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      Fracture Limits of Maxillary Fourth Premolar Teeth in Domestic Dogs Under Applied Forces

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          Abstract

          A cadaveric study was performed to investigate the external mechanical forces required to fracture maxillary fourth premolar teeth in domestic dogs and describe a clinically relevant model of chewing forces placed on functionally important teeth in which fracture patterns are consistent with those defined by the American Veterinary Dental College (AVDC). Twenty-four maxillary fourth premolar teeth were harvested from dog cadavers. Samples consisted of teeth with surrounding alveolar bone potted in polycarbonate cylinders filled with acrylic. The cylinders were held by an aluminum device at an angle of 60° with respect to the ground. An axial compression test was performed, creating a force upon the occluso-palatal aspects of the main cusps of the crowns of the teeth. The highest compressive force prior to failure was considered the maximum force sustained by the teeth. Results showed the mean maximum force (± SD) sustained by the tested teeth at the point of fracture was 1,281 N (± 403 N) at a mean impact angle (± SD) of 59.7° (± 5.2°). The most common fracture type that occurred among all samples was a complicated crown fracture ( n = 12), followed by an uncomplicated crown fracture ( n = 6), complicated crown-root fracture ( n = 5), and uncomplicated crown-root fracture ( n = 1). There was no statistically significant correlation between dog breed, age, weight, impact angle, crown height or crown diameter, and the maximum force applied at the point of fracture. The only independent variable that remained significantly associated with maximum force was the crown height to diameter ratio ( p = 0.005), suggesting that a decreased ratio increases tooth fracture resistance. The methodology described herein has been successful in creating a pattern of fracture of maxillary fourth premolar teeth consistent with that defined by the AVDC under angled compression at forces within the maximum chewing capability of the average domestic dog.

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          Bite Force and Influential Factors on Bite Force Measurements: A Literature Review

          Maximum voluntary bite force is an indicator of the functional state of the masticatory system and the level of maximum bite force results from the combined action of the jaw elevator muscles modified by jaw biomechanics and reflex mechanisms. The measurement of bite force can provide useful data for the evaluation of jaw muscle function and activity. It is also an adjunctive value in assessing the performance of dentures. Technological advances in signal detection and processing have improved the quality of the information extracted from bite force measurements. However, these measurements are difficult and the reliability of the result depends on a number of factors, such as presence of pain and temporomandibular disorders, gender, age, cranio-facial morphology, and occlusal factors. In addition to these physiological factors, recording devices and techniques are important factors in bite force measurement. Therefore, one should be careful when comparing the bite force values reported in the research.
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            Comparison of mechanical property and role between enamel and dentin in the human teeth

            The mechanical properties of enamel and dentin were studied using test specimens having the same shape and dimensions because these properties might vary with the experimental conditions and specimen shapes and dimensions. Healthy human teeth were used as specimens for mechanical tests. The stress (MPa), strain (%), and elastic modulus (E, MPa) of the specimens were obtained from compression tests. The maximum stresses of the enamel, dentin, and enamel–dentin specimens were 62.2 ± 23.8, 193.7 ± 30.6, and 126.1 ± 54.6 MPa, respectively. The maximum strains of the enamel, dentin, and enamel–dentin specimens were 4.5 ± 0.8%, 11.9 ± 0.1%, and 8.7 ± 2.7%, respectively. The elastic moduli of the enamel, dentin, and enamel–dentin specimens were 1338.2 ± 307.9, 1653.7 ± 277.9, and 1628.6 ± 482.7 MPa, respectively. The measured hardness value of enamel specimens (HV = 274.8 ± 18.1) was around 4.2 times higher than that of dentin specimens (HV = 65.6 ± 3.9). Judging from the measured values of the stress and strain of enamel specimens, enamel tended to fracture earlier than dentin; therefore, it was considered more brittle than dentin. However, judging from the measured hardness values, enamel was considered harder than dentin. Therefore, enamel has higher wear resistance, making it suitable for grinding and crushing foods, and dentin has higher force resistance, making it suitable for absorbing bite forces. The different mechanical roles of enamel and dentin may arise from their different compositions and internal structures, as revealed through scanning electron micrographs of enamel and dentin.
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              Measurement of the microhardness and Young's modulus of human enamel and dentine using an indentation technique.

              Conventional quasi-static and dynamic test methods have a number of limitations when used to measure the mechanical properties of enamel and dentine. These are due to the complex structure of the material and the small specimen size. In this investigation, a microindentation technique was used to measure the hardness and Young's modulus of human enamel and dentine and any variations with location. Freshly extracted molar teeth were sectioned, and the cut surfaces were ground and polished progressively to 1 micron. The polished surfaces were indented at different distances from the surface and amelodentinal junction with a Knoop indentor. Measurements of the length of the long indentation diagonal were used to calculate a value for hardness. It has been shown that the a-value for Young's modulus of a material can be calculated by comparing the ratio of the long and short diagonals on an indented specimen with the actual ratio of the indentor as any changes will be due to elastic recovery in the specimen. Values obtained for the Knoop hardness of enamel and dentine were in good agreement with those of other workers. It was also possible to show that there was a decrease in hardness with depth from the surface in enamel. The hardness of dentine increased with distance from the amelodentinal junction. Values for Young's modulus for dentine were in good agreement with those of other workers, and there was an increase in modulus with depth from the amelodentinal junction from 8.7 to 11.2 GNm-2. Values for Young's modulus of enamel were not as easy to calculate because of surface- and subsurface damage.
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                Author and article information

                Contributors
                Journal
                Front Vet Sci
                Front Vet Sci
                Front. Vet. Sci.
                Frontiers in Veterinary Science
                Frontiers Media S.A.
                2297-1769
                30 January 2019
                2018
                : 5
                : 339
                Affiliations
                [1] 1Department of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania , Philadelphia, PA, United States
                [2] 2Mars Petcare Care and Treats , Europe, Birstall, United Kingdom
                [3] 3The McKay Orthopedic Research Laboratory, University of Pennsylvania , Philadelphia, PA, United States
                [4] 4Department of Clinical Sciences, North Carolina State University College of Veterinary Medicine , Raleigh, NC, United States
                [5] 5Department of Clinical Studies-New Bolton Center, School of Veterinary Medicine, University of Pennsylvania , Kennett Square, PA, United States
                Author notes

                Edited by: Jason W. Soukup, University of Wisconsin-Madison, United States

                Reviewed by: Caitlyn J. Collins, ETH Zürich, Switzerland; Christopher John Snyder, University of Wisconsin-Madison, United States; Heidi-lynn Ploeg, Queen's University, Canada

                *Correspondence: Maria Soltero-Rivera msoltero83@ 123456gmail.com

                This article was submitted to Veterinary Dentistry and Oromaxillofacial Surgery, a section of the journal Frontiers in Veterinary Science

                Article
                10.3389/fvets.2018.00339
                6364561
                ac3265fb-72fa-49dd-9ba9-8b65b600a9fd
                Copyright © 2019 Soltero-Rivera, Elliott, Hast, Shetye, Castejon-Gonzalez, Villamizar-Martinez, Stefanovski and Reiter.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 09 June 2018
                : 17 December 2018
                Page count
                Figures: 7, Tables: 1, Equations: 0, References: 29, Pages: 8, Words: 6326
                Categories
                Veterinary Science
                Original Research

                tooth fracture,small animal dentistry,veterinary,trauma,endodontic disease

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