Evidence map›Paper›PMID 29430611›Full record

ArticleClinical oral investigations2018

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

Marilia Mattar de Amoêdo Campos Velo, Ana Laura Herrera Farha, Paulo Sérgio da Silva Santos, Aymée Shiota, Simone Zuquerato Sansavino, Ana Tarsila Souza, Heitor Marques Honório, Linda Wang

Open access · greenAbstract read
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In one paragraph

Article in Clinical oral investigations, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
5.9field-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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 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
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  8. 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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  14. Effect of radiation on microhardness and ultramorphological changes in dentin - AnJournal of conservative dentistry and endodontics · 2025
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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

8 authors at 1 institution in 1 country.

Marilia Mattar de Amoêdo Campos VeloDepartment of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Al. Dr Octávio Pinheiro Brisolla 9-75 Vila Universitária, Bauru, SP, CEP: 17012-901, Brazil.
Ana Laura Herrera FarhaDepartment of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Al. Dr Octávio Pinheiro Brisolla 9-75 Vila Universitária, Bauru, SP, CEP: 17012-901, Brazil.
Paulo Sérgio da Silva SantosDepartment of Surgery, Stomatology, Pathology and Radiology, Bauru School of Dentistry, University of São Paulo, Al. Dr Octávio Pinheiro Brisolla 9-75 Vila Universitária, Bauru, SP, CEP: 17012-901, Brazil.
Aymée ShiotaDepartment of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Al. Dr Octávio Pinheiro Brisolla 9-75 Vila Universitária, Bauru, SP, CEP: 17012-901, Brazil.
Simone Zuquerato SansavinoSection of Medical Physics, Radiotherapy Center of the Region of Bauru, Professora Nair Araújo Antunes Street 1050, Bauru, SP, 17033-495, Brazil.
Ana Tarsila SouzaSection of Medical Physics, Radiotherapy Center of the Region of Bauru, Professora Nair Araújo Antunes Street 1050, Bauru, SP, 17033-495, Brazil.
Heitor Marques HonórioDepartment of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Al. Dr Octávio Pinheiro Brisolla 9-75 Vila Universitária, Bauru, SP, CEP: 17012-901, Brazil.
Linda WangDepartment of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Al. Dr Octávio Pinheiro Brisolla 9-75 Vila Universitária, Bauru, SP, CEP: 17012-901, Brazil. wang.linda@usp.br.ORCID http://orcid.org/0000-0001-6308-2769
Universidade de São Paulo · BR

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2015/00817-2
6 · The paper itself

Abstract

objectivesPost-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

methodsTwenty 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.

resultsBased 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 < 0.05), although even the lower dose induced root dentin breakdown.

conclusionsOverall, 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.

Indexed as

DentinHardnessHumansIn Vitro TechniquesMicroscopy, Electron, ScanningMolar, ThirdSpectrometry, X-Ray EmissionTooth RootX-Ray DiffractionDental cariesDentinRadiotherapyRoot caries

Identifiers

PMID29430611
OpenAlexW2793787504

What OpenQuestion holds

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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.