The Effects of Enamel Anisotropy on the Distribution of Stress in a Tooth

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Abstract
Enamel is thought to have highly anisotropic stiffness characteristics, because of its prismatic structure. It is probable that the enamel is stiffer in the prism direction compared with a direction perpendicular to it. The prisms are thought to run approximately perpendicular to the enamel-dentin junction. The curvilinear anisotropy that will result can readily be modeled by TOMECH, a finite element program developed at the University of Sheffield, since curvilinearity of mechanical properties is available as an automated feature of this program. The patterns of stress due to an external load were investigated in two-dimensional abstract models, and in a model of a mandibular second premolar, for both anisotropic and isotropic enamel. Results were compared with the commercial code ANSYS and good agreement obtained. Enamel with anisotropic properties was found to have a profoundly different stress distribution under load when compared with models with isotropic enamel. For isotropic enamel, the load path is directed through the stiff enamel shell, while for anisotropic enamel, the load path is directed into the dentin, as the load path follows the stiff direction ofthe enamel prisms. Thus, if enamel is indeed anisotropic, its function differs greatly from that suggested in previous hypotheses. Enamel with anisotropic material characteristics would provide a hard-wearing protective surface-coating while simultaneously diverting the load away from this brittle, low-tensile-strength phase, thus reducing the potential for tooth fracture.