Fig. 4
Compositional values of calcium (Ca), phosphorous (P), and Ca/P ratio, with error bars demonstrating standard deviations of human and bovine samples: enamel (A), dentin (B), and cementum (C). Optical mean density values of human and bovine enamel and dentin, with error bars indicating standard deviations (D).
4. Discussion
Obtaining human teeth for research purposes remains challenging with ethical restrictions in dental studies. In view of the growing interest in finding an alternative for research and clinical practice, the current study was conducted aiming to determine whether it is valid to use bovine teeth in research instead of human teeth in dentistry.
In this study, human premolars were chosen as they were extracted for orthodontic purposes. Meanwhile, the mandibular incisors of bovine were selected because of their similarity in size and shape to that of humans, besides the ease of extraction without surgery. Additionally, the occlusal surface of bovine molars has very little enamel exposed for microscopic examinations, which makes the anatomy of the teeth challenging for SEM research. Moreover, because the upper incisors of bovine appear as a compact connective tissue bulge covered in highly cornified stratified pavement epithelium, they are also not available for use in dental research.13
The purpose of this study was to investigate bovine teeth, which are readily available and do not require specific breeding or animal sacrifice to be used as an in vitro substitute for human teeth.
In this work, by SEM, the surface micromorphology displayed an intact smooth surface of human enamel with some pits and microcracks. Prism profiles of variable distinctness resembled arcades, which were more obvious in human than bovine enamel. Bovine enamel samples revealed slight structural and arrangement differences compared to that of human enamel. This could be attributed to the impact of the dietary type on development and orientation of the enamel prism, according to phylogenetic investigations. 14 Recently, a study denoted that bovine enamel prisms have an oval and narrow shape. 15
Consistent with the current study, the findings of Wang et al. compared variations in the arrangement of prisms and interprismatic area between teeth from humans and bovines. They attributed it to the speedy development of bovine teeth during their formation and growth, both before and after they erupt, forming large crystal grains and lattice defects. 16
Regarding SEM analysis of dentin, the surface micromorphology of human and bovine samples exhibited almost similar features. However, the bovine DT differed structurally from the human DT, showing tubular structures with lower concentrations and greater diameters that were widely separated. This might be related to the rapid development of bovine teeth during their formation.
In the same context, a study performed by Lopes et al. revealed that the diameter of the tubules in the superficial and middle layers of bovine dentin was notably larger compared to the tubule diameter in the superficial and middle layers of human dentin. However, no differences had existed between bovine and human DT diameter in the deeper dentin. 17 Additionally, other studies compared the application of bonds or adhesive materials to human and bovine dentin. Their results revealed differences in behavior due to the possible differences in the dentinal structure. 18, 19 Despite these minor variations, the available in vitro literature indicated that utilizing bovine teeth in bond strength evaluations produces results similar to those obtained from human teeth, for both enamel and dentin substrates. 20
In terms of cementum, the SEM micromorphology of human samples displayed a smooth surface with various degrees of roughness and microcracks. This could be returned to physiological processes influenced by age, diet, and oral health. Comparably, the bovine cementum surfaces are often rougher and more irregular with extensive microcracks and defects, which could be attributed to the continuous deposition and wear from their herbivorous diet due to the greater mechanical forces exerted. Additionally, the insertion sites of the Sharpey fibers, which could be represented as mounds or dish-topped projections, were difficult to identify. Generally, these fibers are smaller in diameter and more numerous in human teeth in comparison with bovine teeth. 21
EDX analysis was used to determine the Ca and P element ratios for the enamel, dentin, and cementum of human and bovine teeth at two distinct intact points. Then, the Ca/P ratios were calculated, and statistical analysis was carried out. Precise knowledge of elemental structure and chemical composition is an inevitable requirement to replace human teeth with animal teeth as an alternative for in vitro and in situ research. 22 EDX analysis was in alignment with the SEM results. It confirmed the close similarity between human and bovine teeth.
The EDX spectra of human enamel samples showed that the percentage of Ca ions were more than twice that of P ions. Consistently, the study of Sarna-Bos´ et al., analyzed the chemical composition of human enamel. They found that Ca and P were the dominant elements, demonstrating high mineralization of the enamel. 23
The bovine enamel in this work showed close Ca and P weight percents to human levels, with no significant statistical differences. Additionally, the average Ca/P ratio of bovine and human enamel were calculated as 2.25 and 2.23, respectively, without significant statistical difference as well. Accordingly, Möhring et al. indicated that the chemical composition of bovine and human enamel was nearly identical, demonstrating that Ca/P ratios for human and bovine enamel were particularly high and the differences were not statistically significant.24 Another study performed by Olek et al., to evaluate the chemical composition of human and bovine enamel showed a highly mineralized tissue, forming salts of hydroxyapatite crystals. The elemental composition of the enamel of these samples was highly similar.25
Concerning dentin, the EDX analysis revealed that the average Ca/P ratio, P percentage, and Ca percentage of human samples were 2.56, 14.49, and 37.1 weight percent, respectively. In comparison, bovine dentin had an average Ca/P ratio of 2.15, an average P percentage of 15.45 wt%, and an average Ca percentage of 32.65 wt%. These results showed a slightly higher Ca percentage and Ca/P ratio of human dentin compared to bovine dentin. Despite these minor differences, the overall elemental composition is remarkably comparable. This aligns with the statistical results, indicating no significant variations in the Ca, P, and Ca/P ratios of dentin between human and bovine samples.
In agreement with the current findings, a recent study compared the elemental composition of human and bovine dentin. The results demonstrated the statistical insignificance of the P and Ca ratios between bovine and human dentin, denoting that they can be used interchangeably in dental research. 24
The EDX spectrum of human cementum samples showed a wide range of Ca wt% ranging from 29.75–62.6%, with an average of 40.39 wt%. The average P wt% was 15.64%, and the average Ca/P ratio was 2.6. By comparing to the bovine cementum samples the averages of Ca, P, and Ca/P ratios were 37.76, 14.24, and 2.81, respectively. The statistical results revealed no significance between human and bovine cementum tissues. According to these results, there was a close similarity in the chemical composition between both, which confirms the suggested hypothesis of this study. For the best of our knowledge, no studies in the available literature compared the bovine and human cementum using EDX analysis.
Regarding the radiographic densities results, there were no significant differences statistically between human and bovine teeth. Accordingly, in a study performed by Fonseca et al.1 evaluated the radiodensity of enamel and dentin of human and bovine teeth. They concluded that human and bovine radiodensities were similar in respect of enamel and dentin. 26
On the contrary, another study concluded that bovine enamel exhibited a significantly higher radiodensity compared to human enamel. Conversely, the radiodensity of bovine coronal dentin was significantly lower than that of human coronal dentin, and bovine radicular dentin had lower radiodensity than human radicular dentin as well. These differences were not statistically significant. They contributed these results to the differences in the composition and mineral content of each type of tooth, as well as variations in dietary habits. 27, 28
This study provided an extended comparative investigation of the human and bovine teeth by analyzing SEM, EDX, and optical radiographic density. The findings revealed minor differences in the morphological, structural, and radiographical properties of the analyzed tissues. Despite these differences, no significant differences had been detected between humans and bovines in respect of enamel, dentin, and cementum tissues. These findings strongly support the study hypothesis that there were no statistically significant differences between the mean values of enamel and coronal dentin of human and bovine teeth.
5. Conclusions
In conclusion, the current study indicated that bovine teeth could serve as a substitute for human teeth, offering substantial implications in dental research with precise consideration. In the future, further studies should be conducted to confirm the precision of bovine teeth hard tissues in laboratory research and clinical applications.
Declarations: