Comprehensive characterization of tobacco-induced changes in enamel surface topography

Introduction: Enamel translucency, essential for the aesthetic appeal of teeth, is primarily determined by its thickness, quality, and refractive index. Several factors, including age, genetics, diet, oral hygiene practices, fluoride exposure, and acidic challenges, can influence enamel translucency...

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Main Authors: Tamanna Kaur, Ramya Ramadoss, Nitya Krishnasamy, Sandhya Sundar, Suganya Panneer Selvam, Hema Shree K
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426824001830
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author Tamanna Kaur
Ramya Ramadoss
Nitya Krishnasamy
Sandhya Sundar
Suganya Panneer Selvam
Hema Shree K
author_facet Tamanna Kaur
Ramya Ramadoss
Nitya Krishnasamy
Sandhya Sundar
Suganya Panneer Selvam
Hema Shree K
author_sort Tamanna Kaur
collection DOAJ
description Introduction: Enamel translucency, essential for the aesthetic appeal of teeth, is primarily determined by its thickness, quality, and refractive index. Several factors, including age, genetics, diet, oral hygiene practices, fluoride exposure, and acidic challenges, can influence enamel translucency. Tobacco use, in particular, leads to significant alterations in enamel appearance by penetrating its micropores, causing yellowing and browning. Prolonged exposure to tobacco results in demineralization, increasing enamel porosity and reducing its translucency. Over time, this exposure leads to permanent discoloration and structural degradation, rendering teeth dull and opaque. To assess these changes, various methods such as visual examinations, digital photography, spectrophotometry, stylus profilometry, and atomic force microscopy (AFM) are utilized. Materials and methods: This study analyzed human enamel samples, including one unstained sample (Grade 0) and three tobacco-stained samples (Grades 1–3) according to Modified Lobene Stain Index (MLSI), to investigate the impact of tobacco exposure on enamel structure. The samples were thoroughly cleaned and dried to ensure accurate results. High-resolution AFM imaging was employed to assess surface roughness, porosity, and microstructural changes induced by tobacco staining. A stylus profilometer was used to trace the surface topography, providing detailed measurements of surface irregularities. Additionally, a spectrophotometer was utilized to evaluate the optical properties of the enamel, focusing on changes in translucency and light absorption due to tobacco exposure. Results: AFM analysis revealed a clear progression of enamel surface roughness from Grade 0 to Grade 3. The Sa and Sq values increased significantly with the severity of tobacco staining, indicating greater surface degradation. The stylus profilometer data corroborated these findings, with rising Ra values as the degree of staining intensified, highlighting the topographical alterations caused by tobacco exposure. Spectrophotometric analysis further demonstrated a decrease in enamel reflectance and an increase in light absorption from mild to severe staining, underscoring the detrimental optical effects of tobacco on enamel. Conclusion: The combined use of AFM, stylus profilometry, and spectrophotometry provided a comprehensive assessment of the impact of tobacco staining on enamel translucency and surface roughness. The findings show that as staining severity increases, enamel translucency diminishes, and surface roughness worsens. These alterations not only affect the aesthetic appearance of teeth but also have potential implications for enamel functionality and long-term oral health.
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spelling doaj-art-01a378b40a8d4b2b923e0a9718c481d72025-02-09T05:00:12ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682025-01-0115197102Comprehensive characterization of tobacco-induced changes in enamel surface topographyTamanna Kaur0Ramya Ramadoss1Nitya Krishnasamy2Sandhya Sundar3Suganya Panneer Selvam4Hema Shree K5Department of Oral Biology, Saveetha Dental College and Hopsitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 600077, IndiaDepartment of Oral Biology, Saveetha Dental College and Hopsitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 600077, India; Corresponding author.Department of Oral Biology, Saveetha Dental College and Hopsitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 600077, IndiaDepartment of Oral Biology and Oral Pathology, Saveetha Dental College and Hopsitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 600077, IndiaDepartment of Oral Biology and Oral Pathology, Saveetha Dental College and Hopsitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 600077, IndiaDepartment of Oral Biology and Oral Pathology, Saveetha Dental College and Hopsitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 600077, IndiaIntroduction: Enamel translucency, essential for the aesthetic appeal of teeth, is primarily determined by its thickness, quality, and refractive index. Several factors, including age, genetics, diet, oral hygiene practices, fluoride exposure, and acidic challenges, can influence enamel translucency. Tobacco use, in particular, leads to significant alterations in enamel appearance by penetrating its micropores, causing yellowing and browning. Prolonged exposure to tobacco results in demineralization, increasing enamel porosity and reducing its translucency. Over time, this exposure leads to permanent discoloration and structural degradation, rendering teeth dull and opaque. To assess these changes, various methods such as visual examinations, digital photography, spectrophotometry, stylus profilometry, and atomic force microscopy (AFM) are utilized. Materials and methods: This study analyzed human enamel samples, including one unstained sample (Grade 0) and three tobacco-stained samples (Grades 1–3) according to Modified Lobene Stain Index (MLSI), to investigate the impact of tobacco exposure on enamel structure. The samples were thoroughly cleaned and dried to ensure accurate results. High-resolution AFM imaging was employed to assess surface roughness, porosity, and microstructural changes induced by tobacco staining. A stylus profilometer was used to trace the surface topography, providing detailed measurements of surface irregularities. Additionally, a spectrophotometer was utilized to evaluate the optical properties of the enamel, focusing on changes in translucency and light absorption due to tobacco exposure. Results: AFM analysis revealed a clear progression of enamel surface roughness from Grade 0 to Grade 3. The Sa and Sq values increased significantly with the severity of tobacco staining, indicating greater surface degradation. The stylus profilometer data corroborated these findings, with rising Ra values as the degree of staining intensified, highlighting the topographical alterations caused by tobacco exposure. Spectrophotometric analysis further demonstrated a decrease in enamel reflectance and an increase in light absorption from mild to severe staining, underscoring the detrimental optical effects of tobacco on enamel. Conclusion: The combined use of AFM, stylus profilometry, and spectrophotometry provided a comprehensive assessment of the impact of tobacco staining on enamel translucency and surface roughness. The findings show that as staining severity increases, enamel translucency diminishes, and surface roughness worsens. These alterations not only affect the aesthetic appearance of teeth but also have potential implications for enamel functionality and long-term oral health.http://www.sciencedirect.com/science/article/pii/S2212426824001830Enamel translucencySurface roughnessSpectrophotometryAtomic force microscopy (AFM)Stylus profilometryTobacco staining
spellingShingle Tamanna Kaur
Ramya Ramadoss
Nitya Krishnasamy
Sandhya Sundar
Suganya Panneer Selvam
Hema Shree K
Comprehensive characterization of tobacco-induced changes in enamel surface topography
Journal of Oral Biology and Craniofacial Research
Enamel translucency
Surface roughness
Spectrophotometry
Atomic force microscopy (AFM)
Stylus profilometry
Tobacco staining
title Comprehensive characterization of tobacco-induced changes in enamel surface topography
title_full Comprehensive characterization of tobacco-induced changes in enamel surface topography
title_fullStr Comprehensive characterization of tobacco-induced changes in enamel surface topography
title_full_unstemmed Comprehensive characterization of tobacco-induced changes in enamel surface topography
title_short Comprehensive characterization of tobacco-induced changes in enamel surface topography
title_sort comprehensive characterization of tobacco induced changes in enamel surface topography
topic Enamel translucency
Surface roughness
Spectrophotometry
Atomic force microscopy (AFM)
Stylus profilometry
Tobacco staining
url http://www.sciencedirect.com/science/article/pii/S2212426824001830
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