The circaseptan interval in human dental enamel
Transcript of The circaseptan interval in human dental enamel
The circaseptan interval in human dental enamel.
A survey of past scholarship with suggestions for
future research
Bram Mulder s1190997
Advanced Human Osteology
Dr. Andrea Water-Rist, Leiden University
Abstract.
Incremental growth lines in dental enamel are recognized to follow a circaseptan rhythm
which is uniform within the dentition of a single individual. Spaced at about eight to ten
cross-striations, these ‘striae of Retzius’ are generally considered to be a deviation in the level
of mineralization, caused by some process that affected all ameloblasts at the same moment.
Even though a circaseptan interval is a recurring feature throughout the biological realm,
scholars have not reached consensus on the origins of the regularly appearing lines. The
present paper aims at presenting previously suggested causes of the incremental markings, as
well as selecting the most promising of these for future research. By elaborating on both
functional and causal explanations, a better view on Retzius lines will be acquired. Since the
mechanisms behind the interval are poorly understood, most attention will be drawn towards
potential causal connections with the interrelation between biorhythms, correlations with
body mass, and the interaction with melatonin level fluctuations. Since much of the
circaseptan interval can be related to changes in melatonin concentrations, research into the
hormonal intervals in humans is expected to yield the most fruitful results. Even though the
outcomes of this study are definitely not conclusive, they may provide guidance to the
directions for future research that seem to be most promising.
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1. Introduction
There are many ways to estimate the age at death of an individual, with varying degrees of
accuracy. One of the main issues in such estimations is the need for a reliable reference
standard to which to compare the uncovered remains. Particularly when dealing with extinct
ancestors of Homo sapiens, it is questionable, if not doubtful, whether a modern reference
population would render very reliable age at death estimations (esp. Bromage and Dean
1985). Much of the problems involved can be overcome by the use of dental microstructures
in age estimations, at least in cases concerning younger individuals. The advantage of this
method lies in the appearance of periodic markers, at circadian and circaseptan intervals, that
provide the osteoarchaeologist with a fairly accurate record from the start of tooth
development up to tooth completion. However, since the processes involved are poorly
understood, and thus the actual meaning of their demarcations, the usefulness remains quite
limited in practice. It is agreed upon that the circadian interval represents a more or less
diurnal process indeed (Smith 2006), while the circaseptan interval is said to commonly vary
from eight to ten days among individuals (FitzGerald and Rose 2008:244), creating large
difficulties in understanding its patterning. The enigmatic character of the circaseptan interval
in teeth requires a reevaluation of research on the matter and a selection of the most promising
directions for future study.
Dental enamel and dentine exhibit comparable periodic markers, whose mutual
relationship has partly been pointed out (Dean and Scandrett 1996). However, there are
several reasons for limiting this paper only to their occurrence in enamel. First, dental enamel
is the most durable mammalian tissue and as such much less prone to taphonomic alterations
than dentine. Second, whereas dentine can remodel during lifetime to some extent, enamel
secretory cells die off after tooth completion, locking the developmental record forever. Third,
dentine formation is, perhaps due to the previous reasons, much more complex and much less
understood. Consequently, this paper has the limited aim of selecting the most plausible
causes for the appearance of time dependent features in enamel only. It will appear that the
two different periodic markers are closely related, yet the main focus will be the circaseptan
interval.
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2. Theoretical background
For this paper it is essential to come to an understanding of how periodic markers are formed
in human enamel. Therefore, a short outline of the biological and academic context of the
research question is helpful. This section will provide a basis for later findings.
Biological context Enamel is formed by secretory cells, ameloblasts, which travel from the enamel-
dentine-junction towards the tooth surface, secreting enamel matrix at their distal end. Each
cell has two separate secretory aspects: the first is the Tomes’ process, a cytoplasmic
projection from the distal surface of the cell, and the second is a small rim from the distal end
which is not covered by the Tomes’ process (Boyde 1964; Risnes 1998). Accordingly, the
combination of a protruding and a relatively retracted secretory aspect creates relief on the
front of the enamel matrix. Both aspects give distinct orientation to the deposited crystals,
creating so-called prism enamel from the Tomes’ process, and interprism enamel from the
non-projecting rim. As an ameloblast proceeds, the
rod that marks the cell’s track steadily increases in
length. Thus, a longitudinal cross-section of
enamel allows the observer to recognize the exact
path of each single ameloblast. Since this
amelogenesis is a continuous process, enamel
should not be regarded a layered tissue, as it might
appear under the microscope (FitzGerald and Rose
2008:245).
In a transverse cross-section of a tooth,
dental enamel resembles a felled tree: from the
inner core to the outer surface, it is made up of
concentric rings. In longitudinal cross-section,
however, it becomes clear that these ‘rings’ are
more cap-like, marking events that affected all the
ameloblasts simultaneously at a particular stage of
their route, ‘recording’ the extent of the crystallite
rods at each of these moments. (See figure 1,
where these recordings are clearly visible for
Fig. 1. Laser confocal scanning microscope image of a deciduous third premolar. The dentine exhibits five lines: three minocycline injections on days 1, 8, and 14 (lines 1-3), one xylenol injection on day 25 (line XO), and one DCAF injection (line DCAF) on day 39. (Smith 2006: fig 2.)
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odontoblasts in dentine. The principle in enamel is the same.) These lines are called “striae of
Retzius”, sometimes abbreviated as SR, or Retzius lines, or even perikymata when pointing at
the linear expressions on surface enamel. Even though generally referred to as occurring
about every seven days (“circaseptan”), their interval varies among individuals (e.g. Reid and
Dean 2005). The interpretation of their interval relies on the meaning of smaller lines, the so-
called cross-striations, of which multiple appear within one circaseptem interval. These
smaller lines follow a circadian rhythm as will appear below, so the periodicity of striae of
Retzius is usually expressed in a number of days between two lines.
Academic context Even though Asper (1916) already recognized that cross-striations mark daily
increments, unequivocal substantiation of such observations was not published before Smith
(2006). By injecting living macaques with particular fluorescent dyes at particular moments,
Smith (2006) was able to link the colored striations in dentine to corresponding days of
injection. Comparing the amount of striations between two colored lines to the amount of
days between two injections, she showed the 1:1 similarity. Afterwards she matched enamel
lines to those in dentine and counted the number of cross-striations between each of the
matched lines. Unsurprisingly, this rendered the same results. The evidence has proven to be
conclusive: the cross-striations appear once a day.
Translating this primate-based study to the reality in human teeth, Antoine et al.
(2009) undertook a histological age assessment on five children with known ages at death.
Based on a very small sample (n=5) from an excavation at Christ Church in Spitalfields,
London, the researchers compared parish records of the children’s age to the number of cross
striations in dental enamel. They found clear resemblances between counted striations and the
days the individuals had lived. This deductive study showed that histological observations in
enamel provide a highly reliable and very accurate age determination (Antoine et al 2009).
This conviction of the regularity of the striations was uncommon in earlier times, even
though the connection between the so-called perikymata on surface enamel and the internal
brown lines was made for years already (see Boyde 1964:10-30). When Asper (1916) noticed
the more-or-less daily rhythm of the smaller intervals that constituted the circaseptan
intervals, the regularity of lines, and thus their value, slowly started to be acknowledged. The
duration of these regular striations, however, was only considered a serious issue from the
presentation of the study by Bromage and Dean (1985) onwards. The aim of those researchers
was to demonstrate that Plio-Pleistocene hominids were far more comparable to modern apes
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in tooth development than to modern humans (Bromage and Dean 1985).They had counted
the perikymata, and concluded that if the mean periodicity, which is the number of cross-
striations between adjacent striae of Retzius, was maintained, the hominids must have had far
fewer recordings of daily increments. Thus, so they thought, enamel was completed within a
shorter time frame (Bromage and Dean 1985). Mann et al. (1987) questioned this
methodology, arguing that the number of cross-striations between adjacent striae of Retzius
widely varied and that the mean could thus not be bluntly applied to dentition of a single
individual. Moreover, as Bromage and Dean (1985:525-526) themselves already noticed, not
all striae of Retzius reach the surface enamel, so estimations based on perikymata inevitably
are underestimations of age. Histological methods of ageing was thus questioned, and not
considered unequivocally reliable until the work of FitzGerald (1998). Avoiding the pitfalls
his predecessors stepped into, FitzGerald (1998) measured both the circaseptan interval and
the associated circadian interval, and found a constant ratio between the two. This approach
rendered results that proved the uniformity of periodicity anywhere in the dentition of a single
individual. To specify, this showed that the number of daily cross-striations between two
consecutive Retzius lines was uniform within a person’s dentition, regardless of tooth type or
place of counting within the tooth. This work expressed that the intervals were periodic
indeed, and that the length of this periodicity must somehow be determined by a systemic
factor.
3. Discussion of proposed explanations
From available research, a few supposed relationships between incremental lines of Retzius
and other processes can be deduced. Some of these are more functional explanations, others
try to elucidate causal processes. Those are not necessarily mutually exclusive.
Functional
1. Reciprocal reduction and expansion of prism size cause varicosities and linings
subsequently.
2. Striae occur as a result of changes in mineralization.
Causal
3. The striae of Retzius is the oscillation of two separately running cycles.
4. The lines of Retzius occur due to frequent resynchronization of two related
processes.
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5. Both the circaseptan and circadian rhythm are the result of fluctuations in the level
of melatonin.
6. Enamel growth is somehow affected by body mass or related factors, such as
metabolic activity.
The first step is to consider each of the explanations separately. After a short elaboration on
each of the given explanations, a more integrating discussion will follow.
Prism varicosities Prisms varicosities are a still unexplained phenomenon in enamel growth. The term denotes
the regular expansion of a prism, simultaneously forcing the adjacent enamel to dilate. The
result is a wave-like pattern of more or less thickened prisms, in which the thicker parts
constitute the daily cross-striations.
Boyde (1964) argued that a slower growth rate of enamel would result in relative
growth of interprismatic substance at the expense of the prisms. He suggested, and Risnes
(1998) later observed, that a slower growth, in which the relative growth rate between prism
and interprism was maintained, caused overhanging interprism enamel (Fig 4). Such
overgrowth of interprism enamel constricts the Tomes’ process, which is subsequently
squeezed through the opening. That forced throughput results in a short boost of the Tomes’
process relative to the rest of the ameloblast, which compensates for the restriction. This
thickening and dilution of prisms could then be seen as cross-striations in the tracks of
ameloblasts. Risnes (1998) expanded these ideas to
incorporate the phenomenon of striae of Retzius.
However, he only mentions that the striae of Retzius
may be seen as a result of the same phenomenon,
but fails to explain why Retzius lines usually run
oblique with regard to the mineralizing front of the
enamel, whereas cross-striations appear to run
perpendicularly. So far, this theory is considered
plausible, but remains an incomplete hypothesis.
Fig. 2. The pit floors (Pi), which correspond to the underlying prims (P) are obstructed by overhanging interprism (IP) near the arrow. (Risnes 1998:fig.17)
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Changes in mineralization Multiple scholars hypothesized that a rhythmic change in mineral content caused striae to
appear (Schour and Hoffmann 1939; Gustafson and Gustafson 1967). How the mineral
content changes remains obscure, though. Gustafson and Gustafson (1967) argued that the
appearance of cross-striations and Retzius lines in “microradiographs” evidences a variation
in mineral content. They left the reader in ignorance about whether the lines constituted hypo-
or hypermineralized areas (Boyde 1964). Boyde contested a discontinuity in the level of
mineralization, since the same amount of mineral could be present, though just as larger
crystals. Even in the most recent authoritative publications, authors are forced to express this
endless uncertainty. “Little is known about the discontinuity itself.” (Hillson 2014:95)
However, a few decades before, Driessens et al. (1984) used an electron microprobe to
analyse the concentrations of Ca, Na and Mg in human dental enamel. An electron
microprobe emits an electronic beam, subsequently analyzing the photon-emitted x-rays,
thereby identifying the emitters by comparing emitted frequencies to known frequencies for
elements (Jansen and Slaughter 1982). Even though this technique was relatively unreliable
by that time (Jansen and Slaughter 1982), Driessens et al. (1982) were able to recognize an
interval of 25 ± 4 μm in the fluctuations in the concentration of Mg, which they identified as
the circaseptan interval of enamel. Since the band width in which the high values were
recorded measured about 3 μm, the researchers proposed Retzius lines to be identified on the
basis of this high Mg content. Their reference data are not mentioned, however. They
furthermore explained that higher Mg values increase the solubility of the minerals (Driessens
et al. 1982), which would explain for the commonly spread of carious lesions via Retzius
lines (Darling 1963). Their method is somewhat problematic, since Retzius lines have no
particular bandwidth or interval measurement, and their identification of the interval is
expressed without any references.
Interference of cycles Newman and Poole (1974) faced the same problem as all others before them, which was the
inability to match Retzius lines to known biological rhythms. Their suggestion was that two
distinct processes with circadian rhythms must run alongside each other, of which one is
exactly 24 hours and the other a few hours more. After a certain number of periods, the
interference of the two frequencies causes an enhanced stria to occur (Newman and Poole
1974). However, the authors already remarked that the transition from ‘normal enamel’ to a
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Retzius line seems to occur quite suddenly, whereas a beats frequency of two interfering
waves would exhibit more gradient changes (Newman and Poole 1974:1139).
‘Slipping’ The same researchers also suggested that if a timing incongruence between two almost-daily
patterns would render cumulatively increasing separation, the system would recover at some
point and start the processes anew, as a sort of ‘recalibration’ (Newman and Poole 1974). So,
when ameloblasts rely on two separate circadian cycles, of which one accumulates an
increasing lag respective to the other, the body would restart the process once in a while. It
remains obscure why the interesting suggestions they did for further research (Newman and
Poole 1974:1139) seem to have never been carried out.
Melatonin levels Since there is a daily rhythm in enamel growth, the ameloblasts possibly are affected by a
rhythm of day and night. The biological day/night clock is thought to be maintained by the
pineal gland, which secretes melatonin. Mainly based on signals from the photoreceptors,
melatonin levels increase at night and decrease during the day (Hastings 1997; Turek and
Gilette 2004). This might give a hint of the origins of the periodic markings.
Recently, Mishimaa et al. (2012) used rats to investigate the relationship between
melatonin and incremental lines in dentine. They found that darkstained layers in dentine
were formed at night, when melatonin levels were high, whereas lighter layers were formed
during daytime, when melatonin levels were lower. The seeming ‘lines’ thereby appearing
were spaced at an interval of 15.50±1.15 μm, which is comparable to the circadian interval for
rats (Schour and Hoffman 1939).
Body mass Dean and Scandrett (1996) saw that large mammals usually had longer intervals between two
adjacent striae of Retzius. They suggested that body size might explain for variation in
Retzius lines between animal groups, although they immediately realized that this would still
not explain for wide variability of the interval within each species (Dean and Scandrett
1996:234).
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Tab. 1.
Body mass and periodicity in hominoids
(Smith 2008:tab 2)
Smith (2008) further explored this
probable relationship and found a
positive correlation (p<0.001) between
body mass and the Retzius line
periodicity when she studied
hominoid dentition. She added six
hominin species to samples from
earlier publications, thus obtaining a
total of 26 different hominoids.
Logically her sample, as presented
here in table 1, was not evenly
distributed. For each of the species,
Smith used the mean periodicity in
dental enamel. The limitations to
such studies become immediately
clear, since only for extant species
the sample was very large. The
result is that for the species where
n=1 or n=2, the dentition of a single
individual is treated as a population mean. But, as is visible in the cases of the extant species,
periodicity may widely vary. The statistical results should consequently be treated with care.
It remains interesting to note that calculations for the top twenty hominoids rendered
significant correlation between periodicity and body mass, despite the wide variation among
extant apes. For the hominins separately this relationship was not significant (Smith 2008).
This should not be surprising, since the samples were too small. Statistical analysis on 6
different data is of little use, as it would still tell us very little if significance actually was
obtained.
The researcher moreover acknowledged that, regarding the limited enamel growth rate
of large lemurs for example, positive correlations of body mass and periodicity might not hold
true for the primates as a whole (Smith 2008).
A backdrop of her methodology lies in the estimation of body masses. This obviously
is the only way to get some data, but, combined with the earlier mentioned sample size issues,
her results might be heavily skewed. Furthermore, cross-striation is not always unequivocally
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Fig. 4.
Lineair regression of
periodicity against log body
mass.
● platyrrhine primates
□ catarrhine primates
○ and ∆ strepsirrhine primates
( Bromage et al. 2009: fig 1)
observable, due to which observer errors easily occur. So Smith (2008), counting the number
of cross-striations within intervals at multiple positions in teeth, used the average count as
mean periodicity. This results in that she carried out statistical analysis on mean periodicities
from individuals of whom she already had calculated averages.
The results of her research are depicted in figure 3.
Smith’s publication led Bromage et al. (2009) to continue that line of thought, in which they
included other primates in the sample, as Smith (2008) proposed. By extending their research
beyond hominoids, and even beyond catarrhine primates, Bromage et al. (2009) proved the
very strong relationship between body mass and the repeat interval of Retzius lines (which is
the periodicity). Contrary to Smith (2008), the authors here did not averaged the periodicities
of individuals within a species. It remains, however, that one individual is treated as
stereotype of its species, yet this is the best one can do in case of fossil primates. All
individuals within this sample are at least equally weighed. The regression analysis is
presented in figure 2, obtained from their own report (Bromage et al. 2009:fig 1). Noteworthy
is the relative deviation of the strepsirrhine primates, to which lemurs belong, from the
regression line, as Smith (2008) expected.
Fig. 3.
Relationship between body
mass and striae periodicity
among hominoids.
(Smith 2008:fig 3)
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Similar research was recently carried out by Hu et al (2012), who investigated the
correlation between body mass and striae periodicity in fossil pongo, discriminating between
male and female. For both sexes, this too revealed a significant correlation.
4. Integration of results and preliminary conclusions
Prism varicosities and changes in the mineral content of the matrix have been proposed as
functional explanations for the appearance of regular striae in enamel. Causal relationships are
sought for in body mass, melatonin levels, interference of two circadian cycles, and the
process of ‘slipping’.
Functional explanations The theory of prism varicosities as an explanation for the appearance of ‘lines’ has wide
support. As explained before, the theory is quite incomplete and lacks firm evidence. No
wonder most scholars stay away from any elaboration on the combined Boyde/Risnes
amelogenesis theory. What remains particularly unclear is the cause for the cross-striations to
run perpendicularly to the path of the ameloblast, while the striae of Retzius form cap-like
features which clearly run in an oblique way. It does not follow from the literature how those
two different features could ever result from a similar event.
There are multiple relevant arguments for explaining striations as a result of alterations
of mineral content. So far, however, little is known about the relation between the enamel
within and outside the striae. Since striations do appear in radiographs, it is quite probable that
there is a change in mineral content. Whether this constitutes hypomineralization or the
opposite seems relevant, but has still not been researched, or say published, properly.
To sum up, it is clear that very little is known about the physical mechanism behind
the appearance of ‘lines’, whether daily cross-striations or near-weekly Retzius lines. It seem
safe to believe that varicosities do account for cross-striations, but the exact underlying
process is only hinted at though hardly investigated. The solutions proposed are so far
unsatisfying. The same is valid for the supposed deviating mineral content of Retzius lines, of
which, again, very little is known. Faculty-overarching research programs might shed new
light on these aspects. Particularly from the field of chemistry and geology serious
contributions to our knowledge could be expected.
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Causal explanations
• Two different rhythms
As Newman and Poole (1974) themselves implied, an interference of two distinct cycles is not
very likely to be the underlying cause of effects. The result of interference can in a simplistic
way be seen as the sum of two superposed cycles. Accordingly, when two sinusoidal waves
approach each other’s maximum, their interference starts to result in a gradual amplification
of processes. Even with different frequencies, the so-called “beats” should have a gradient
scale (Newman and Poole 1974). This is incompatible with the sudden occurrence and the
clear demarcation of the striae of Retzius, even though some scholars disagree in the
distinctiveness of the striae when studied under the microscope (Fitzgerald 1996:382).
Scholars that still adhere to this explanation for the existence of these lines (e.g. Dean and
Scandrett 1996; FitzGerald and Rose 2008; Antoine et al. 2009), give no literary references to
support this idea.
Whereas the former theory put forward by Newman and Poole was undermined by
themselves (Newman and Poole 1974), but still yields support, their theory of ‘slipping’,
which they thought to be more plausible, is hardly ever referred to. Due to the limited extent
of this paper, further examination of the occurrence of such slipping in other physical rhythms
is not possible. However, their own example of the electronic oscillator that must be
recalibrated once in a while (Newman and Poole 1994), remains a fitting example. Future
research must explore this hypothetical relationship with enamel striation.
If research would indeed confirm that recalibration of cycles underlies the occurrence of
striation in enamel, it would still not explain for the wide variability of periodicity among
individuals. The circaseptan interval only contains full circadian intervals, so their periodicity
is expressed in full days. That means that recalibration does not occur sometime during the
daily growth of enamel, whenever it is necessary, but at fixed moments at the end of a
circadian cycle only. For example, slipping could occur after exactly 7 days or exactly 8 days,
but apparently nowhere in between. This seems unlikely, since ‘slipping’ simply occurs when
the separation between two cycles has become too large, which can happen at any time.
• Bodily variables
It seems to be firmly established that there is a strong correlation between periodicity and
body mass. However, since the periodicity remains the same throughout the dentition of one
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individual, it is obviously not individual body size that matters, which is partly determined by
circumstantial factors, but rather the estimated size of the species in general. After all, the
studies here mentioned did not examine periodicity variation within populations, but between
species only. The body mass of Homo sapiens, for example, was estimated at 62 kilograms by
Smith (2008), but is by no means the weight of each of the sampled individuals. As far as
body size is genetically determined, there might be an intra-species correlation with
periodicity as well, but this should be investigated in future research.
The question here is whether adult body size influences periodicity, which seems
problematic at this point, or whether the correlation is more or less ‘coincidental’, perhaps due
to a single process that influences both features. In case of such a common cause, comparison
would yield positive correlation, while body size and periodicity were just different results
from the same process. Here one could think of metabolic rates, for example, which may be
linked to both enamel growth and body size.
The fact that the strepsirrhine primates (Bromage et al. 2009) and hominins (Smith
2008) seem to deviate from the other sampled primates in their relative periodicity suggests
that the correlation with body size cannot be taken as a general rule. The question that needs
to be answered is why those branches deviate from the general trend, because that might
simultaneously reveal the origins of periodicity. The next step would undoubtedly be to take
representative samples with appropriate statistical analysis. Outliers can only be treated as
such if the basics of statistics are observed in examination.
One other limitation of the mentioned body mass studies is that these barely are
performed on extant mammal species beyond primates. If there is a relationship between body
mass and the Retzius line repeat interval, the same observations should be done in dentition of
other animals. Bromage et al. (2009) made the first steps in that direction, but performed such
research on seven species from the Proboscidea were investigated, which clearly is far too
small a sample.
More success can be expected from research in the field of relationships with
melatonin. As explained above, increased levels of melatonin seem to cause dark stained
layers, at least in rat dentin (Mishimaa 2012). If this works the same in enamel, which is most
likely, striations occur at night, as the photoreceptors give the stimulus to the pineal gland to
increase melatonin secretion. This implies that the longer one is exposed to daylight, the
longer the cross-striation interval becomes. So, Southern Africans would be likely to have less
melatonin than North Europeans, for example, and their circadian interval would thus become
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larger. Fortunately, Reid and Dean (2005) explored variations in the formation time of dental
enamel. Most of their work focused on the comparison of North Europeans and South
Africans, in which they found that the South Africans completed their teeth systematically
faster (Reid and Dean 2005). This is completely in line with the ideas that melatonin is lower
during the day, that South Africans are longer exposed to light, so that South Africans form
more enamel per daily cycle. Moreover, FitzGerald (1998) noted that not only the daily
increments were relatively large, but that South Africans have relatively large periodicities in
comparison to Europeans and Amerindians. As explained earlier, he divided circaseptan
interval by the circadian interval, which eliminates circular reasoning. In sum, African daily
increments appear to be larger, but the number of days between Retzius lines is larger as well.
This means that far fewer of these lines could fit within a single tooth. The total number of
striae should thus be significantly smaller in Africans when compared to Europeans.
Reid and Ferrell (2006) explored the relationship between periodicity and enamel
formation times from a different angle. They used 49 mandibular canines from medieval
Denmark to test the relationship between periodicity and the total number of Retzius lines.
Their study revealed a strong inverse relationship between the two. This means in practice
that the larger the periodicity of the circaseptan interval is, the fewer Retzius lines exist in
sum within the enamel. We may expect the African sample to have a mean number of Retzius
lines which is significantly lower than the European mean. If this could be confirmed, the
abovementioned studies would be in support of each other and constitute seriously promising
evidence for a melatonin-related enamel growth.
These conclusions give a good indication of studies that might render positive results.
First of all, comparative studies of daily increments between South Africans and North
Europeans, in which not only periodicities are recorded, but metric measurements of the
intervals as well, could strengthen the hypothesis of melatonin-related enamel growth.
Secondly, an investigation in both the number of cross-striations and the number of Retzius
lines in the African and European groups could confirm earlier mentioned assumptions, and
could eliminate false impressions due to the use of population means.
Furthermore, the impact of melatonin on dental growth in general should really be
studied. It is not recommended to lock up newborn children in complete darkness in order to
observe their enamel increments, but researchers might actually do this with rats. Instead of
observing daily increments one might see a complete delayal of enamel growth. This would
really boost scholarly knowledge about dental growth.
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If a relationship with melatonin levels would eventually be confirmed, two
fundamental questions regarding enamel increments must subsequently be answered: 1) why
is there such wide variability of periodicites among individuals?, and 2) how is it possible that
periodicity remains uniform within the dentition of an individual?
5. Conclusions
The purpose of this paper was to address the proposed explanations for the existence of long
period markers in human dental enamel. Scholarly research in that field was separated into
functional explanations and causal explanations, which are not mutually exclusive.
A survey of available literature yielded two functional and four causal relationships of
the occurrence of striae. The two functional explanations appeared to remain mere hypotheses
at this stage, since very little is known about the exact mechanisms underlying periodic
markings. Moreover, scholars fail to explain the difference in angle between the respective
linings in respect to the enamel rod.
Of the four causal relationships examined, only two seem promising at this point. Two
free-running cycles that interfere was not considered a plausible cause, since such beats do not
occur suddenly, but rather gradually, whereas the borders of Retzius lines are clearly defined
and point at a sudden change of events. Neither was the idea of frequent resynchronizations
regarded possible, since this suggests relatively random recalibration, whereas Retzius’ striae
always appear at the end of a daily cycle and never in the middle.
The significant correlation between body mass and periodicity of the circaseptan
interval is more likely to be related to the cause of striations. Since periodicity remains the
same throughout life, body mass is unlikely to be a determining factor in itself, but rather a
result of a common cause.
By far, the most successful results can be expected from melatonin-studies. There is
serious reason to see its levels as being related to dental growth. Of all the proposed
explanations for the occurrence of linings in dental enamel, the link with melatonin appears to
be the most plausible. A lot is known about melatonin secretion and its effects, so integrative
research which incorporates neurobiology expertise would enhance our understanding of
dental enamel growth.
The circaseptan interval in human dental enamel
15
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