scholarly journals Clinical Evaluation of Fiber-Reinforced Composite Restorations in Posterior Teeth - Results of 2.5 Year Follow-up

2018 ◽  
Vol 12 (1) ◽  
pp. 476-485 ◽  
Author(s):  
Johanna Tanner ◽  
Mimmi Tolvanen ◽  
Sufyan Garoushi ◽  
Eija Säilynoja

Objectives: The aim of this study was to evaluate the clinical performance of posterior composite restorations reinforced by bulk base of short-fiber composite (everX Posterior, GC Corporation). Methods: Thirty-six short fiber-reinforced composite restorations were placed in premolar and molar teeth of 33 patients. Eight of the teeth were vital and 28 were non-vital. Average follow up time of the restorations was 30.6 months (2.5 years), ranging from 16.2 to 51.3 months (1.3 - 4.3 years). Results: One restoration failed during the follow-up period due to secondary caries, at time point 39.5 months. Three fillings had minor fractures during the follow-up. The overall survival rate of the restorations was 97.2% and success rate (no maintenance needed) was 88.9%, respectively. Conclusion: Posterior composite restorations with a bulk base of short-fiber composite showed good clinical performance in the short term evaluation.

2012 ◽  
Vol 6 (1) ◽  
pp. 41-45 ◽  
Author(s):  
S Garoushi ◽  
J Tanner ◽  
PK Vallittu ◽  
L Lassila

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.


Author(s):  
Antony Paul ◽  
Jeffery M. Gallagher ◽  
Raymond J. Cipra ◽  
Thomas Siegmund

Fiber reinforced composite materials are now frequently being used over conventional materials for their ability to achieve tailored properties and performance characteristics. With the recent advancements in manufacturing techniques, short-fiber composites are coming into prominence in this sector, with their cost advantage and their capability for large throughput. Randomness of fiber orientation is inherent to short fiber composite manufacturing processes. In order to effectively manipulate the mechanical properties of a short-fiber reinforced composite, it is imperative to adequately control the orientation of the fibers during the deposition stage. A process is currently developed to acquire geometrical data of the target object and to utilize it to create a short-fiber reinforced component with controlled fiber orientation. The topological data acquisition of the object is made possible using non-contact 3D imaging techniques. The geometric data is then transferred to a commercial CAD package for the added capability to manipulate the geometry as may be required for specific applications. Subsequently, geometric data constitutes the basis of path planning for the tooling processes. In our process, a novel rapidly re-configurable tooling and molding technology is employed by which a 6-axis robotic arm is used to sculpt a pin-device vacuum surface. After the tooling is completed, the robotic arm will use a deposition nozzle to orient a steady stream of initially random short-fiber from a feeder into a unidirectional output, onto the tool surface. By controlling the position and orientation of the deposition nozzle, it is possible to control the orientation and density of fiber in each section of the near-net shaped composite pre-form. The fiber pre-form is then impregnated with a suitable matrix medium and cured to create the required component. The outlined process is thus capable of manufacturing a near-net shaped short-fiber reinforced component with highly specific mechanical properties. One of the many applications envisaged using this process is the manufacture of custom form-fitting braces, masks and guards for use in healthcare products. A patient intervention can have his or her features acquired using stereo-imaging and have corrective measures incorporated into the device prior to manufacturing. By controlling the orientation and density of the fiber at different portions of the device, it is possible to provide adequate support at specific areas or to restrict movement in specific directions while providing compliance to movement in the others.


2021 ◽  
pp. 096739112110141
Author(s):  
Ferhat Ceritbinmez ◽  
Ahmet Yapici ◽  
Erdoğan Kanca

In this study, the effect of adding nanosize additive to glass fiber reinforced composite plates on mechanical properties and surface milling was investigated. In the light of the investigations, with the addition of MWCNTs additive in the composite production, the strength of the material has been changed and the more durable composite materials have been obtained. Slots were opened with different cutting speed and feed rate parameters to the composite layers. Surface roughness of the composite layers and slot size were examined and also abrasions of cutting tools used in cutting process were determined. It was observed that the addition of nanoparticles to the laminated glass fiber composite materials played an effective role in the strength of the material and caused cutting tool wear.


Author(s):  
Cynthia Carissa ◽  
Tunjung Nugraheni ◽  
Yulita Kristanti

Introduction. Inadequate root canal preparation and obturation are potential causes of endodontic failure. Failed root canal treatment with intrinsic discoloration requires root canal re-treatment and intracoronal bleaching. Due to the extensive loss of hard tissues on occlusal area, the restoration requires intracanal retention with short fiber-reinforced composite. Case report. A 17-year-old male patient came to the Clinic of Conservative Dentistry Dental Hospital Prof. Soedomo. He reported pain and discomfort on maxillary first premolar while chewing after root canal procedure had been performed few months before. He felt unconvinience with the discoloration happened on those tooth. Patient had endodontic treatment one year ago and the tooth was restored with glass ionomer cement. Objective examination showed glass ionomer restoration was still in good condition, the tooth was sensitive to percussion but not to palpation, and showed no mobility. Periapical radiograph showed incomplete obturation with radioluscent around periapical region. Retreatment followed by intracoronal bleaching was performed under rubber dam isolation. Tooth was restored with short fiber reinforced composite and composite resin. After 3 month, patient was recalled for examine the previous sign and symptomps. Periapical radiograph showed diameter of periapical lesion was smaller and tooth functioned normally. Conclusion. Root canal retreatment and intracoronal bleaching are suitable options for teeth with failed root canal treatment and intrinsic discoloration


Author(s):  
Lippo Lassila ◽  
Eija Säilynoja ◽  
Roosa Prinssi ◽  
Pekka K. Vallittu ◽  
Sufyan Garoushi

2019 ◽  
Vol 59 (6) ◽  
pp. 859-869 ◽  
Author(s):  
Y. Saito ◽  
F. Fernandez ◽  
D.A. Tortorelli ◽  
W.S. Compel ◽  
J.P. Lewicki ◽  
...  

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