Radiotherapy alters the composition, structural and mechanical properties of root dentin in vitro

Objectives Post-radiation dental lesions affect mainly the cervical area of the tooth. Until now, there are quite few evidences regarding the effects of radiation exposure on root dentin breakdown. To better understand this effect, we used human root dentin specimens obtained from third molars from...

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Veröffentlicht in:Clinical oral investigations 2018-11, Vol.22 (8), p.2871-2878
Hauptverfasser: Velo, Marilia Mattar de Amoêdo Campos, Farha, Ana Laura Herrera, da Silva Santos, Paulo Sérgio, Shiota, Aymée, Sansavino, Simone Zuquerato, Souza, Ana Tarsila, Honório, Heitor Marques, Wang, Linda
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container_title Clinical oral investigations
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creator Velo, Marilia Mattar de Amoêdo Campos
Farha, Ana Laura Herrera
da Silva Santos, Paulo Sérgio
Shiota, Aymée
Sansavino, Simone Zuquerato
Souza, Ana Tarsila
Honório, Heitor Marques
Wang, Linda
description Objectives Post-radiation dental lesions affect mainly the cervical area of the tooth. Until now, there are quite few evidences regarding the effects of radiation exposure on root dentin breakdown. To better understand this effect, we used human root dentin specimens obtained from third molars from similarly aged individuals. Materials and methods Twenty specimens were analyzed by the surface hardness (SH), energy-dispersive X-ray spectroscopy (EDX), and X-ray diffraction (XRD) to evaluate the baseline properties of their root dentin. Other six human teeth were prepared and analyzed by scanning electron microscopy (SEM). Then the specimens were randomly distributed between two groups ( n  = 13 per group) and irradiated with a total dose of 55 or 70 Gy in a linear accelerator. The percentage of EDX and surface hardness loss (%SHL) were determined based on measurements before and after irradiation. The specimens were also analyzed after irradiation by SEM and XRD. The Ca/P weight ratio was calculated. Results Based on SEM analysis, radiation exposure induced dehydration of the dentin. The Ca/P weight ratio decreased ( p  = 0.0045). The %SHL of specimens irradiated with 70 Gy was higher than that of the 55-Gy group ( p  
doi_str_mv 10.1007/s00784-018-2373-6
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Until now, there are quite few evidences regarding the effects of radiation exposure on root dentin breakdown. To better understand this effect, we used human root dentin specimens obtained from third molars from similarly aged individuals. Materials and methods Twenty specimens were analyzed by the surface hardness (SH), energy-dispersive X-ray spectroscopy (EDX), and X-ray diffraction (XRD) to evaluate the baseline properties of their root dentin. Other six human teeth were prepared and analyzed by scanning electron microscopy (SEM). Then the specimens were randomly distributed between two groups ( n  = 13 per group) and irradiated with a total dose of 55 or 70 Gy in a linear accelerator. The percentage of EDX and surface hardness loss (%SHL) were determined based on measurements before and after irradiation. The specimens were also analyzed after irradiation by SEM and XRD. The Ca/P weight ratio was calculated. Results Based on SEM analysis, radiation exposure induced dehydration of the dentin. The Ca/P weight ratio decreased ( p  = 0.0045). The %SHL of specimens irradiated with 70 Gy was higher than that of the 55-Gy group ( p  &lt; 0.05), although even the lower dose induced root dentin breakdown. Conclusions Overall, we can state that radiation exposure changes the composition and structure of human root dentin, which detrimentally affect its hardness. Clinical relevance The changes reported herein might influence the selection of the dental materials and will bring new knowledge in this field to prevent radiation-related caries in root dentin.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-018-2373-6</identifier><identifier>PMID: 29430611</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Dehydration ; Dental caries ; Dentin ; Dentin - chemistry ; Dentin - radiation effects ; Dentistry ; Hardness ; Humans ; In Vitro Techniques ; Mechanical properties ; Medicine ; Microscopy, Electron, Scanning ; Molar, Third ; Molars ; Original Article ; Post-radiation ; Radiation therapy ; Scanning electron microscopy ; Spectrometry, X-Ray Emission ; Teeth ; Tooth Root - radiation effects ; X-Ray Diffraction ; X-ray spectroscopy ; X-rays</subject><ispartof>Clinical oral investigations, 2018-11, Vol.22 (8), p.2871-2878</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>Clinical Oral Investigations is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-c40f2f2fdd8c2603ee9c05c7e282734cb4b36209c0e603b0b53f75c25bca4153</citedby><cites>FETCH-LOGICAL-c372t-c40f2f2fdd8c2603ee9c05c7e282734cb4b36209c0e603b0b53f75c25bca4153</cites><orcidid>0000-0001-6308-2769</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-018-2373-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-018-2373-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,41495,42564,51326</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29430611$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Velo, Marilia Mattar de Amoêdo Campos</creatorcontrib><creatorcontrib>Farha, Ana Laura Herrera</creatorcontrib><creatorcontrib>da Silva Santos, Paulo Sérgio</creatorcontrib><creatorcontrib>Shiota, Aymée</creatorcontrib><creatorcontrib>Sansavino, Simone Zuquerato</creatorcontrib><creatorcontrib>Souza, Ana Tarsila</creatorcontrib><creatorcontrib>Honório, Heitor Marques</creatorcontrib><creatorcontrib>Wang, Linda</creatorcontrib><title>Radiotherapy alters the composition, structural and mechanical properties of root dentin in vitro</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives Post-radiation dental lesions affect mainly the cervical area of the tooth. Until now, there are quite few evidences regarding the effects of radiation exposure on root dentin breakdown. To better understand this effect, we used human root dentin specimens obtained from third molars from similarly aged individuals. Materials and methods Twenty specimens were analyzed by the surface hardness (SH), energy-dispersive X-ray spectroscopy (EDX), and X-ray diffraction (XRD) to evaluate the baseline properties of their root dentin. Other six human teeth were prepared and analyzed by scanning electron microscopy (SEM). Then the specimens were randomly distributed between two groups ( n  = 13 per group) and irradiated with a total dose of 55 or 70 Gy in a linear accelerator. The percentage of EDX and surface hardness loss (%SHL) were determined based on measurements before and after irradiation. The specimens were also analyzed after irradiation by SEM and XRD. The Ca/P weight ratio was calculated. Results Based on SEM analysis, radiation exposure induced dehydration of the dentin. The Ca/P weight ratio decreased ( p  = 0.0045). The %SHL of specimens irradiated with 70 Gy was higher than that of the 55-Gy group ( p  &lt; 0.05), although even the lower dose induced root dentin breakdown. Conclusions Overall, we can state that radiation exposure changes the composition and structure of human root dentin, which detrimentally affect its hardness. 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Until now, there are quite few evidences regarding the effects of radiation exposure on root dentin breakdown. To better understand this effect, we used human root dentin specimens obtained from third molars from similarly aged individuals. Materials and methods Twenty specimens were analyzed by the surface hardness (SH), energy-dispersive X-ray spectroscopy (EDX), and X-ray diffraction (XRD) to evaluate the baseline properties of their root dentin. Other six human teeth were prepared and analyzed by scanning electron microscopy (SEM). Then the specimens were randomly distributed between two groups ( n  = 13 per group) and irradiated with a total dose of 55 or 70 Gy in a linear accelerator. The percentage of EDX and surface hardness loss (%SHL) were determined based on measurements before and after irradiation. The specimens were also analyzed after irradiation by SEM and XRD. The Ca/P weight ratio was calculated. 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source MEDLINE; SpringerNature Journals
subjects Dehydration
Dental caries
Dentin
Dentin - chemistry
Dentin - radiation effects
Dentistry
Hardness
Humans
In Vitro Techniques
Mechanical properties
Medicine
Microscopy, Electron, Scanning
Molar, Third
Molars
Original Article
Post-radiation
Radiation therapy
Scanning electron microscopy
Spectrometry, X-Ray Emission
Teeth
Tooth Root - radiation effects
X-Ray Diffraction
X-ray spectroscopy
X-rays
title Radiotherapy alters the composition, structural and mechanical properties of root dentin in vitro
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