Evaluation of fracture resistance of reattached vertical fragments bonded with fiber-reinforced composites: an in vitro study

J Contemp Dent Pract. 2013 Jul 1;14(4):573-7. doi: 10.5005/jp-journals-10024-1365.

Abstract

Aim: Aim of this in vitro study was to evaluate the resistance to fracture of vertically fractured and reattached fragments bonded with fiber-reinforced composites.

Materials and methods: Root canals of 45 teeth were prepared, and the teeth were intentionally fractured into two separate fragments. Control groups (n = 15 each) consisted unfractured teeth with instrumented and obturated. Fractured teeth were divided into three groups (n = 15) and were attached using (1) dual-cure resin cement (RelyX U100), (2) dual-cure resin cement and polyethylene fiber (Ribbond), (3) dual-cure resin cement and glass fibers (stick-net). Force was applied at a speed of 0.5 mm/min to the root until fracture. RESULTS AND STATISTICAL ANALYSIS: Group 1 (RelyX U100 group) demonstrated lowest fracture resistance. Group 4 (control group) showed highest fracture resistance followed by group 2 (Ribbond group) and group 3 (Stick-Net groups). Statistically no significant difference was there between groups 2, 3 and 4.

Conclusion: Vertically fractured teeth can be treated by filling the root canal space with dual-cure adhesive resin cement or by adding polyethylene fiber or glass fiber to increase the fracture resistance of the reattached tooth fragments, an alternative to extraction.

MeSH terms

  • Adolescent
  • Bicuspid / injuries*
  • Dental Bonding / methods*
  • Dental Materials / chemistry
  • Glass / chemistry
  • Humans
  • Polyethylenes / chemistry
  • Post and Core Technique / instrumentation*
  • Recurrence
  • Resin Cements / chemistry
  • Root Canal Preparation / methods
  • Stress, Mechanical
  • Tooth Fractures / physiopathology*
  • Tooth Fractures / therapy
  • Tooth Root / injuries*
  • Tooth, Nonvital / therapy
  • Young Adult

Substances

  • Dental Materials
  • Polyethylenes
  • RIBBOND
  • Rely-X
  • Resin Cements
  • fiberglass