Evidence map›Paper›PMID 25766468›Full record

ArticleArchives of oral biology2015

Radiotherapy effect on nano-mechanical properties and chemical composition of enamel and dentine.

R Reed, C Xu, Y Liu, J P Gorski, Y Wang, M P Walker

Abstract read
In one paragraph

Article in Archives of oral biology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 121 citations in OpenAlex.

  1. Effectiveness of glass ionomer cements in the restorative treatment of radiation-related caries - a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
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  5. Damage of irradiated teeth by ultrasonic scaling: an in vitro study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  7. Dose-Dependent Effects of Simulated Clinical Radiotherapy on the Structure and Properties of Root Dentine.Australian endodontic journal : the journal of the Australian Society of Endodontology Inc · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

R ReedDepartment of Oral and Craniofacial Sciences, School of Dentistry, University of Missouri-Kansas City, MO, United States.
C XuDepartment of Oral and Craniofacial Sciences, School of Dentistry, University of Missouri-Kansas City, MO, United States.
Y LiuDepartment of Oral and Craniofacial Sciences, School of Dentistry, University of Missouri-Kansas City, MO, United States.
J P GorskiDepartment of Oral and Craniofacial Sciences, School of Dentistry, University of Missouri-Kansas City, MO, United States; Center of Excellencein Musculoskeletal and Dental Tissues, University of Missouri-Kansas City, MO, United States.
Y WangDepartment of Oral and Craniofacial Sciences, School of Dentistry, University of Missouri-Kansas City, MO, United States; Center of Excellencein Musculoskeletal and Dental Tissues, University of Missouri-Kansas City, MO, United States.
M P WalkerDepartment of Oral and Craniofacial Sciences, School of Dentistry, University of Missouri-Kansas City, MO, United States; Center of Excellencein Musculoskeletal and Dental Tissues, University of Missouri-Kansas City, MO, United States. Electronic address: walkermp@umkc.edu.
University of Missouri–Kansas City · US

Funding

Understanding the mechanism of radiotherapy-induced dentition breakdownR01DE021462 · NIDCR · UNIVERSITY OF MISSOURI KANSAS CITY · PI WALKER, MARY P, WANG, YONG · 2010 to 2014
$1.8M
NIDCR NIH HHS R01 DE021462NIDCR NIH HHS R01DE021462.
6 · The paper itself

Abstract

objectiveTo understand radiotherapy-induced dental lesions characterized by enamel loss or delamination near the dentine-enamel junction (DEJ), this study evaluated enamel and dentine nano-mechanical properties and chemical composition before and after simulated oral cancer radiotherapy.

designSections from seven non-carious third molars were exposed to 2 Gy fractions, 5 days/week for 7 weeks for a total of 70 Gy. Nanoindentation was used to evaluate Young's modulus, while Raman microspectroscopy was used to measure protein/mineral ratios, carbonate/phosphate ratios, and phosphate peak width. All measures were completed prior to and following radiation at the same four buccal and lingual sites 500 and 30 μm from the DEJ in enamel and dentine (E-500, E-30, D-30 and D-500).

resultsThe elastic modulus of enamel and dentine was significantly increased (P ≤ 0.05) following radiation. Based on Raman spectroscopic analysis, there was a significant decrease in the protein to mineral ratio (2931/430 cm(-1)) following radiation at all sites tested except at D-500, while the carbonate to phosphate ratio (1070/960 cm(-1)) increased at E-30 and decreased at D-500. Finally, phosphate peak width as measured by FWHM at 960 cm(-1) significantly decreased at both D-30 and D-500 following radiation.

conclusionsSimulated radiotherapy produced an increase in the stiffness of enamel and dentine near the DEJ. Increased stiffness is speculated to be the result of the radiation-induced decrease in the protein content, with the percent reduction much greater in the enamel sites. Such changes in mechanical properties and chemical composition could potentially contribute to DEJ biomechanical failure leading to enamel delamination that occurs post-radiotherapy. However, other analyses are required for a better understanding of radiotherapy-induced effects on tooth structure to improve preventive and restorative treatments for oral cancer patients.

Indexed as

Dental EnamelDentinElastic ModulusHumansMolar, ThirdMouth NeoplasmsSpectrum Analysis, RamanDentine–enamel junctionEnamelNanoindentationOral cancerRadiotherapyRaman microspectroscopy

Identifiers

PMID25766468
PMCPMC4369427
OpenAlexW2007444000

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.