Comparison of Different Restoration Techniques for Endodontically Treated Teeth

Lukarcanin, Jusuf; Sadıkoğlu, İsmail Serhat; Yaşa, Bilal; Türkün, L. Şebnem; Türkün, Murat

doi:10.1155/2022/6643825

Cited by 7 publications

(6 citation statements)

References 34 publications

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“…Cancellous bone 17 1.37 0.30 Polyethylene Fiber (Ribbon THM) 18 23.6 0.32 E-Glass Fiber Bidirectional (Everstick Net) 9 8.87 0.35 Packable composite resin (Grandio, VOCO) 19 20.4 0.33…”

Section: Resultsmentioning

confidence: 99%

“…6 Improved mechanical properties can increase the success of composite restorations, especially in large cavities with large occlusal force. [7][8][9] Studies have been conducted to improve and strengthen the mechanical properties of composite resin with the addition of fiber. Research studies suggest that fiber-reinforced composites as structures under composite restorations can increase the load-bearing capacity and modify stresses by creating a monoblock effect, thereby helping to distribute and transfer stresses along the long axis of the teeth.…”

Section: Introductionmentioning

confidence: 99%

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Stress Analysis on Mesiolingual Cavity of Endodontically Treated Molar Restored Using Bidirectional Fiber-Reinforced Composite (Wallpapering Technique)

Neri,

Aripin,

Muryani

et al. 2024

CCIDE

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Introduction: Endodontically treated teeth (ETT) undergo extensive structure change and experience high stress during biomechanical function. Stress distribution is influenced by the restoration material and the type of bond between material and tooth structure. The selection of materials that can distribute stress will affect the resistance and retention of ETT to mastication forces, thus biomechanical functions were achieved. Composite has mechanical properties similar to dentin, it can transmit and distribute stresses throughout the tooth surface. The disadvantage of composites in large cavities is their lack of toughness. The addition of fiber to composites can increase their toughness.Purpose: This research is to determine the stress distribution of a fiber-reinforced composite made of polyethylene and e-glass on the mesiolingual cavity of ETT. Materials and Methods: A three-dimensional model of the mandibular molar was prepared for cavity preparation and the formation of restorations using SolidWorks 2021. The models were analyzed with Abaqus 2020 to determine stress concentrations after given vertical and oblique loading. Results: The maximum and minimum principal stress data were obtained to assess material resistance and interfacial damage criterion. Polyethylene fiber shows a more homogeneous stress distribution because the modulus of elasticity is close to the dentin and has a thickness that can reduce the volume of the composite. The E-glass shows the stress concentration on the circumferential fiber and cavity floor. Conclusion:The stress distribution of fiber-reinforced composite on the buccolingual cavity of ETT using the finite element method did not show structural failure in the polyethylene group because the maximum and minimum principal stresses were lower than the strength of the material. Interfacial bond failure occurs at the enamel portion. The maximum and minimum principal values of e-glass indicate structural failure in the circumferential fiber and the base fiber because the stress exceeds the strength of the material. Interfacial bond failure occurred on the circumferential and the cavity floor.

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“…Cancellous bone 17 1.37 0.30 Polyethylene Fiber (Ribbon THM) 18 23.6 0.32 E-Glass Fiber Bidirectional (Everstick Net) 9 8.87 0.35 Packable composite resin (Grandio, VOCO) 19 20.4 0.33…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Stress Analysis on Mesiolingual Cavity of Endodontically Treated Molar Restored Using Bidirectional Fiber-Reinforced Composite (Wallpapering Technique)

Neri,

Aripin,

Muryani

et al. 2024

CCIDE

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“…In addition, this material can also function as a stress breaker with its low modulus of elasticity [23,24]. Currently, dentin replacement is being developed with the addition of fiber to increase its resistance to fractures and strengthen restorations, notably in teeth with complex cavities [8,[25][26][27].…”

Section: Introductionmentioning

confidence: 99%

In Vitro Evaluation of the Strength of Dentin Replacement in Complex Posterior Tooth Restoration

et al. 2022

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Due to the increasing interest in direct restoration, there is a need to address the shortcomings of these restorations, mainly by increasing the longevity of complex direct restorations. The present study aimed to evaluate the tensile strength differences in the complex restoration of posterior teeth with dentin replacement constructed by fiber and non-fiber materials. The samples were extracted from the mandibular permanent-molar and prepared using a complex cavity. The cavity was subsequently restored with the centripetal incremental technique using a nano-fill composite and different base materials, namely fiber dentin replacement, non-fiber dentin replacement, and flowable composite. The universal testing machine was used to consider the tensile strength and the fracture patterns were assessed using stereomicroscopy, followed by Scanning Electron Microscopy (SEM) examination. The data were statistically analyzed using the one-way ANOVA test. No significant differences were noted in the tensile strength of the three base materials. By using stereomicroscopy and SEM, the adhesive fracture patterns were observed more clearly in the cavities with fiber-based dentin replacement, whereas mixed fracture patterns were evident in cavities with non-fiber dentin replacement and flowable composite bases. The results indicated that the addition of fiber in dentin replacement did not affect the tensile strength in the complex restoration. Therefore, dentin replacement of both fiber and non-fiber materials is applicable as a base material for complex restoration of the posterior tooth.

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“…Endodontically treated teeth are more susceptible to fracture compared to vital teeth due to dentin dehydration as a result of pulpal devitalization [35], loss of structure during carious tissue removal, access surgery, root canal preparation, and the use of irrigating substances during treatment [30]. The prognosis depends not only on the quality of the endodontic treatment but also on the restorative technique [20]. Direct and indirect techniques can be used to restore endodontically treated teeth, depending on the extent of tooth substrate loss, the contour, and the di culty in obtaining adequate contact points [20].…”

mentioning

confidence: 99%

“…The prognosis depends not only on the quality of the endodontic treatment but also on the restorative technique [20]. Direct and indirect techniques can be used to restore endodontically treated teeth, depending on the extent of tooth substrate loss, the contour, and the di culty in obtaining adequate contact points [20]. The direct techniques have lower rates of marginal discoloration [1], require less operating time, can be performed in a single visit, and generate lower costs to the patient, but they suffer more variations regarding their clinical durability due to the diversity of materials offered for its manufacture [20], thus making knowledge about the restorative material that will be used essential.…”

mentioning

confidence: 99%

Alksite – based material to restore endodontically treated teeth: A randomized controlled clinical trial

Bepu

Franco

Souza‐Gabriel

et al. 2023

Preprint

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Objectives The aim of this study was evaluated longitudinally evaluate, after a 6-months period, the clinical performance of an alkasit- based material (Cention N, Ivoclar) in molars with root canal treatment. Methods The project was registered in the Brazilian Registry of Clinical Trials – REBEC (RBR-97kx5jv) on 19/01/2023. This randomized clinical trial that included 33 patients with an endodontically treated mandibular molar requiring restoration. Patients were randomly assigned according to the restorative treatment: control: restoration with Bulk-fill resin (Ivoclar - n = 17) and restoration with alkasite-based material (Ivoclar - n = 16). A self-etching adhesive was applied. Three calibrated professionals used the United States Public Health Service (USPHS) criteria to evaluate retention, secondary caries, marginal adaptation, restoration color, marginal pigmentation, and anatomical shape at seven days (baseline) and six months. The radiographic analysis assessed the presence of a radiolucent line adjacent to the restoration, the lack or excess of the material, contact point, and caries recurrence in both periods. Data were analyzed by Friedman, Kruskall-Walis, and Wilcoxon tests (α = 0.05). Results After 6 months of follow up, the Alksite-based demonstrated greater wear of the anatomical shape (p = 0.022), and a greater color difference compared to natural tooth (p = 0.0332), both with a statistically significant difference. All other criteria did not show significant differences between the materials or the analysis periods. Conclusion The use of Alkasite-based material on endodontically treated teeth influenced the color and anatomical shape performance, however did not influence the longevity and success of the composite restorations after six months. Clinical Relevance Alkasite Based material may be an alternative for the restoration of endodontically treated teeth

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Comparison of Different Restoration Techniques for Endodontically Treated Teeth

Cited by 7 publications

References 34 publications

Stress Analysis on Mesiolingual Cavity of Endodontically Treated Molar Restored Using Bidirectional Fiber-Reinforced Composite (Wallpapering Technique)

Stress Analysis on Mesiolingual Cavity of Endodontically Treated Molar Restored Using Bidirectional Fiber-Reinforced Composite (Wallpapering Technique)

In Vitro Evaluation of the Strength of Dentin Replacement in Complex Posterior Tooth Restoration

Alksite – based material to restore endodontically treated teeth: A randomized controlled clinical trial

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