
Disease can alter natural ramp-like elastic gradients to steeper step-like profiles at soft-hard tissue interfaces. Prolonged function can further mediate mechanochemical events that alter biomechanical response within diseased organs. In this study, a human bone-tooth fibrous joint was chosen as a model system, in which the effects of bacterial-induced disease, i.e. periodontitis, on natural elastic gradients were investigated. Specifically, the effects of ectopic biomineral, i.e. calculus, on innate chemical and elastic gradients within the cementum-dentin complex, both of which are fundamental parameters to load-bearing tissues, are investigated through comparisons with a healthy complex. Complementary techniques for mapping changes in physicochemical properties as a result of disease included micro X-ray computed tomography, microprobe micro X-ray fluorescence imaging, transmission electron and atomic force microscopy (AFM) techniques, and AFM-based nanoindentation. Results demonstrated primary effects as derivatives of ectopic mineralization within the diseased fibrous joint. Ectopic mineralization with no cementum resorption, but altered cementum physicochemical properties with increasing X-ray attenuation, exhibited stratified concretion with increasing X-ray fluorescence counts of calcium and phosphorus elements in the extracellular matrix in correlation with decreased hygroscopicity, indenter displacement, and apparent strain-relieving characteristics. Disease progression, identified as concretion through the periodontal ligament (PDL)-cementum enthesis, and sometimes the originally hygroscopic cementum-dentin junction, resulted in a significantly increased indentation elastic modulus (3.16±1.19 GPa) and a shift towards a discontinuous interface compared with healthy conditions (1.54±0.83 GPa) (Student's t-test, P<0.05). The observed primary effects could result in secondary downstream effects, such as compromised mechanobiology at the mechanically active PDL-cementum enthesis that can catalyze progression of disease.
X-Ray Emission, Chemical composition, Biomedical Engineering, Microscopy, Atomic Force, Electron, Calcification, Engineering, Calcification, Physiologic, Microscopy, Electron, Transmission, Elastic discontinuity, Transmission, Humans, Scanning, Dental/Oral and Craniofacial Disease, Physiologic, Tomography, Microscopy, Biomedical and Clinical Sciences, Spectrometry, Ectopic calcification, Atomic Force, Structure, Spectrometry, X-Ray Emission, Elasticity, X-Ray Computed, Dentistry, Microscopy, Electron, Scanning, Cementum, Tomography, X-Ray Computed
X-Ray Emission, Chemical composition, Biomedical Engineering, Microscopy, Atomic Force, Electron, Calcification, Engineering, Calcification, Physiologic, Microscopy, Electron, Transmission, Elastic discontinuity, Transmission, Humans, Scanning, Dental/Oral and Craniofacial Disease, Physiologic, Tomography, Microscopy, Biomedical and Clinical Sciences, Spectrometry, Ectopic calcification, Atomic Force, Structure, Spectrometry, X-Ray Emission, Elasticity, X-Ray Computed, Dentistry, Microscopy, Electron, Scanning, Cementum, Tomography, X-Ray Computed
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 7 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
