Evidence map›Paper›PMID 28183665›Full record

ArticleMaterials science & engineering. C, Materials for biological applications2017

Degradation in the fatigue crack growth resistance of human dentin by lactic acid.

Santiago Orrego, Huakun Xu, Dwayne Arola

Abstract read
In one paragraph

Article in Materials science & engineering. C, Materials for biological applications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. The Tooth: Its Structure and Properties.Dental clinics of North America · 2017
    Review
  5. Fatigue testing of biomaterials and their interfaces.Dental materials : official publication of the Academy of Dental Materials · 2017
    Article
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

3 authors.

Santiago OrregoDepartment of Mechanical Engineering, Johns Hopkins University, Baltimore, MD 21218, USA; Hopkins Extreme Materials Institute, Johns Hopkins University, Baltimore, MD 21218, USA.
Huakun XuBiomaterials & Tissue Engineering Division, Department of Endodontics, Prosthodontics and Operative Dentistry, University of Maryland Dental School, Baltimore, MD 21201, USA.
Dwayne ArolaDepartment of Materials Science and Engineering, University of Washington, Seattle, WA 98195, USA; Department of Restorative Dentistry, School of Dentistry, University of Washington, Seattle, WA 98195, USA; Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA 98195, USA. Electronic address: darola@uw.edu.

Funding

Development of high performance, caries-inhibiting dental nano-materialsR01DE017974 · NIDCR · UNIVERSITY OF MARYLAND BALTIMORE · PI XU, HUAKUN · 2008 to 2011
$1.0M
Aging and Fatigue Crack Growth in DentinR01DE016904 · NIDCR · UNIVERSITY OF MARYLAND BALTIMORE COUNTY · PI AROLA, DWAYNE DALE · 2007 to 2010
$1.0M
NIDCR NIH HHS R01 DE016904NIDCR NIH HHS R01 DE017974
6 · The paper itself

Abstract

The oral cavity frequently undergoes localized changes in chemistry and level of acidity, which threatens the integrity of the restorative material and supporting hard tissue. The focus of this study was to evaluate the changes in fatigue crack growth resistance of dentin and toughening mechanisms caused by lactic acid exposure. Compact tension specimens of human dentin were prepared from unrestored molars and subjected to Mode I opening mode cyclic loads. Fatigue crack growth was achieved in samples from mid- and outer-coronal dentin immersed in either a lactic acid solution or neutral conditions. An additional evaluation of the influence of sealing the lumens by dental adhesive was also conducted. A hybrid analysis combining experimental results and finite element modeling quantified the contribution of the toughening mechanisms for both environments. The fatigue crack growth responses showed that exposure to lactic acid caused a significant reduction (p≤0.05) of the stress intensity threshold for cyclic crack extension, and a significant increase (p≤0.05) in the incremental fatigue crack growth rate for both regions of coronal dentin. Sealing the lumens had negligible influence on the fatigue resistance. The hybrid analysis showed that the acidic solution was most detrimental to the extrinsic toughening mechanisms, and the magnitude of crack closure stresses operating in the crack wake. Exposing dentin to acidic environments contributes to the development of caries, but it also increases the chance of tooth fractures via fatigue-related failure and at lower mastication forces.

Indexed as

Stress, MechanicalAdolescentAdultDentinFinite Element AnalysisHumansHydrogen-Ion ConcentrationLactic AcidMolarYoung AdultLactic AcidAcidCyclic crack growthDemineralizationDentinFatigueFracture toughness

Identifiers

PMID28183665
PMCPMC5443125

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Registered trials

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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.