Enamel and dentin of human teeth. Fatigue strength

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Abstract

The article provides a brief overview of the studies regarding changes in the structure and composition of teeth after eruption. The factors of degenerative changes in tooth structures and their relationship with non-carious lesions have been analyzed. The study makes emphasis on the tooth durability and the factors influencing tissue fatigue, explaining increased tissue wear due to local factors. Understanding mechanisms of metabolism of teeth hard tissues is the key to the stability of restorative treatments and occurrence of non-carious tooth lesions. The evolution of views on this problem is noteworthy. The literature review reveals the initial predominance of mechanical actions, abrasion, and mineralization. It is later complemented by a detailed analysis of the influence of destructive stresses and deformation due to mechanical factors. All the leading works of the 2000s are dedicated to analyzing the ultrastructural features of enamel that affect its mechanical characteristics and can explain both the characteristics of the shape and intensity of mechanical tooth wear during the functioning of the stomatognathic system, as well as the durability of the performed restorations. The literature review covers 74 sources over the past 15 years.

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About the authors

Alexey V. Silin

North-Western State Medical University named after I.I. Mechnikov

Email: silin@me.com
ORCID iD: 0000-0002-3533-5615
SPIN-code: 4956-6941

MD, Dr. Sci. (Med.), Professor

Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015

Elena A. Satygo

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: stom9@yandex.ru
ORCID iD: 0000-0001-9801-503X
SPIN-code: 8776-0513

MD, Dr. Sci. (Med.), Professor

Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015

Alexander T. Maryanovich

North-Western State Medical University named after I.I. Mechnikov

Email: atm52@mail.ru
ORCID iD: 0000-0001-7482-3403
SPIN-code: 5957-2347

Dr. Sci. (Biol.), Professor

Russian Federation, 41 Kirochnaya St., Saint Petersburg, 191015

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