scholarly journals Fiber-reinforced Composite Space Maintainers: A Literature Review of their Survival Rate

2020 ◽  
Vol 1 (5) ◽  
Author(s):  
Mohammed S. Aldossary ◽  
Aref M. Althobity ◽  
Nader A. Assal ◽  
Moath I. Alfraih

Premature loss of posterior primary teeth necessitates space maintaining to prevent space loss and compromising the dentition. Conventional stainless steel band-and-loop space maintainer (BL-SM) is a non-invasive device commonly used to maintain space after the early loss of a single deciduous tooth until the permanent tooth erupts. However, these devices require laboratory work, consume time, and are relatively expensive. Clinically, they tend to fracture, bend or debond under occlusal forces, and they are not considered esthetic. Thus, alternatives to the BL-SM have been investigated. The fiber-reinforced composite space maintainer (FRC-SM) has various advantages and has been suggested as an alternative to the BL-SM. The aim of this review is to explore the survival rate of FRC-SM reported in the literature. We have found a wide variation in the reported results, with promising results shown for FRC-SM, especially over short periods. Therefore, longer follow-up periods, placement techniques and clinical effectiveness with respect to this type of space maintainer need to be further evaluated.

2021 ◽  
Vol 37 (3) ◽  
Author(s):  
Muhammad Qasim Javed

Maxillary lateral incisor is the most frequent congenitally missing anterior tooth of the permanent dentition. The absence of the anterior tooth can adversely affect the production/transmission of speech sounds, mental health, and facial aesthetics of an individual. Considering this, prosthetic rehabilitation of missing front tooth is important. The treatment alternatives include implant supported single crown, conventional fixed partial dentures (FPDs), and resin bonded FPDs that are unilaterally or bilaterally supported by metallic wings. However, with the development in adhesive dentistry fiber reinforced composite (FRC) supported FPDs have provided a workable substitute for traditional techniques because of their improved esthetics, minimal invasiveness, less cost, enhanced bond strength, and revocable nature. The current case, reports the two years follow up of twenty-four years old female patient, for whom the congenitally absent maxillary right lateral incisor was restored with FRC supported FPD. doi: https://doi.org/10.12669/pjms.37.3.3873 How to cite this:Javed MQ. Fiber reinforced composite supported restoration of congenitally missing tooth by minimally invasive approach: Two years follow-up. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.3873 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2017 ◽  
Vol 10 (2) ◽  
pp. 126-130 ◽  
Author(s):  
Abdul Morawala ◽  
Kapil Jain ◽  
Ajinkya Sawant ◽  
Yusuf Chunawalla ◽  
Nupur S Kanchan ◽  
...  

ABSTRACT Background Early childhood caries discloses a distinct clinical pattern, and the teeth most often involved are the maxillary central incisors, lateral incisors, and the maxillary and mandibular first molars. The maxillary incisors are most severely affected, with deep carious lesions usually involving the pulp. Teeth that have been endodontically treated often have little coronal tooth tissue remaining and as such require a post to retain the core and restoration .This study evaluated and compared the efficacy of EverStick glass fiber-reinforced composite post with ParaPost Taper Lux in primary maxillary anterior teeth. Aim An in vivo study was conducted to evaluate and compare the longevity and failures of two fiber post systems in primary maxillary anterior teeth. Materials and methods A total of 60 severely mutilated primary maxillary anterior teeth from children aged 3 to 5 years were selected according to the inclusion criteria. These teeth were treated endodontically and were randomly assigned into two groups with 30 samples in each group, group I: EverStick glass fiber-reinforced composite post, group II: ParaPost Taper Lux post. The evaluation of dislodgment of posts, secondary caries, root fracture, and post fracture was carried out clinically and radiographically during every follow-up at 3, 6, 9, and 12 months interval. Results Statistical tests (Chi-square test, Fisher's exact probability test) suggested that dislodgment of the posts was significant between the two groups at 6, 9, and 12 months follow-ups. But within the group during subsequent follow-up intervals, dislodgment of posts as a mode of failure was not statistically significant. However, clinically failures were seen in both the study groups. Conclusion Fiber post system has proved to be successful clinically in both primary and permanent teeth due to the monoblock effect with luting agent, post system, core material, and bonding to dentin. Thus, today the EverStick glass fiber post system provides a novel way of fabricating cost-effective and less time-consuming custom-made post in treating mutilated maxillary anteriors. How to cite this article Sawant A, Chunawalla Y, Morawala A, Kanchan NS, Jain K, Talathi R. Evaluation of Novel Glass Fiber-reinforced Composite Technique for Primary Anterior Teeth with Deep Carious Lesions: A 12-month Clinical Study. Int J Clin Pediatr Dent 2017;10(2):126-130.


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.


2017 ◽  
Vol 18 (3) ◽  
pp. 188-193 ◽  
Author(s):  
Zuhal Kirzioğlu ◽  
Z Zahit Çiftçi ◽  
Ceylan Ç Yetiş

ABSTRACT Introduction The early loss of deciduous molars is a frequently encountered problem in dentistry. Various space maintainer designs were developed to prevent the loss of the space. The aim of this study was to evaluate long-term clinical performance and survival rates of fiber-reinforced composite resin (FRCR) as a space maintainer clinically. Materials and methods This study was designed on 44 children who had early missed deciduous molars. Space maintainers were prepared on plaster models of patients and fixed directly to the adjacent teeth. Survival rate and whether it causes any damage to adjacent teeth were examined clinically and radiographically for 24 months or until failure. Kaplan–Meier survival analysis was used for the statistical analyses. Results Overall, 16.2% of space maintainers were dislodged and accepted to be failed at the end of 12 months. At the 24-month control, 52.2% success was stated with the FRCR space maintainer and because of permanent tooth eruption, 31.8% of space maintainer were taken out. The mean duration of space maintainers was measured to be 14.8±3.48 months. There was no statistical significance between survival time and gender, tooth number, localization, and measured space (p > 0.05). Conclusion After all 24 months follow-up, as well as esthetic properties of FRCR space maintainer, their applicability in a single seance and strength against the forces are determined as the advantages of the technique. Clinical significance The FRCR space maintainers can be thought of as alternatives to metal space maintainers. How to cite this article Kirzioğlu Z, Çiftçi ZZ, Yetiş CÇ. Clinical Success of Fiber-reinforced Composite Resin as a Space Maintainer. J Contemp Dent Pract 2017;18(3):188-193.


2020 ◽  
Vol 8 (2) ◽  
pp. 48
Author(s):  
Matías Ferrán Escobedo Martínez ◽  
Samuel Rodríguez López ◽  
Jairo Valdés Fontela ◽  
Sonsoles Olay García ◽  
Mario Mauvezín Quevedo

The use of fiberglass in dentistry has increased due to the improvements in the development of adhesive techniques reducing the cost of treatment and avoiding abutment tooth craving. The present study aims to evaluate the clinical usefulness of the new technique to fabricate a direct fiber-reinforced composite bridge (FRCB) over a long period of time. Twenty-one FRCB were performed with the new direct technique on 21 patients with a mean age of 58.85 years and female predominance in the Faculty of Dentistry of Oviedo (Spain). The framework design releases the embrasures allowing adequate interproximal brushing, avoidance of periodontal disease and interproximal caries. A baseline examination was performed and the patients were examined regularly at six-month intervals (nine years’ follow-up). The restorations were also evaluated by an examiner using parameters to check their stability, longevity and the lack of periodontal disease. The most frequent location was the maxillary premolar region and the purpose of the restorations was to give a definitive bridge in 100% of the patients. Only one total debonding of the prostheses was detected during the observation period at 24 months and three partial adhesive–cohesive veneering composite fractures at the pontic after 60, 72 and 84 months, respectively. Kaplan–Meier was performed to detect the overall survival rate of the restorations at the end of the follow-up. Nine-year survival rates for the FRCB was 95.2%. All the cases had a clinically acceptable periodontal condition and an interproximal absence of caries in the abutment teeth. Currently, this type of restoration allows a minimally invasive aesthetic and is an affordable procedure, being a good alternative to other types of treatments.


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