Resistencia a la fractura de restauraciones directas convencionales vs restauraciones directas con fibras de polietileno en cavidades clase II MOD. Estudio in vitro

Erika Mejía Calvopiña; Karla Vallejo Vélez; Raquel Esmeralda Guillén Guillén; Alexandra Gil Pozo; Viviana Hidalgo Moya; Andrés Celi

doi:10.47464/MetroCiencia/vol32/1/2024/29-36

Authors

Erika Mejía Calvopiña Universidad Central del Ecuador https://orcid.org/0000-0001-9916-9815
Karla Vallejo Vélez Universidad Estatal de Cuenca https://orcid.org/0000-0002-6685-3562
Raquel Esmeralda Guillén Guillén Universidad Central del Ecuador https://orcid.org/0000-0002-4177-1499
Alexandra Gil Pozo Universidad Central del Ecuador https://orcid.org/0000-0002-3992-5073
Viviana Hidalgo Moya Universidad Autónoma de los Andes https://orcid.org/0000-0002-8598-041X
Andrés Celi Universidad Tecnológica Equinoccial https://orcid.org/0009-0008-0173-2891

DOI:

https://doi.org/10.47464/MetroCiencia/vol32/1/2024/29-36

Keywords:

resistencia a la fractura, fuerza de compresión, polietileno, resinas compuestas

Abstract

Objective: Compare the fracture resistance in conventional direct restorations and direct restorations with polyethylene fibers, in class II MOD cavities of premolars subjected to mechanical compression tests. Materials and methods: comparative experimental study in vitro. Sample of 56 premolars extracted for orthodontic reasons Group A: 21 samples with direct conventional restorations, Group B: 21 samples with direct conventional restorations with polyethylene fibers and Group C: 14 intact premolars. The samples were prepared with the respective restorative protocol, aged under thermocycling; and were subjected to vertical compression forces and measured in Newtons (N). Shapiro-Wilk tests were performed to determine the normality of the sample, one-way Anova parametric tests for quantitative variables and Chi-square for qualitative variables. Results: The fracture resistance of Group A) was 1107.218 N ± 239.26 N, Group B) 1024.453N ± 264.52 N and Group C 1598.2 N ± 383.97. Conclusion: There was no significant difference in fracture resistance between Group A, B and C, p value >0.05. The type and pattern of fracture did have a significant difference p<0.05. Group A presented catastrophic and non-repairable fractures in 61.9%, while Group B presented repairable and less catastrophic fractures in 85%.

Downloads

Download data is not yet available.

Author Biographies

Erika Mejía Calvopiña, Universidad Central del Ecuador

Odontóloga General. Universidad Central del Ecuador. Quito, Ecuador
Karla Vallejo Vélez, Universidad Estatal de Cuenca

Especialista en rehabilitación oral. Universidad Estatal de Cuenca. Cuenca, Ecuador
Raquel Esmeralda Guillén Guillén, Universidad Central del Ecuador

PhD en Odontología. Universidad Central del Ecuador. Quito, Ecuador
Alexandra Gil Pozo, Universidad Central del Ecuador

Especialista en rehabilitación oral. Universidad Central del Ecuador. Quito, Ecuador
Viviana Hidalgo Moya, Universidad Autónoma de los Andes

Especialista en endodoncia. Universidad Autónoma de los Andes. Ambato, Ecuador
Andrés Celi, Universidad Tecnológica Equinoccial

Odontólogo General. Universidad Tecnológica Equinoccial. Quito, Ecuador

References

AEGIS Communications, Alleman BDS, DDS, Nejad MA, DDS, Alleman CDS, et al. The protocols of biomimetic restorative dentistry: 2002 to 2017.; Disponible en: https://www.aegisdentalnetwork.com/id/2017/06/the-protocols-of-biomimetic-restorative-dentistry-2002-to-201

Garoushi S, Sungur S, Boz Y, Ozkan P, Vallittu PK, Uctasli S, et al. Influence of short-fiber composite base on fracture behavior of direct and indirect restorations. Clin Oral Invest 2021;25:4543–52. https://doi.org/10.1007/s00784-020-03768-6.

Akman S, Akman M, Eskitascioglu G, Belli S. Influence of several fibre-reinforced composite restoration techniques on cusp movement and fracture strength of molar teeth. Int Endod J 2011;44:407–15. https://doi.org/10.1111/j.1365-2591.2010.01843.x.

Costa S, Silva-Sousa Y, Curylofo F, Steier L, Sousa-Neto M, Souza-Gabriel A. Fracture resistance of mechanically compromised premolars restored with polyethylene fiber and adhesive materials. International Journal of Adhesion and Adhesives 2014;50:211–5. https://doi.org/10.1016/j.ijadhadh.2014.01.030.

Belli S, Erdemir A, Yildirim C. Reinforcement effect of polyethylene fibre in root-filled teeth: comparison of two restoration techniques. Int Endod J 2006;39:136–42. https://doi.org/10.1111/j.1365-2591.2006.01057.x.

Bazos P, Magne P. Emulación biomimética de la naturaleza utilizando un enfoque histo-anatómico; análisis estructural. CLINICAL RESEARCH 2011;6:13.

Miao Y, Liu T, Lee W, Fei X, Jiang G, Jiang Y. Fracture resistance of palatal cusps defective premolars restored with polyethylene fiber and composite resin. Dental Materials Journal 2016;35:498–502. https://doi.org/10.4012/dmj.2015-394.

Miletic V. Dental Composite Materials for Direct Restorations. Cham: Springer International Publishing; 2018. https://doi.org/10.1007/978-3-319-60961-4.

Worthington HV, Khangura S, Seal K, Mierzwinski-Urban M, Veitz-Keenan A, Sahrmann P, et al. Direct composite resin fillings versus amalgam fillings for permanent posterior teeth. Cochrane Database Syst Rev 2021;8:CD005620. https://doi.org/10.1002/14651858.CD005620.pub3.

Chi HH. A Posterior Composite Case Utilizing the Incremental and Stratified Layering Technique. Operative Dentistry 2006;31:512–6. https://doi.org/10.2341/05-117.

Azeem RA, Sureshbabu NM. Clinical performance of direct versus indirect composite restorations in posterior teeth: A systematic review. J Conserv Dent 2018;21:2–9. https://doi.org/10.4103/JCD.JCD_213_16.

Mangoush E, Garoushi S, Lassila L, Vallittu PK, Säilynoja E. Effect of Fiber Reinforcement Type on the Performance of Large Posterior Restorations: A Review of In Vitro Studies. Polymers 2021;13:3682. https://doi.org/10.3390/polym13213682.

Ayad M, Maghrabi A, Garcia-Godoy F. Resin composite polyethylene fiber reinforcement: Effect on fracture resistance of weakened marginal ridges. American Journal of Dentistry 2010;23:133–6.

Magne P, So W-S, Cascione D. Immediate dentin sealing supports delayed restoration placement. J Prosthet Dent 2007;98:166–74. https://doi.org/10.1016/S0022-3913(07)60052-3.

Bazos P, Magne P. Bio-emulation: biomimetically emulating nature utilizing a histo-anatomic approach; structural analysis. Eur J Esthet Dent [Internet]. 2011 [citado el 22 de marzo de 2024];6(1). Disponible en: https://pubmed.ncbi.nlm.nih.gov/21403924/

Magne P, Spreafico RC. Deep margin elevation: A paradigm shift [Internet]. Ebsco.com. 2012 Disponibleen:https://openurl.ebsco.com/EPDB%3Agcd%3A12%3A12373116/detailv2?sid=ebsco%3Aplink%3Ascholar&id=ebsco%3Agcd%3A76504345&crl=c

Oskoee PA, Ajami AA, Navimipour EJ, Oskoee SS, Sadjadi J. The Effect of Three Composite Fiber Insertion Techniques on Fracture Resistance of Root-filled Teeth. Journal of Endodontics 2009;35:413–6. https://doi.org/10.1016/j.joen.2008.11.027.

Agrawal VS, Shah A, Kapoor S. Effect of fiber orientation and placement on fracture resistance of large class II mesio-occluso-distal cavities in maxillary premolars: An in vitro study. Journal of Conservative Dentistry 2022;25:122. https://doi.org/10.4103/jcd.jcd_384_21.

Daher R, Ardu S, Di Bella E, Rocca GT, Feilzer AJ, Krejci I. Fracture strength of non-invasively reinforced MOD cavities on endodontically treated teeth. Odontology 2021;109:368–75. https://doi.org/10.1007/s10266-020-00552-6.

Göktürk H, Karaarslan EŞ, Tekin E, Hologlu B, Sarıkaya I. The effect of the different restorations on fracture resistance of root-filled premolars. BMC Oral Health 2018;18:196. https://doi.org/10.1186/s12903-018-0663-7.

Kodzaeva ZS, Turkina AY, Doroshina VY. [The long-term results of teeth restoration with composite resin materials: a systematic literature review]. Stomatologiia (Mosk) 2019;98:117–22. https://doi.org/10.17116/stomat201998031117.

Fráter M, Sáry T, Vincze-Bandi E, Volom A, Braunitzer G, Szabó P. B, et al. Fracture Behavior of Short Fiber-Reinforced Direct Restorations in Large MOD Cavities. Polymers 2021;13:2040. https://doi.org/10.3390/polym13132040.

Fennis W, Tezvergil A, Kuijs R, Lassila L, Kreulen C, Creugers N, et al. In vitro fracture resistance of fiber reinforced cusp-replacing composite restorations. Dental Materials 2005;21:565–72. https://doi.org/10.1016/j.dental.2004.07.019.