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Research Article

Physical properties of the dentin-enamel junction region


ISAO URABE, DDS, MASATOSHI NAKAJIMA, DOS, PHD, HIDEHIKO SANO, DDS, PHD & JUNJI TAGAMI, DDS, PHD

ABSTRACT: Purpose: To determine the physical properties between enamel and dentin at the dentin-enamel junction
(DEJ) region of natural tooth structure. Materials and Methods: Ultimate tensile cohesive strengths of the DEJ region
of human and bovine teeth were measured using a microtensile test, and the nanohardness and Young's modulus from
deep enamel to superficial dentin of human teeth were measured using a nanoindentation tester. Results: Tbe mean
ultimate tensile cohesive strengths of bovine and human DEJ region were 47.7 MPa and 51.5 MPa, respectively. The
nanohardness, dynamic hardness and Young's modulus of the DEJ region showed moderate values between those of
enamel and dentin. Comparison of the cohesive strength of the human DEJ region with previous results of the bond
strength of resin bonding systems indicate that current resin bonding systems might reproduce the biological adhesion
of enamel to dentin in terms of the tensile strength. Moreover, the indentation properties of the DEJ region showed
higher values than those of the underlying dentin or of resin impregnated dentin. (Am J Dent 2000;13:129-135).

CLINICAL SIGNIFICANCE: The dentin-enamel (DEJ), which contains intermingled enamel and dentin, proved to be a
region that resists well to tensile stress and has intermediate hardness and elastic modulus between enamel and dentin.
Novel resin bonding systems have high tensile bond strength as well as tensile cohesive strength of the DEJ region.
Accordingly, these materials have sufficient bonding performance regarding bond strength. New principles for resto-
ration supported by adequate bond strength should be established.
CORRESPONDENCE: Dr. Isao Urabe, Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate
School, Tokyo Medica} and Dental University, 1-5-4S, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan. Fax: 81-3-5803-
0195. E-mail: urabe.opr@tmd.ac.jp

lntroduction The dentin-enamel junction (DEJ) is a unique biological


interface between very hard, stiff enamel and much softer,
Improved resin bonding systems had succeeded in
elastic dentin. During function, the more brittle enamel tends
adhering very strongly both to enamel and dentin. The to develop cracks, some of which extend through the full
excellent sealing ability of resins bonded to acid-etched
thickness of enamel to the DEJ. However, clinically it is very
enamel are well-known.1,2 The resin-dentin seal is much less
· rare to see enamel separate from dentin. lt has long been
uniform and the perfect resin-dentin bond continues to be a suspected that the structure of the DEJ may protect the tooth
challenge. Several investigators have suggested that there is from catastrophic fracture of enamel from dentin. Recently,
an inverse relationship between dentin bond strength and
Lin & Douglas9 measured the fracture toughness of the DEJ
microleakage using relatively large specimens.3,4 That is, at
and suggested that structures on either side of the DEJ may
bond strengths above 17-18 MPa measured in large bonded
dissipate stress inhibiting further crack propagation. If the
specimens, there is little gap formation, while at lower bond
resin bonding materials could adhere to dentin as well as the
strengths larger gaps develop. Presumably, the high bond
enamel adheres to dentin in the DEJ region, the performance
strengths oppose the forces of polymerization contraction. 5,6 of the resin bonding systems would be sufficient with regard
There may be an analogous situation between tensile bond to the bond strength.
strength by the method of microtensile test7 and ideal dentin
Therefore, to develop a better understanding of the
bonding.
mechanical properties of the DEJ, this study measured the
In the clinical situation, a new concept for the restoration ultimate tensile strength, the nanohardness and the Young's
using these adhesive resin materials has been proposed and modulus of the DEJ of bovine and human teeth.
applied for routine dental treatment. These principles of
cavity design are different from the principles established by Materials and Methods
Black,8 since they presupposed that the non-adhesive re- Microtensile strength of the DEJ region - Extracted human
storative material could not bond to tooth substance ade- unerupted third molars and bovine incisors from mature
quately. For example; in the case of adhesive restorations, animals were used. After extraction, they were stored at 4ºC
retention and resistance forms are not required for cavity in isotonic saline solution containing 0.2% sodium azide to
design. However, there is no standard for adequate bonding of inhibit microbial growth.
resin bonding systems in order to apply the principles for Human teeth - The teeth were sectioned parallel to their long
adhesive restorations. axis into l mm thick slabs by means of a microtome saw
For the assurance of better adhesive restoration, it is im- (Leitz 1600ª) (Fig. 1). The area of interest was the buccal
portant to examine the strength and structure of the teeth. surface at its greatest height of contour. The pulpal side of
When considering the strength of the complex, including dentin was reduced by means of a steel round bur, and the
restoration and the tooth substances, the strength of tooth peripheral enamel was sanded with 600-grit waterproof
structures can be the true measure of the properties of restored silicon carbide paper. Then, both the enamel and dentin sides
teeth. were acid-etched with 37% phosphoric acid (K-etchantb) for
American Journal of Dentistry, Vol. 13, No. 3, June, 2000
130 Urabe et al

CJ
e
..l
'
Tlmm
human 3rd molar bovine incisor

A D trimming

1mm

dentin enamel
B E tensile test

t cyanoacrylate
cement

resin composite
! 1 •··-·- .,,

Fig. 1. Regional location of interest and the method of sample preparation for tensile testing. A: Block containing
enamel and dentin cut from human third molar and bovine incisor. B: Both enamel and dentin sides covered with
resin composite. C: Preparation of series slices approximately 1 mm thick. D: Specimens trimmed with diamond
burs approximately 1 mm wide at its narrowest dimensions. E: Trimmed specimens fixed to stainless steel grips with
cyanoacrylate cement.

Bovine teeth - Bovine incisors were prepared exactly like the


human teeth. The area of interest was the mid-coronal portion
of the labial enamel (Fig. 1).
l•
Testing - The apparatus that was used to measure the micro-
-1 1- tensile strength was a Bencor-Multi-T" testing apparatus in a

HII e
universal testing machine (Model AGS00Bc). The widest
portions of the specimens were fixed to flat stainless steel
"grips" by use of a small amount of cyanoacrylate cement
(Zapitb), with care taken to avoid any spread of cyanoacrylate
onto the test region of the specimen (Fig. l ). Tensile strength
A B
testing was carried out at a crosshead speed of 1 mm/min. The
apparent ultimate tensile strength of the specimens was
calculated by dividing the load at failure by the cross-
sectional area of the specimen, and expressed in MPa. After
D
calculation of descriptive statistics, comparisons of the
Fig. 2. Regional location of interest and the method of sample preparation for differences between the ultimate tensile strength of human
nanoindentation testing. A: Coronal portion of human third molar. B: 2 mm and bovine teeth were tested for statistical significance using
thick slabs were prepared longitudinally. C: Slabs embedded in epoxy resin
and polished to a mirror-like surface. D: The cylinder was fixed with Student's unpaired t-test.
modeling compound to set the polished surface parallel to the slide glass in SEM observation of the fractured surfaces - After measure-
preparation for testing.
ments of the ultimate tensile strength were made, the speci-
40 s, rinsed with water, bonded with a light-cured adhesive mens of human teeth were mounted on SEM stubs, dried
bonding system (Clearfil PhotoBondb), and then covered with overnight in a desiccator, and then coated with gold. Then,
a resin-based composite (Clearfil AP-Xb). Approximately 1 SEM observation of the fractured surface was carried out to
mm thick slices (Fig. 1) were made through the block investigate where the failure occurred and to try to discern the
perpendicular to the interface of dentin and enamel (DEJ). path of the fracture plane.
These slices were then trimmed and shaped, by means of Nanohardness and Young modulus measurements - The
Super-fine diamond burs (c-16ff) in a high-speed handpiece, procedures of sample preparation for a nanoindentation test-
into a gentle curve along the DEJ from both sides, (Fig. 1) to
ing are shown in Fig. 2. Extracted unerupted human third
form a square cross-section, approximately 1 mm wide at its
molars were used. Discs about 2 mm thick were cut in cross
narrowest dimensions.
section from the mid-coronal portion and then embedded in
American Journal of Dentistry, Vol. 13, No. 3, June, 2000
Dentin-enamel junction 131

Electoromagnetic coil

Base
Sample stage

Motor

XYZstage

Motor

Base

l
Fig. 3. Principles of the nanoindentation tester.
J
epoxy resin (Epon 815B ) . After 24 hrs of polymerization After setting a sample on the stage of the testing machine,
of the resin, the surfaces were polished with waterproof the instrument was programmed to create the position of
silicon carbide papers (grit #600, 800, 1000) and diamond indentations. There were 10 indentations at 5 µm intervals
pastes (particle size 6, 3, 1, 0.25 µm). Sample molds across the DEJ from deep enamel to mantle dentin in the
were set on heated modeling compound, which served to middle third of the buccal surface (Fig. 4). The indentations in
stabilize the specimen surface and orient them parallel to dentin were set on the intertubular dentin. The load on the
the stage of the nanoindentation tester (ENT-11OOh). Ali indenter was 400 mgf. After the performing the indentation,
measurements were made on dry specimens. the nanohardness and Young's modulus were calculated by an
attached computer.
The instrument used for this experiment was a depth Fig. 5 shows a load vs. displacement curve in the meas-
sensing computer controlled instrument with a three-sided urement process. Values of nanohardness (NH), dynamic
pyramidal diamond probe, as detailed in Figure 3. hardness (DH) and Young's modulus (E*) were calculated
according to equations 1, 2 and 3, respectively:
The instrument was in an isolation enclosure with a tem-
NH = 3.7926 x 10 -2 p/h22 (1)
perature controller on an ALD anti-vibration isolator in or-
der to prevent from influences of environmental conditions OH= 3.7926 x 10 -2 p/h1 2 (2)
such as the room temperature, floor-vibration and noise. Z- E*= 1.8129 x 10 -3 1/h1 dP/dh (3)
axis displacement is measured by a capacitive where p is applied load, h1 is maximum (plastic) displace-
displacement. Loading control system was powered by ment (µm), h2 is the permanent deformation depth (µm) and
electromagnetic force and minimum load is 10 mgf. The dP/dh is the tangential slope at the maximum load in
position of indentation can be programmed observing with unloading segment (Fig. 5). Each value was expressed in
a CCD camera and 100 positions can be measured in each kg/mm2 which was then converted to GPa. Indentation tests
measurement. For the precise measurement, the interval of were carried out on six specimens. After the indentation tests,
each indentation should be five times the size of the geometry of the indentation marks were confirmed using a
indentation to avoid the corruption of abutment. laser scanning microscope (1LM15W i).
American Journal of Dentistry, Vol. 13, No. J, June, 2000
132 Urabe et al

Enamel Dentin
:::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::

lOµ r:fl
j \ j j \ \ij jij j j j \ j \ \ j j \i j j j j j j j j j jj \{
,, '': : : : :-: -:-: -:-:-:-: : : :-:- -::- -: :- :-:-:- -::--: :-:-:-:-:-:-:-:-:
::. :.:::. y. :.:.:::. . :.::. :::::. ...............
y·.:.::::::::: :::::.y.:::: ::::!
#4 .· .·.·.·.·.·.·.· .·. ·.·.·.·.·.·.·.·.·.·.· .·.·.·.·.·.·.·. ·.·.
:-:.:-:-:-:-:-:-:->:-:-:.:-:

12H JIT(/ \ \Mi 3


◆ : - :- : - :- : - : - : - : ♦ ♦ :- :- : - : - : - : -: ♦ :- :- : - : - :-

#1 #3

> JU: } \/{ : : :


DEJ
Fig. 4. Position of indentations.

Table l. Comparison of tensile strength of bovine and human DEJ (MPa).


p Bovine Human

Mean 47.7 51.5


unloading Standard deviation 10.8 13.0
Minimum 29.2 37.8
Maximum 62.9 73.2
Load Number of specimens 10 10

Table 2. Mean values of hardness and Young's modulus of enamel, DEJ area
and dentin (GPa).

Enamel DEJ Dentin


h2 h1
Displacement Nanohardness 4.48 2.37 0.70
Dynamic hardness 2.90 1.58 O.55
fig. 5. Schematic representation of a load vs. displacement curve. Young's modulus 87.68 53.18 24.04

Results
Nanohardness and Young's modulus measurements - Fig. 10
Microtensile strength of the DEJ region - The means and shows successive static and dynamic hardness values meas-
standard deviations of the microtensile cohesive strengths of ured on either side of the DEJ. The mean values of nano-
bovine and human DEJ region are given in Table l. The hardness in enamel and dentin area were 4.48 ± 0.44 and 0.70
microtensile strengths of bovine and human teeth were 4 7.7 ± 0.12 GPa, respectively (Table 2). The mean values for
MPa and 51.5 MPa, respectively. There was no statistically dynamic hardness in enamel and dentin area were 2.90 ± 0.23
significant difference between the ultimate tensile strength of and 0.55 ± 0.09 GPa, respectively (Table 2).
the two groups (P> 0.05).
The mean values for Young's modulus of elasticity in
SEM observation of fractured surfaces - All 10 specimens enamel and dentin area were 87.68 ± 5.94 GPa and 24.04 ±
3.92 GPa, respectively (Fig. 11). The mean depth of the
fractured in the vicinity of the DEJ. Three types of fracture
indentations of enamel, DEJ region and dentin were 0.22,
patterns were observed as illustrated in Fig. 6. Five of these
0.30 and 0.51 µm respectively. All of these values indicate
specimens fractured 100% in dentin, and the fracture points
that the DEJ region has intermediate hardness and elastic
were about 10 µm below from DEJ perpendicular to the ori-
modulus between those of enamel and dentin (Table 2).
entation of the dentin tubules (Figs. 6A, 7). Only one speci-
men fractured 100% in enamel, and the fracture surface was
Discussion
uneven, but seemed to follow the orientation of the enamel
rods (Figs. 6C, 8). Microscopically, the DEJ is not a two-dimensional inter-
phase but is a highly complex, three-dimensional interface
Four specimens fractured both in dentin and enamel, and
about 20-50 µm wide10 resting on a unique form of dentin
the failures occurred only in the DEJ area. Furthermore, the
called mantle dentin. 11 The dentin side of the DEJ is com-
fracture surfaces were observed to extend from enamel into
posed of a series of concavities with average diameters of
dentin along the orientations of enamel rods and dentin tu-
about 20 µm.12 The borders of these concavities form circular
bules at the DEJ, and the crack propagation in dentin side,
ridges that rise up about 10 µm and are about 1-2 µm wide.
however tended to be parallel to the DEJ (Figs. 6B, 9).
The enamel surface forms a series of convexities that extend
American Journal of Dentistry, Vol. 13. No. 3. June, 2000
Dentin-enamel junction 133

Enamel

. .·..•·.····...........··
······.. .,........ ...\ ... ...·....···.·.·..._/·..../ ·!

DEJ region
/(\ a pprox.
:[, ...',-.:.;.l".1-1-:1:1
= ·.n,i .
1
10 µm

Dentin

A B e
Fig. 6. Fracture patterns in microtensile test. A: in dentin. B: in both enamel and dentin C: in enamel.

.)./.;r-J?;!=?!L
- fi,: :J ít.
Fig. 7. Pattern of fracture of DEJ specimens in dentin, but parallel to DEJ. SEM x 1500. Fig.
Fig. 8. Failure within enamel during tensile testing. SEM x1500.
Fig. 9. Complex fracture pattern through both enamel and dentin. (D: Dentin. E: Enamel.)

into the dentin concavities.12 Further complicating this crystal or crystal-to-collagen associations are not known but
structure is the presence of enamel tufts that periodically must contribute to the cohesive strength of the structure.
extend from the enamel convexities up into the enamel for a Previous studies on the physical properties of tooth
distance of 50-100 µm in a fan-like shape. Enamel tufts are structure have reported that the cohesive strength of enamel in
hypomineralized regions of retained enamel proteins. Less tension is 10-20 MPa,19,20 and that of dentin is 94-105 MPa
frequent are the enamel spindles which represent odontoblasts 21,22
which forced their way into developing enamel, especially using a microtensile test. The same microtensile test was
over cusps tips.10 Finally, there are enamel lamellae which applied in this study, because it is suitable to evaluate the
are protein-filled defects that extend variable distances from tensile strength of a limited area such as DEJ. Supposedly, in
the enamel surface, sometimes reaching the DEJ. These are the comparison of these data, the ultimate tensile strength of
regarded as developmental defects but are difficult to human DEJ (51.5 MPa) is higher than enamel but lower than
distinguish from cracks that develop in enamel with function.
dentin. As for the cohesive strength of the DEJ, Pioch &
Staehle23 reported that the ultimate shear strength of the DEJ
At the junction between enamel and dentin, there is a was 39 MPa comparable to that of dentin. Besides, using a
change in apatite crystal size and orientation.14 In enamel, the micropunch method to measure the shear strength, Smith &
apatite crystallites tend to be rather large and are bonded to Cooper24 reported shear strength of 93 MPa in enamel, 138
their neighboring prismatic crystals or to interprismatic
protein-crystal complexes.14 In dentin, the apatite crystals are MPa at the DEJ and 132 MPa in superficial dentin.
much smaller15,16 and are bound to each other or to collagen SEM observations revealed that the fracture never occurred in
fibrils.17 There is an intermingling of the two apatite crystal the interface between enamel and dentin. That is, the direction
types at the DEJ. 17,18 The bond energies of these crystal-to- of crack propagation was always across the DEJ but never
within it. Similar fractures occurred in a previous study of the
shear strength of the DEJ23 in human teeth.
American Journal of Dentistry, Vol. 13, No. 3, June, 2000
134 Urabe et al

0Pa
0Pa
1()() ...
6
Dynamic lwdness
Nanohardnesa
80
f··-··+·-...t ···· t
4
60

t··········!·········+·' ····· f..\\\ 40

I···········,...........¡...........¡ ............
20

OL-...J..---!:--5-;, O -¿- 1- -}t i:W-::m


20 15 10 10 1S 20
o 20 15 10
Enlmcl
5 O 5 10
Dentin
15 20 25
um
Enamel Dcntin
Distance from lbc DEJ Dislance from lbc DEJ

Fig. 10. Nanohardness and dynamic hardness values measured across the Fig. 11. Young's modulus values measured across the dentin-enamel junction.
dentin-enamel junction.
the collagen fibrils are aggregated into large (ca. 5 µm) col-
One reason for the lack of interfacial failure of the DEJ lagen fibers that extend into enamel. The collagen fibers in
can be attributed to the complexity of the DEJ structure and the vicinity of DEJ were considered to serve to blunt or de-
how that structure may modify crack propagation. The inter- flect crack propagation, thereby increasing the fracture
face between enamel and dentin is not a distinct two-dimen- toughness of the DEJ.9,34
sional structure but is actually a three-dimensional interphase It is of interest to compare the tensile bond strengths of the
or zone, which has a scalloped shape with a wave-like form. newest resin bonding system with the cohesive strength of
In addition, there are enamel spindles, lamellae and tufts human DEJ region. Pereira et al 35 reported that the mi-
running across the DEJ. These findings indicated that the crotensile strength of Clearfil Liner Bond IIb and One-Stepj
region around the interface of enamel and dentin has an un- adhesive resins to dentin are about 42 MPa and 48 MPa,
usual and unique structure. Whittaker 12 reported that the DEJ respectively. In addition, it was reported that the microtensile
was more scalloped in the occlusal portion of molars and that strength of the prototype of Clearfil Liner Bond 2V (KB-
it became less scalloped on the buccal region and was almost 1300b) to human dentin was approximately 58 MPa.36 These
flat in the cervical region. Goel et al25 modeled the DEJ by values can be directly compared with the results of the present
DEJ by finite element analysis to determine the influence of study, because the testing method (i.e., the microtensile test)
occlusal forces of the stress distribution of the DEJ. They was the same among the papers. In terms of their ultimate
found that the highest stress concentrations in the DEJ tensile strength, it might be expected that these resin bonding
occurred at the cervical-third where the DEJ is relatively systems can reproduce the tensile properties of the DEJ.
nonscalloped12 and where the enamel is very thin. Besides, it is noteworthy that the failure mode of the DEJ was
In this investigation, we could not measure the exact bond different from that of resin-dentin or resin-enamel bonding
strength of the interface between enamel and dentin because systems, which occurred mainly at the adhesive interface
most of the failures occurred in very superficial dentin rather between resin and tooth substrates.
than within the DEJ. However, the results indicate that the The stiffness of these resins is probably similar to that of
tensile bond strength of dentin to enamel is above 50 MPa. other bonding systems, which vary from 0.8-2 GPa22, which is
Namely, DEJ might be thought to be a strong junctional much lower than that of enamel or dentin. Van Meerbeek et
region not easily broken. al27 reported that the Young's modulus of the hybrid layer
between resin and dentin was lower than that of dentin. In
Our values for the Young's modulus of dentin (24.0 ± 3.9
contrast, the stiffness of the dentin-enamel junction area
GPa) and enamel (87.7 ± 5.9 GPa) are similar to those measured in the current study showed moderate values for the
reported by others.26-31The value of nanohardness and Young's modulus between enamel and dentin. Therefore, it is
Young's modulus of enamel within 5 µm of the DEJ were possible that the interface between the dentin and the resin
equal to or higher than those of dentin. One possible expla- bonding system is less stiff than the DEJ. These factors are
nation of this high stiffness of the DEJ is that the crystals of considered to be the reason for the difference in fracture
hydroxyapatite from dentin and enamel are intermingled in
this area.10,12.18,32 Beyond that, Lin.& Douglas 32 reported that pattern between bonding and DEJ.
the DEJ can be regarded as a fibril-reinforced bond which is It is still unknown if the difference of fracture pattern
less highly mineralized than either enamel or bulk dentin. comparing resin-dentin interface and DEJ is advantageous or
They note that collagen fibers at the junctional area of the disadvantageous. However, regarding tensile strength, recent
DEJ are oriented at right angle to the mean plane of the resin bonding systems can be considered to bond efficiently to
scalloping, and link enamel to dentin. Similarly, Baume33 dentin.
stated that the orientation of collagen fibers in mantle dentin From these results, it can be concluded that the DEJ serves
is not random but oriented at right angles to the DEJ and that as an intermediate structure that resists tensile stress well. As
American Journal of Dentistry, Vol. 13, No . 3, June.2000
Dentin-enamel junction 135

mentioned above, the bond strength of resin bonding systems 11 Herr P, Holz J, Baume U . Mantle dentin in man. A quantitative microra-
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Dr. Urabe is on the hospital staff, Dr. Nakajima is Instructor and Dr. Tagami
method using a micro-punch apparatus. Br Dent J 1971;130 :333 -33 7.
is Professor and Chairman, Cariology and Operative Dentistry, Department of
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Restorative Sciences, Graduate School, Tokyo Medical and Dental
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of Operative Dentistry, Hokkaido University Dental School , Hokkaido,
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Japan.
modulus determined by nano-indentation technique of filler particles of
Ackno wledgements The authors wish to express their sincere gratitude to Dr. dental restorative materials compared with human enamel. J Biomed
D.H. Pashley, Medical College of Georgia, for discussions and encour- Mater Res 19 93;27:747- 755.
agement. The authors also thank Mr. Hideo Suzuki and Mr. Takahiko 27. van Meerbeek B, Willems G, Celis JP, et al. Assessment by nano-
Uematsu of Elionix, lnc. for technical assistance in the operation of the indentation of the hardness and elasticity of the resin-dentin bonding
nanoindentation tester. area. J Dent Res 19 93; 72:1434-1442.
28. Meredith N, Sherriff M, Setchell DJ, et al. Measurement of the
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