lateral and axial deformations decreases with an increase in the ratio of the compression surface diagonal to the sample height. This is caused by the friction between the compression plates and the working surfaces of the enamel sample when the lateral deformation is suppressed. In addition, the slope of enamel sample by about 15° occurred during compression due to the inclination of rigid and low deformable enamel rods. The corrections of the elastic modulus and the compression strength taking into account the lateral deformation and the sample slope are carried out. The mechanical properties of enamel samples with the 2.1 aspect ratio are closer to the intrinsic properties of human enamel samples. The elastic modulus and the compression strength of human enamel under compression are 5.64GPa and 363MPa, respectively. The lateral deformation (~10%) may be considered as the critical parameter that indicates the strength of human enamel.

Ameloglyphics: A possible forensic tool for person identification following high temperature and acid exposure.

Introduction:Forensic odontology is a branch that is evolving over time and has opened newer avenues that may help in the identification of individuals. Tooth prints are the enamel rod end patterns on tooth surface and they are considered as a hard tissue analog to fingerprints. Teeth have the highest resistance to most environmental effects like fire, desiccation, and decomposition, and may be used as a forensic evidence.Aims and Objectives:The aim of the study was to evaluate if the tooth prints could be used for an individual's identification and reproducibility and permanency of these tooth prints after exposing the teeth to acid and various degrees of temperature.Materials and Methods:90 tooth prints from 20 freshly extracted maxillary premolar teeth were obtained. Cellophane tape technique was used to record enamel rod end patterns on tooth surface. Ten teeth (one from each patient) were immersed in 36.46% hydrochloric acid and the tooth prints were obtained at various intervals (5 min, 10 min, and 20 min). The other 10 teeth (one from each patient) were incinerated and impression was made at various intervals (80° C, 400° C, 600° C, and 750° C). Tooth prints obtained from different teeth (total of 90 tooth prints) were analyzed using Verifinger® standard SDK version 5.0 software.Results:All the 20 original tooth prints were distinct from each other and no inter-individual or intra-individual similarity was found. The tooth prints from the same tooth after it was exposed to acid or heat were reproducible and showed high to very high similarity with the original tooth print of that particular tooth stored in the database.Conclusion:Tooth prints may be used as an effective aid in person identification even in adverse conditions such as burn and acid attack injuries.

Variation in the Color of Japanese Teeth and Structural Changes in Enamel Rod Sheath Associated with Age

Variation in the Color of Japanese Teeth and Structural Changes in Enamel Rod Sheath Associated with Age

On the importance of aging to the crack growth resistance of human enamel

With improvements in oral health and an overall increase in quality of life, the percentage of fully or largely dentate seniors is increasing. Understanding the effects of aging on the mechanical properties of teeth is essential to the maintenance of lifelong oral health. In this investigation the effects of aging on the fracture toughness of human enamel were evaluated from incremental crack growth experiments performed on tissue of donor teeth representing “young” (17⩽age⩽25) and “old” (age⩾55) age groups. Results showed that the old enamel exhibited significantly lower resistance to fracture than that of the young tissue in two orthogonal directions of crack growth. For crack growth transverse to the enamel rods, the fracture toughness of the old enamel (0.37±0.15MPam0.5) was nearly 70% lower than that of tissue from the young teeth (1.23±0.20MPam0.5). Based on results from a mechanistic analysis of crack growth, the reduction in fracture resistance is attributed to a decrease in the degree of extrinsic toughening. The practice of restorative dentistry should account for these changes in tooth tissues in the treatment of senior patients. Statement of SignificanceThe mechanical behavior of enamel has been studied for over 3 decades. Due to the limited volume of tissue available for evaluation, past work has been largely based on indentation methods. In this investigation we have evaluated the resistance to fracture of human enamel using a conventional fracture mechanics approach and incremental crack growth. We compared the fracture resistance of cuspal enamel obtained from the teeth of representative “young” and “old” donor groups. Our results show that there is a substantial reduction in the resistance to fracture with age, that it is anisotropic, and that the degradation is more severe than that which occurs to dentin. As such, we feel this work is a significant contribution to the field.

Scanning Electron Microscope Characterization of Erosive Enamel in Human Teeth

This study aimed to examine the surface characteristics of erosive enamel in extracted human teeth by scanning electron microscopy. Morphologic changes in naturally eroded enamel depend on the stages of dental erosion. In its early stages, the enamel surfaces show a honeycomb appearance due to the dissolution of enamel rod ends. In its advanced stages, the erosive process involves the underlying dentin and the eroded dentin shows exposed dentinal tubules and the dentinal matrix may be exposed due to the dissolution of the peri- and intertubular dentin. Evidence of remineralization is seen at the early stage of natural dental erosion.