Preliminary Clinical Evaluation of Short Fiber-Reinforced Composite Resin in Posterior Teeth: 12-Months Report

This preliminary clinical trial evaluated 12 month clinical performance of novel filling composite resin system which combines short fiber-reinforced composite resin and conventional particulate filler composite resin in high stress bearing applications. A total of 37 class I and II restorations (compound and complex type) were placed in 6 premolars and 31 molars. The restorations were reviewed clinically at 6 months (baseline) and 12 months using modified USPHS codes change criteria for marginal adaptation, post-operative sensitivity, pulpal pain and secondary caries criteria. Photographs and x-rays were obtained for restorative analysis. Results of 12 months evaluation showed 5 restorations having little marginal leakage (B score) and 1 patient had minor pulpal symptom and post-operative sensitivity (B score). No secondary caries or bulk fracture was detected. The majority of restorations exhibited A scores of the evaluated criteria. After 12 months, restorations combining base of short fiber reinforced composite resin as substructure and surface layer of hybrid composite resin displayed promising performance in high load bearing areas

Chairside fabricated fiber-reinforced composite fixed partial denture

The advances in the materials and techniques for adhesive dentistry have allowed the development of non-invasive or minimally invasive approaches for replacing a missing tooth in those clinical situations when conservation of adjacent teeth is needed. Good mechanical and cosmetic/aesthetic properties of fiber-reinforced composite (FRC), with good bonding properties with composite resin cement and veneering composite are needed in FRC devices. Some recent studies have shown that adhesives of composite resins and luting cements allow diffusion of the adhesives to the FRC framework of the bridges. By this so-called interdiffusion bonding is formed [1]. FRC bridges can be made in dental laboratories or chairside. This article describes a clinical case of chairside (directly) made FRC Bridge, which was used according to the principles of minimal invasive approach. Treatment was performed by Professor Vallittu from the University of Turku, Finland

Fiber-reinforced Composite for Chairside Replacement of Anterior Teeth: A Case Report

A variety of therapeutic modalities, from implant to conventional Maryland prosthesis, can be used for the replacement of a missing anterior tooth. Whenever a minimal tooth reduction is preferred, a fiber reinforced composite (FRC) prosthesis could be a good alternative to conventional prosthetic techniques, chiefly as temporary restoration before making a final decision on the treatment. The purpose of this case report is to describe the clinical procedure of fabricating anterior chairside FRC prosthesis with pre-impregnated unidirectional E-glass fibers and veneered particulate filler composite. Fiber-reinforced composite in combination with adhesive technology appears to be a promising treatment option for replacing missing teeth. However, further and long-term clinical investigation will be required to provide additional information on the survival of directly-bonded anterior fixed prosthesis made with FRC systems

Fiber-reinforced Composite Resin Prosthesis to Restore Missing Posterior Teeth: A Case Report

A fiber-reinforced composite inlay-onlay FPD was used for a single posterior tooth replacement in a patient refusing implant for psychological reasons. The FRC-FPD was made of pre-impregnated E-glass fibers (everStick, StickTeck, Turku, Finland) embedded in a resin matrix (Stick Resin, StickTeck, Turku, Finland). The unidirectional glass fibers were used to make a framework structure with high volume design placed in the pontic (edentulous) region. To reproduce the morphology of natural teeth, the framework structure was then veneered with Gradia (GC, Tokyo, Japan)

Effect of interface surface design on the fracture behavior of bilayered composites

This study aimed to evaluate the effect of different interface designs on the load-bearing capacity of bilayered composite structures (BLS). Cylindrical specimens of BLS were prepared from base composite of 3.5 mm thickness and surface composite of 1.5 mm thickness (n = 80). Two different base composites - flowable bulk-fill (FBF) [smart dentin replacement (SDR)] and short fiber-reinforced (FRC) (everX Posterior) - were evaluated, and conventional composite (G-aenial Posterior) was used as the surface layer. Four different interface designs were used: (i) pyramidal; (ii) mesh; (iii) linear grooves; and (iv) flat surface (control). Three-dimensional printed molds were fabricated to standardize the interface design between the surface and the base composites. The specimens were then statically loaded with a steel ball until fracture using a universal testing machine. Fracture types were classified into catastrophic, complete, and partial bulk. ANOVA revealed that both the material and the interface design had a statistically significant effect on the load-bearing capacity. Flowable bulk-fill showed lower mean load-bearing capacity than FRC in all the interface designs tested, except for the flat surface design. Fracture analysis showed that FRC demonstrated up to 100% partial bulk fractures with the pyramid interface design, but no incidence of catastrophic bulk fracture. By contrast, FBF demonstrated up to 84.6% and 40% catastrophic bulk fractures with the flat interface design but no incidence of partial bulk fracture. Consequently, the interface designs studied enhanced the fracture behavior of BLS.</p

Effect of low-shrinkage monomers on the physicochemical properties of experimental composite resin.

This study was conducted to determine whether novel experimental low-shrinkage dimethacrylate co-monomers could provide low polymerization shrinkage composites without sacrifice to degree of conversion, and mechanical properties of the composites. Experimental composites were prepared by mixing 28.6 wt% of bisphenol-A-glycidyl dimethacrylate based resin matrix (bis-GMA) with various weight-fractions of co-monomers; tricyclo decanedimethanol dacrylate (SR833s) and isobornyl acrylate (IBOA) to 71.4 wt% of particulate-fillers. A composite based on bis-GMA/TEGDMA (triethylene glycol dimethacrylate) was used as a control. Fracture toughness and flexural strength were determined for each experimental material following international standards. Degree of monomer-conversion (DC%) was determined by FTIR spectrometry. The volumetric shrinkage in percent was calculated as a buoyancy change in distilled water by means of the Archimedes' principle. Polymerization shrinkage-strain and -stress of the specimens were measured using the strain-gage technique and tensilometer, respectively with respect to time. Statistical analysis revealed that control group had the highest double-bond conversion (p p > .05). Volumetric shrinkage and shrinkage stress decreased with increasing IBOA concentration. Replacing TEGDMA with SR833s and IBOA can decrease the volumetric shrinkage, shrinkage strain, and shrinkage stress of composite resins without affecting the mechanical properties. However, the degree of conversion was also decreased.</p

Fracture resistance and marginal gap formation of post-core restorations: influence of different fiber-reinforced composites

OBJECTIVES: The aim was to explore the fracture behavior and marginal gap within the root canal of endodontically treated (ET) premolars restored with different fiber-reinforced post-core composites (FRCs). Further aim was to evaluate the composite curing at different depths in the canal.MATERIALS AND METHODS: Eighty-seven intact upper premolars were collected and randomly divided into six groups. After endodontic procedure, standard MOD cavities were prepared and restored with their respective fiber-reinforced post-core materials: group 1: prefabricated unidirectional FRC-post + conventional composite core; group 2: prefabricated unidirectional FRC-post + short fiber composite (SFRC) core; group 3: individually formed unidirectional FRC-post + conventional composite core; group 4: randomly oriented SFRC directly layered as post and core; group 5: individually formed unidirectional FRC + randomly oriented SFRC as post and core. After restorations were completed, teeth (n = 3/group) were sectioned and then stained. Specimens were viewed under a stereo microscope and the percentage of microgaps within the root canal was calculated. Fracture load was measured using universal testing machine.RESULTS: SFRC application in the root canal (groups 4 and 5) showed significantly higher fracture load (876.7 N) compared to the other tested groups (512-613 N) (p CONCLUSIONS: The restoration of ET premolars with the use of SFRC as post-core material displayed promising performance in matter of microgap and load-bearing capacity.CLINICAL SIGNIFICANCE: Fracture resistance of ET premolar restored by bilayered composite restoration that includes both SFRC as post-core material and surface conventional resin seems to be beneficial.</p