Cargando…

Mechanical Performance of Direct Restorative Techniques Utilizing Long Fibers for “Horizontal Splinting” to Reinforce Deep MOD Cavities—An Updated Literature Review

Excessive cavity preparation and root canal treatment leads to a weakened tooth structure with a lower resistance to fracture. Fiber reinforcement is frequently used to reinforce such teeth, and multiple fiber types and possible applications exist. Various methods for utilizing long fibers to intern...

Descripción completa

Detalles Bibliográficos
Autores principales: Jakab, András, Volom, András, Sáry, Tekla, Vincze-Bandi, Eszter, Braunitzer, Gábor, Alleman, David, Garoushi, Sufyan, Fráter, Márk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9002665/
https://www.ncbi.nlm.nih.gov/pubmed/35406311
http://dx.doi.org/10.3390/polym14071438
_version_ 1784685946347716608
author Jakab, András
Volom, András
Sáry, Tekla
Vincze-Bandi, Eszter
Braunitzer, Gábor
Alleman, David
Garoushi, Sufyan
Fráter, Márk
author_facet Jakab, András
Volom, András
Sáry, Tekla
Vincze-Bandi, Eszter
Braunitzer, Gábor
Alleman, David
Garoushi, Sufyan
Fráter, Márk
author_sort Jakab, András
collection PubMed
description Excessive cavity preparation and root canal treatment leads to a weakened tooth structure with a lower resistance to fracture. Fiber reinforcement is frequently used to reinforce such teeth, and multiple fiber types and possible applications exist. Various methods for utilizing long fibers to internally splint the remaining cavity walls in the case of large mesio-occluso-distal (MOD) cavities have been proposed; however, no summary of their performance has been written up to now. Our study aims to review the available literature to evaluate and compare the mechanical performance of the different materials and methods utilized for horizontal splinting in large MOD cavities. Three independent authors performed a thorough literature search using PubMed, ScienceDirect, and Google Scholar up until January 2022. The authors selected in vitro studies that used long fibers placed horizontally in posterior teeth with large MOD cavities to reinforce these teeth. From 1683 potentially relevant articles, 11 publications met our inclusion criteria. Seven out of eleven studies showed that horizontal splinting with long fibers improved the fracture resistance of the restored teeth. Three articles showed no significant difference between the fracture resistance of the restored groups. Only one article reported a lower fracture resistance to the horizontally splinted group, compared to conventional direct composite restoration. Within the limitations of this review, evidence suggests that long fiber reinforcement could be used to improve the fracture resistance of heavily restored teeth.
format Online
Article
Text
id pubmed-9002665
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-90026652022-04-13 Mechanical Performance of Direct Restorative Techniques Utilizing Long Fibers for “Horizontal Splinting” to Reinforce Deep MOD Cavities—An Updated Literature Review Jakab, András Volom, András Sáry, Tekla Vincze-Bandi, Eszter Braunitzer, Gábor Alleman, David Garoushi, Sufyan Fráter, Márk Polymers (Basel) Review Excessive cavity preparation and root canal treatment leads to a weakened tooth structure with a lower resistance to fracture. Fiber reinforcement is frequently used to reinforce such teeth, and multiple fiber types and possible applications exist. Various methods for utilizing long fibers to internally splint the remaining cavity walls in the case of large mesio-occluso-distal (MOD) cavities have been proposed; however, no summary of their performance has been written up to now. Our study aims to review the available literature to evaluate and compare the mechanical performance of the different materials and methods utilized for horizontal splinting in large MOD cavities. Three independent authors performed a thorough literature search using PubMed, ScienceDirect, and Google Scholar up until January 2022. The authors selected in vitro studies that used long fibers placed horizontally in posterior teeth with large MOD cavities to reinforce these teeth. From 1683 potentially relevant articles, 11 publications met our inclusion criteria. Seven out of eleven studies showed that horizontal splinting with long fibers improved the fracture resistance of the restored teeth. Three articles showed no significant difference between the fracture resistance of the restored groups. Only one article reported a lower fracture resistance to the horizontally splinted group, compared to conventional direct composite restoration. Within the limitations of this review, evidence suggests that long fiber reinforcement could be used to improve the fracture resistance of heavily restored teeth. MDPI 2022-04-01 /pmc/articles/PMC9002665/ /pubmed/35406311 http://dx.doi.org/10.3390/polym14071438 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Jakab, András
Volom, András
Sáry, Tekla
Vincze-Bandi, Eszter
Braunitzer, Gábor
Alleman, David
Garoushi, Sufyan
Fráter, Márk
Mechanical Performance of Direct Restorative Techniques Utilizing Long Fibers for “Horizontal Splinting” to Reinforce Deep MOD Cavities—An Updated Literature Review
title Mechanical Performance of Direct Restorative Techniques Utilizing Long Fibers for “Horizontal Splinting” to Reinforce Deep MOD Cavities—An Updated Literature Review
title_full Mechanical Performance of Direct Restorative Techniques Utilizing Long Fibers for “Horizontal Splinting” to Reinforce Deep MOD Cavities—An Updated Literature Review
title_fullStr Mechanical Performance of Direct Restorative Techniques Utilizing Long Fibers for “Horizontal Splinting” to Reinforce Deep MOD Cavities—An Updated Literature Review
title_full_unstemmed Mechanical Performance of Direct Restorative Techniques Utilizing Long Fibers for “Horizontal Splinting” to Reinforce Deep MOD Cavities—An Updated Literature Review
title_short Mechanical Performance of Direct Restorative Techniques Utilizing Long Fibers for “Horizontal Splinting” to Reinforce Deep MOD Cavities—An Updated Literature Review
title_sort mechanical performance of direct restorative techniques utilizing long fibers for “horizontal splinting” to reinforce deep mod cavities—an updated literature review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9002665/
https://www.ncbi.nlm.nih.gov/pubmed/35406311
http://dx.doi.org/10.3390/polym14071438
work_keys_str_mv AT jakabandras mechanicalperformanceofdirectrestorativetechniquesutilizinglongfibersforhorizontalsplintingtoreinforcedeepmodcavitiesanupdatedliteraturereview
AT volomandras mechanicalperformanceofdirectrestorativetechniquesutilizinglongfibersforhorizontalsplintingtoreinforcedeepmodcavitiesanupdatedliteraturereview
AT sarytekla mechanicalperformanceofdirectrestorativetechniquesutilizinglongfibersforhorizontalsplintingtoreinforcedeepmodcavitiesanupdatedliteraturereview
AT vinczebandieszter mechanicalperformanceofdirectrestorativetechniquesutilizinglongfibersforhorizontalsplintingtoreinforcedeepmodcavitiesanupdatedliteraturereview
AT braunitzergabor mechanicalperformanceofdirectrestorativetechniquesutilizinglongfibersforhorizontalsplintingtoreinforcedeepmodcavitiesanupdatedliteraturereview
AT allemandavid mechanicalperformanceofdirectrestorativetechniquesutilizinglongfibersforhorizontalsplintingtoreinforcedeepmodcavitiesanupdatedliteraturereview
AT garoushisufyan mechanicalperformanceofdirectrestorativetechniquesutilizinglongfibersforhorizontalsplintingtoreinforcedeepmodcavitiesanupdatedliteraturereview
AT fratermark mechanicalperformanceofdirectrestorativetechniquesutilizinglongfibersforhorizontalsplintingtoreinforcedeepmodcavitiesanupdatedliteraturereview