Enamel Tufts
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Enamel tufts are hypomineralized ribbon-like structures that run longitudinally to the
tooth A tooth ( : teeth) is a hard, calcified structure found in the jaws (or mouths) of many vertebrates and used to break down food. Some animals, particularly carnivores and omnivores, also use teeth to help with capturing or wounding prey, t ...
axis and extend from the dentinoenamel junction (DEJ) one fifth to a third into the enamel. They are called ‘‘tufts’’ due to their wavy look within the enamel microstructure. Biomechanically, enamel tufts are ‘‘closed cracks’’ or
defect A defect is a physical, functional, or aesthetic attribute of a product or service that exhibits that the product or service failed to meet one of the desired specifications. Defect, defects or defected may also refer to: Examples * Angular defec ...
s which, in their manner of propagating, act to prevent enamel fractures. This aspect of them is being studied to see how to make more fracture-resistant materials. However, they can also form without stress during enamel development. Enamel tufts are most common in the enamel of molars of animals that crush hard food objects, such as nuts (crushed by
ape Apes (collectively Hominoidea ) are a clade of Old World simians native to sub-Saharan Africa and Southeast Asia (though they were more widespread in Africa, most of Asia, and as well as Europe in prehistory), which together with its sister g ...
s) and shellfish (crushed by sea otters).


Microstructure

Each tuft consists of several unconnected leaves that start near the dentinoenamel junction. These defects as they pass through the
enamel rod An enamel prism, or enamel rod, is the basic unit of tooth enamel. Measuring 3-6 μm in diameter, enamel prism are tightly packed hydroxyapatite crystals structures. The hydroxyapatite crystals are hexagonal in shape, providing rigidity to the pri ...
s to the surface become progressively more fragmented and fibrillar. Scanning electron micrography finds that there are two kinds: one that is continuous with the enamel-dentine membrane at the dentinoenamel junction and that is acid-resistant, and another that is made up of empty spaces between the prisms and hard walls covered with organic matter. Enamel tufts are particularly common on low-crowned, blunt-cusped molars used in crushing; these are called " bunodonts".


Development

The origin of enamel tufts is not fully understood. It appears, however, that they may arise during enamel development in areas where enamel rods are crowded at the boundaries where they are bundled together, creating periodic weakened mineral reduced planes. These weaknesses then produce transient longitudinal cracks in the transverse plane of the developing enamel. Their formation has been attributed to
stress Stress may refer to: Science and medicine * Stress (biology), an organism's response to a stressor such as an environmental condition * Stress (linguistics), relative emphasis or prominence given to a syllable in a word, or to a word in a phrase ...
and are considered a form of defect. However, stress upon the enamel is not needed to produce them since they occur in impacted
third molar A third molar, commonly called wisdom tooth, is one of the three molars per quadrant of the human dentition. It is the most posterior of the three. The age at which wisdom teeth come through ( erupt) is variable, but this generally occurs betw ...
s that are not affected by biting forces.


Enamel fractures

Some sources consider them to be of no clinical significance. However, they have been noted to be an important potential source of enamel fractures that arise after extended use or overloading. It appears that, although enamel easily starts to form the fracture defects of enamel tufts, they then enable enamel to resist the further progress of these fractures, ultimately preventing mechanical failure. This fracture resistance is why tooth enamel is three times stronger than its constituent hydroxyapatite crystallites that make up its
enamel rod An enamel prism, or enamel rod, is the basic unit of tooth enamel. Measuring 3-6 μm in diameter, enamel prism are tightly packed hydroxyapatite crystals structures. The hydroxyapatite crystals are hexagonal in shape, providing rigidity to the pri ...
s. Enamel tufts do not normally lead to enamel failure, due to these defects stabilizing potential fractures. The processes involved include them creating ‘‘stress shielding’’ by increasing the compliance of enamel next to the dentin.
Decussation Decussation is used in biological contexts to describe a crossing (due to the shape of the Roman numeral for ten, an uppercase 'X' (), ). In Latin anatomical terms, the form is used, e.g. . Similarly, the anatomical term chiasma is named aft ...
is another factor by which cracks form wavy stepwise extensions that arrest their further development. Enamel tufts also
self-heal ''Prunella'' is a genus of herbaceous plants in the family Lamiaceae, also known as self-heals, heal-all, or allheal for their use in herbal medicine. Habitat Most are native to Europe, Asia, and North Africa, but ''Prunella vulgaris'' (common ...
through a process of being filled with protein rich fluids. Odontologically they can be filled by light-cured composite resin when applied in two applications.


Animals with enamel tufts

While a common feature of animal dentition, enamel tufts are particularly found in animals that crush hard materials with their teeth such as nuts and
mollusc shell The mollusc (or molluskOften spelled mollusk shell in the USA; the spelling "mollusc" are preferred by ) shell is typically a calcareous exoskeleton which encloses, supports and protects the soft parts of an animal in the phylum Mollusca, wh ...
s. Tufts are found especially in the enamel of
primate Primates are a diverse order of mammals. They are divided into the strepsirrhines, which include the lemurs, galagos, and lorisids, and the haplorhines, which include the tarsiers and the simians ( monkeys and apes, the latter including ...
s such as chimpanzees,
orangutan Orangutans are great apes native to the rainforests of Indonesia and Malaysia. They are now found only in parts of Borneo and Sumatra, but during the Pleistocene they ranged throughout Southeast Asia and South China. Classified in the genu ...
s and
gorilla Gorillas are herbivorous, predominantly ground-dwelling great apes that inhabit the tropical forests of equatorial Africa. The genus ''Gorilla'' is divided into two species: the eastern gorilla and the western gorilla, and either four or fi ...
s. They are also found in bears,
pig The pig (''Sus domesticus''), often called swine, hog, or domestic pig when distinguishing from other members of the genus '' Sus'', is an omnivorous, domesticated, even-toed, hoofed mammal. It is variously considered a subspecies of ''Sus ...
s,
peccaries A peccary (also javelina or skunk pig) is a medium-sized, pig-like hoofed mammal of the family Tayassuidae (New World pigs). They are found throughout Central and South America, Trinidad in the Caribbean, and in the southwestern area of North ...
, and sea otters.


Biomimicry importance

Enamel is as
brittle A material is brittle if, when subjected to stress, it fractures with little elastic deformation and without significant plastic deformation. Brittle materials absorb relatively little energy prior to fracture, even those of high strength. Br ...
as
glass Glass is a non-crystalline, often transparent, amorphous solid that has widespread practical, technological, and decorative use in, for example, window panes, tableware, and optics. Glass is most often formed by rapid cooling ( quenching ...
and yet it can constantly withstand bite forces during
chewing Chewing or mastication is the process by which food is crushed and ground by teeth. It is the first step of digestion, and it increases the surface area of foods to allow a more efficient break down by enzymes. During the mastication process, th ...
as high as 1,000 N many times a day. As such, it has been argued, that enamel tufts is an example of how nature has created a biomechanical solution to the problem of weak internal interfaces that laminate structures would otherwise have. The solutions involved (such as filling growing defects with fluids) has inspired
scientists A scientist is a person who conducts scientific research to advance knowledge in an area of the natural sciences. In classical antiquity, there was no real ancient analog of a modern scientist. Instead, philosophers engaged in the philosophica ...
to make novel bioinspired (or biomimicry) materials.


Not to be confused with

Enamel tufts are frequently confused with enamel lamellae, which are also enamel defects, but which differ in two ways: lamella are linear, and not branched, and they exist primarily extending from the enamel surface, through the enamel and towards the dentinoenamel junction, whereas enamel tufts project in the opposite direction. Enamel tufts should also not be confused with the similar enamel spindles. Enamel spindles are also linear defects, similar to lamellae, but they too can be found only at the dentinoenamel junction, similar to enamel tufts. This is because they are formed by entrapment of
odontoblast In vertebrates, an odontoblast is a cell of neural crest origin that is part of the outer surface of the dental pulp, and whose biological function is dentinogenesis, which is the formation of dentin, the substance beneath the tooth enamel on t ...
processes between
ameloblast Ameloblasts are cells present only during tooth development that deposit tooth enamel, which is the hard outermost layer of the tooth forming the surface of the crown. Structure Each ameloblast is a columnar cell approximately 4 micrometers in ...
s prior to and during
amelogenesis Amelogenesis is the formation of enamel on teeth and begins when the crown is forming during the advanced bell stage of tooth development after dentinogenesis forms a first layer of dentin. Dentin must be present for enamel to be formed. Amelob ...
.


References

{{DEFAULTSORT:Enamel Tufts Dental enamel Fracture mechanics Acquired tooth pathology