Influence of polymerisation method and type of fibre on fracture strength of endodontically treated teeth

Aust Endod J. 2017 Dec;43(3):115-122. doi: 10.1111/aej.12187. Epub 2016 Nov 25.

Abstract

The aim of this study was to investigate (i) the effect of direct or indirect polymerisation of adhesive-impregnated ribbon fibre under 4-mm bulk-filled composites on fracture strength; (ii) to compare polyethylene ribbon fibre-reinforcement composites with short fibre-reinforced composite; and (iii) the effectiveness of polyethylene ribbon fibre according to the restorative materials used (low-viscous bulk-fill composite, high-viscous flowable composite or conventional paste composite). Seventy molars were divided into seven groups; (groups 1-2) Ribbond-reinforced Surefil-SDR; (group 3) Ribbond-reinforced G Aenial Flo; (group 4) Ribbond-reinforced G Aenial Posterior; (group 5) short fibre-reinforced composite everX Posterior; (group 6) unfilled cavity; (group 7) intact teeth. Ribbond was adopted to cavity walls by impregnating an adhesive and using a flowable composite. In group 1, adhesive-impregnated Ribbond was polymerised directly using a light-curing-unit, and indirectly in group 2 under 4-mm bulk-filled composite. Direct or indirect polymerisation of adhesive impregnated ribbon fibre under 4-mm bulk-filled composite did not change the fracture strength results. Polyethylene ribbon fibre-reinforced groups (groups 1-4) and short fibre-reinforced composite group (group 5) displayed similar results. Polyethylene ribbon fibre can be used safely under 4-mm bulk-filled composites. Ribbond-reinforced low-viscous bulk-fill, high-viscous flowable, and conventional paste composite exhibited similar fracture strength results.

Keywords: polyethylene ribbon fibre reinforced composite; short fibre reinforced composite.

MeSH terms

  • Composite Resins
  • Dental Materials / chemistry*
  • Dental Restoration, Permanent / methods
  • Dental Stress Analysis*
  • Flexural Strength
  • Humans
  • Microscopy, Electron, Scanning
  • Molar / pathology
  • Molar / ultrastructure
  • Polyethylenes
  • Root Canal Therapy / methods
  • Tooth Fractures / pathology
  • Tooth Fractures / physiopathology*
  • Tooth, Nonvital / physiopathology*

Substances

  • Composite Resins
  • Dental Materials
  • EverX Posterior
  • Polyethylenes
  • RIBBOND
  • flowable hybrid composite