Fiber-reinforced composites in endodontic practice: a review


Main Article Content

Sowmya Mudunuri
K Madhu Varma
R Kalyan Satish
Manthena Sita Rama Kumar
Jetty Sai Dinesh
Pulidindi Anil Kumar

Abstract

Fiber-reinforced composites (FRCs) are a group of non-metallic biomaterials characterized by good mechanical properties, such as high fatigue resistance and fracture toughness growing in popularity in several dental applications. FRCs are a combination of two materials: the reinforcing phase in the form of fibers, which are embedded into the other material, called the matrix phase. Factors influencing the properties of FRCs include fibre properties versus polymer matrix properties, impregnation of fibres in the resin, adhesion of fibres to the polymer matrix, quantity and direction of fibres, and location of the fibre-rich phase in construction. The most commonly used applications of FRCs are in removable dentures, minimally invasive fixed dental prostheses, periodontal splints, root canal posts, and orthodontic retainers. This article discusses in detail the applications of FRCs in endodontics, including root canal posts, reinforcement of restorative composites in restorations and core build-ups and splinting of teeth in dental trauma.

Article Details


How to Cite
Mudunuri, S., Madhu Varma, K., Kalyan Satish, R., Sita Rama Kumar , M., Sai Dinesh, J. ., & Anil Kumar, P. . (2020). Fiber-reinforced composites in endodontic practice: a review. International Journal of Dental Materials, 2(4), 122–134. https://doi.org/10.37983/IJDM.2020.2404
Author Biographies

K Madhu Varma, Vishnu Dental College

Professor,

Department of Conservative Dentistry and Endodontics,

Bhimavaram.

R Kalyan Satish, Vishnu Dental College

Professor,

Department of Conservative Dentistry and Endodontics, Bhimavaram.

Manthena Sita Rama Kumar , Vishnu Dental College

Reader,

Department of Conservative Dentistry and Endodontics,

Bhimavaram.

Jetty Sai Dinesh, Vishnu Dental College

Postgraduate student,

Department of Conservative Dentistry and Endodontics,

Bhimavaram.

Pulidindi Anil Kumar, Vishnu Dental College

Senior lecturer,

Department of Conservative dentistry and endodontics,

Bhimavaram.

References

  1. Tanner J, Le Bell-Rönnlöf AM. Fiber-Reinforced Dental Materials in the Restoration of Root-Canal Treated Teeth. In Restoration of Root Canal-Treated Teeth 2016 (pp. 67-86). Springer, Cham. https://doi.org/10.1007/978-3-319-15401-5_4
  2. Murphy J. The reinforced plastics handbook. Elsevier; 1998.
  3. Mallick PK. Fiber-reinforced composites: materials, manufacturing, and design. CRC press; 2007 Nov 19. https://doi.org/10.1201/9781420005981
  4. Smith DC. Recent developments and prospects in dental polymers. J Prosthet Dent. 1962;12(6):1066-78. https://doi.org/10.1016/0022-3913(62)90162-2
  5. Vallittu PK. Comparison of the in vitro fatigue resistance of an acrylic resin removable partial denture reinforced with continuous glass fibers or metal wires. J Prosthodont. 1996;5(2):115-21. https://doi.org/10.1111/j.1532-849X.1996.tb00285.x
  6. Vallittu PK. Fibre-reinforced composites for dental applications. In Dental Biomaterials 2008 Jan 1 (pp. 239-260). Woodhead Publishing. https://doi.org/10.1533/9781845694241.239
  7. Cheal EJ, Spector M, Hayes WC. Role of loads and prosthesis material properties on the mechanics of the proximal femur after total hip arthroplasty. J Orthop Res. 1992;10(3):405-22. https://doi.org/10.1002/jor.1100100314
  8. Goldberg AJ, Burstone CJ. The use of continuous fiber reinforcement in dentistry. Dent Mater. 1992;8(3):197-202. https://doi.org/10.1016/0109-5641(92)90083-O
  9. Vallittu PK. High-aspect ratio fillers: fiber-reinforced composites and their anisotropic properties. Dent Mater. 2015;31(1):1-7. https://doi.org/10.1016/j.dental.2014.07.009
  10. Mannocii F, Innocenti M, Ferrari M, Watson TF. Confocal and scanning electron microscopic study of teeth restored with fiber posts, metal posts, and composite resins. J Endod. 1999;25(12):789-94. https://doi.org/10.1016/S0099-2399(99)80298-2
  11. Mannocci F, Ferrari M, Watson TF. Intermittent loading of teeth restored using quartz fiber, carbon-quartz fiber, and zirconium dioxide ceramic root canal posts. J Adhes Dent. 1999;1(2):153-8.
  12. Qualtrough AJ, Chandler NP, Purton DG. A comparison of the retention of tooth-colored posts. Quintessence Int. 2003;34(3):199-201.
  13. Fennis WM, Tezvergil A, Kuijs RH, Lassila LV, Kreulen CM, Creugers NH, Vallittu PK. In vitro fracture resistance of fiber reinforced cusp-replacing composite restorations. Dent Mater. 2005;21(6):565-72. https://doi.org/10.1016/j.dental.2004.07.019
  14. Garoushi S, Säilynoja E, Vallittu PK, Lassila L. Physical properties and depth of cure of a new short fiber reinforced composite. Dent Mater. 2013;29(8):835-41. https://doi.org/10.1016/j.dental.2013.04.016
  15. Kahler B, Hu JY, Marriot?Smith CS, Heithersay GS. Splinting of teeth following trauma: a review and a new splinting recommendation. Aust Dent J. 2016;61:59-73. https://doi.org/10.1111/adj.12398
  16. Hadziabdic N. The Basics of Splinting in Dentoalveolar Traumatology. In Oral and Maxillofacial Surgery-Practices and Updates. 2020 Jan 15. IntechOpen. https://doi.org/10.5772/intechopen.88061
  17. Harsha GVD,Anoosha M, Pradeep K, Padmapriya CV, Ravi Varma M, Usha Sree RS. Fiber reinforced composite and surface coated esthetic archwires -a review. Int J Dent Mater 2019;1(3): 85-88. https://doi.org/10.37983/IJDM.2019.1303
  18. Bunsell AR, Renard J. Fundamentals of fibre reinforced composite materials. CRC Press; 2005 Jun 15. https://doi.org/10.1201/9781420056969
  19. Ravi RK, Alla RK, Shammas M, Devarhubli A. Dental Composites-A Versatile Restorative Material: An Overview. Indian Journal of Dental Sciences. 2013; 5(5):111-115.
  20. Lavanya D, Buchi D, Mantena SR, K MV, Rao DB, Chandrappa V. Recent Advances in Dental Composites: An Overview. Int J Dent Mater. 2019;01(02):48–54. https://doi.org/10.37983/IJDM.2019.1202
  21. Sperling LH. IPNs Around the World. II: Recent Advances. Advances in interpenetrating polymer networks. 1994;4:1. https://doi.org/10.1021/ba-1994-0239.ch001
  22. Vallittu PK. Interpenetrating polymer networks (IPNs) in dental polymers and composites. J Adhes Sci Technol. 2009;23(7-8):961-72.
  23. https://doi.org/10.1163/156856109X432785
  24. Mannocci F, Sherriff M, Watson TF, Vallittu PK. Penetration of bonding resins into fibre?reinforced composite posts: a confocal microscopic study. Int Endod J. 2005; 38(1):46-51. https://doi.org/10.1111/j.1365-2591.2004.00900.x
  25. Frese C, Decker C, Rebholz J, Stucke K, Staehle HJ, Wolff D. Original and repair bond strength of fiber-reinforced composites in vitro. Dent Mater. 2014;30(4):456-62. https://doi.org/10.1016/j.dental.2014.01.010
  26. Wolff D, Geiger S, Ding P, Staehle HJ, Frese C. Analysis of the interdiffusion of resin monomers into pre-polymerized fiber-reinforced composites. Dent Mater. 2012;28(5): 541-7. https://doi.org/10.1016/j.dental.2011.12.001
  27. Vallittu P, Özcan M, editors. Clinical guide to principles of fiber-reinforced composites in dentistry. Woodhead Publishing; 2017 May 25.
  28. Vallittu PK, Narva K. Impact strength of a modified continuous glass fiber--poly (methyl methacrylate). Int J Prosthodont. 1997;10(2):142-8.
  29. Vallittu PK. Glass fiber reinforcement in repaired acrylic resin removable dentures: Preliminary results of a clinical study. Quintessence Int. 1997;28(1):39-44. https://doi.org/10.4236/jbnb.2013.41012
  30. RK Alla, Sajjan S, Alluri V, Ginjupalli K, Upadhya N. Influence of Fiber Reinforcement on the Properties of Denture Base Resins. J Biomater Nanobiotech.2013;4(1):91-97. https://doi.org/10.4236/jbnb.2013.41012
  31. Miletic V, editor. Dental composite materials for direct restorations. Springer International Publishing; 2018. https://doi.org/10.1007/978-3-319-60961-4
  32. Vallittu PK. Compositional and weave pattern analyses of glass fibers in dental polymer fiber composites. J Prosthodont. 1998;7(3):170-6.
  33. https://doi.org/10.1111/j.1532-849X.1998.tb00200.x
  34. Bowman AJ, Manley TR. The elimination of breakages in upper denture by reinforcement with carbon fiber. Br Dent J. 1984;156:87–9.
  35. https://doi.org/10.1038/sj.bdj.4805275
  36. Isidor F, Ödman P, Brøndum K. Intermittent loading of teeth restored using prefabricated carbon fiber posts. Int J Prosthodont. 1996;9(2):131-6.
  37. Purton DG, Payne JA. Comparison of carbon fiber and stainless steel root canal posts. Quintessence Int. 1996;27(2):93-7.
  38. Torbjörner A, Karlsson S, Syverud M, Hensten?Pettersen A. Carbon fiber reinforced root canal posts Mechanical and cytotoxic properties. Eur J Oral Sci. 1996; 104(5?6):605-11. https://doi.org/10.1111/j.1600-0722.1996.tb00149.x
  39. Fredriksson M, Astbäck J, Pamenius M, Arvidson K. A retrospective study of 236 patients with teeth restored by carbon fiber-reinforced epoxy resin posts. J Prosthetic Dent. 1998;80(2):151-7. https://doi.org/10.1016/S0022-3913(98)70103-9
  40. Tanner J, Carlén A, Söderling E, Vallittu PK. Adsorption of parotid saliva proteins and adhesion of Streptococcus Mutans ATCC 21752 to dental fiber-reinforced composites. J Biomed Mater Res B Appl Biomater. 2003;66:391–8. https://doi.org/10.1002/jbm.b.10012
  41. Mullarky RH. Aramid fiber reinforcement of acrylic appliances. J Clin Orthod. 1985; 19(9):655.
  42. Reinhart TJ, Clements LL. Engineering materials handbook. Composites. ASM International, Ohio. 1987.
  43. Rider AN, Arnott DR. Boiling water and silane pre-treatment of aluminium alloys for durable adhesive bonding. Int J Adhes Adhes. 2000;20(3):209-20. https://doi.org/10.1016/S0143-7496(99)00046-9
  44. Konakanchi A, Alla RK, Guduri V. Silane Coupling Agents-Benevolent Binders in Composites. Trends in Biomaterials & Artificial Organs. 2017;31(3):102-7.
  45. Matinlinna JP, Lassila LV, Özcan M, Yli-Urpo A, Vallittu PK. An introduction to silanes and their clinical applications in dentistry. Int J Prosthod. 2004;17(2):155-64.
  46. Matinlinna JP, Vallittu PK. Bonding of resin composites to etchable ceramic surfaces–an insight review of the chemical aspects on surface conditioning. J Oral Rehabil. 2007;34(8):622-30. https://doi.org/10.1111/j.1365-2842.2005.01569.x
  47. Scribante A, Vallittu PK, Özcan M, Lassila LV, Gandini P, Sfondrini MF. Travel beyond clinical uses of fiber reinforced composites (FRCs) in dentistry: a review of past employments, present applications, and future perspectives. Biomed Res Int. 2018;2018. Article ID 1498901. https://doi.org/10.1155/2018/1498901
  48. Garoushi SK, Lassila LV, Vallittu PK. Fibre-reinforced composite in clinical dentistry. Chin J Dent Res. 2009;12(1):7.
  49. H. E. Strassler and C. L. Serio, “Esthetic considerations when splinting with fiber reinforced composites,” Dent Clin N Am. 2007;51(2):507–524.
  50. https://doi.org/10.1016/j.cden.2006.12.004
  51. Ballo A, Vallittu P. Alternative fabrication method for chairside fiber-reinforced composite resin provisional fixed partial dentures. Int J Prosthod. 2011;24(5).
  52. Frese C, Decker C, Rebholz J, Stucke K, Staehle HJ, Wolff D. Original and repair bond strength of fiber-reinforced composites in vitro. Dent Mater. 2014;30(4):456-62. https://doi.org/10.1016/j.dental.2014.01.010
  53. Magne P, Belser U. Understanding the intact tooth and the biomimetic principle. Bonded porcelain restorations in the anterior dentition: a biomimetic approach. Chicago: Quintessence Publishing Co. 2002:23-55.
  54. Magne P. Composite resins and bonded porcelain: the postamalgam era. CDA Journal. 2006;34(2):135-47.
  55. Manhart J, Kunzelmann KH, Chen HY, Hickel R. Mechanical properties and wear behavior of light-cured packable composite resins. Dent Mater. 2000;16(1):33-40. https://doi.org/10.1016/S0109-5641(99)00082-2
  56. Garoushi S, Vallittu PK, Lassila LV. Short glass fiber reinforced restorative composite resin with semi-inter penetrating polymer network matrix. Dent Mater. 2007;23(11):1356-62. https://doi.org/10.1016/j.dental.2006.11.017
  57. Petersen RC. Discontinuous fiber-reinforced composites above critical length. J Dent Res. 2005;84(4):365-70. https://doi.org/10.1177/154405910508400414
  58. Bijelic-Donova J, Garoushi S, Lassila LV, Keulemans F, Vallittu PK. Mechanical and structural characterization of discontinuous fiber-reinforced dental resin composite. J Dent. 2016;52:70-8. https://doi.org/10.1016/j.jdent.2016.07.009
  59. Lassila L, Garoushi S, Vallittu PK, Säilynoja E. Mechanical properties of fiber reinforced restorative composite with two distinguished fiber length distribution. J Mech Behav Biomed Mater. 2016;60:331-8. https://doi.org/10.1016/j.jmbbm.2016.01.036
  60. Bijelic-Donova J, Garoushi S, Vallittu PK, Lassila LV. Mechanical properties, fracture resistance, and fatigue limits of short fiber reinforced dental composite resin. J Prosthet Dent. 2016;115(1):95-102. https://doi.org/10.1016/j.prosdent.2015.07.012
  61. Garoushi SK, Hatem M, Lassila LV, Vallittu PK. The effect of short fiber composite base on microleakage and load-bearing capacity of posterior restorations. Acta Biomaterialia Odontologica Scandinavica. 2015;1(1):6-12.
  62. https://doi.org/10.3109/23337931.2015.1017576
  63. Garoushi S, Vallittu PK, Watts DC, Lassila LV. Polymerization shrinkage of experimental short glass fiber-reinforced composite with semi-inter penetrating polymer network matrix. Dent Mater. 2008;24(2):211-5.
  64. https://doi.org/10.1016/j.dental.2007.04.001
  65. Garoushi S, Lassila LV, Tezvergil A, Vallittu PK. Load bearing capacity of fibre-reinforced and particulate filler composite resin combination. J Dent. 2006;34(3):179-84. https://doi.org/10.1016/j.jdent.2005.05.010
  66. Garoushi S, Vallittu PK, Lassila LV. Use of short fiber-reinforced composite with semi-interpenetrating polymer network matrix in fixed partial dentures. J Dent. 2007; 35(5):403-8. https://doi.org/10.1016/j.jdent.2006.11.010
  67. Keulemans F, Palav P, Aboushelib MM, van Dalen A, Kleverlaan CJ, Feilzer AJ. Fracture strength and fatigue resistance of dental resin-based composites. Dent Mater. 2009;25(11):1433-41. https://doi.org/10.1016/j.dental.2009.06.013
  68. Garoushi S, Lassila LV, Tezvergil A, Vallittu PK. Static and fatigue compression test for particulate filler composite resin with fiber-reinforced composite substructure. Dent Mater. 2007;23(1):17-23. https://doi.org/10.1016/j.dental.2005.11.041
  69. Garoushi S, Vallittu PK, Lassila LV. Fracture resistance of short, randomly oriented, glass fiber-reinforced composite premolar crowns. Acta Biomaterialia. 2007;3(5):779-84. https://doi.org/10.1016/j.actbio.2007.02.007
  70. Garoushi S, Vallittu PK, Lassila LV. Direct restoration of severely damaged incisors using short fiber-reinforced composite resin. J Dent. 2007;35(9):731-6. https://doi.org/10.1016/j.jdent.2007.05.009
  71. Garoushi S, Tanner J, Vallittu PK, Lassila L. Preliminary clinical evaluation of short fiber-reinforced composite resin in posterior teeth: 12-months report. The open Dentistry Journal. 2012;6:41. https://doi.org/10.2174/1874210601206010041
  72. Qualtrough AJ, Mannocci F. Tooth-colored post systems: a review. Oper Dent. 2003;28(1):86.
  73. Torbjörner A, Fransson B. A literature review on the prosthetic treatment of structurally compromised teeth. Int J Prosthodont. 2004;17(3):369-76.
  74. Zicari F, Coutinho E, Scotti R, Van Meerbeek B, Naert I. Mechanical properties and micro-morphology of fiber posts. Dent Mater. 2013;29(4):e45-52.
  75. https://doi.org/10.1016/j.dental.2012.11.001
  76. Fokkinga WA, Kreulen CM, Vallittu PK, Creugers NHJ. A structured analysis of in vitro failure loads and failure modes of fi ber, metal and ceramic post-and-core systems. IntJ Prosthodont. 2004; 17:476–482.
  77. Pegoretti A, Fambri L, Zappini G, Bianchetti M. Finite element analysis of a glass fibre reinforced composite endodontic post. Biomater. 2002;23(13):2667-82.
  78. https://doi.org/10.1016/S0142-9612(01)00407-0
  79. Schmitter M, Hamadi K. Survival of two post systems--Five-year results of a randomized clinical trial. Quintessence Int. 2011;42(10):843-50.
  80. Creugers NH, Mentink AG, Fokkinga WA, Kreulen CM. 5-year follow-up of a prospective clinical study on various types of core restorations. Int J Prosthodont. 2005;18(1):34-39. https://doi.org/10.1016/j.prosdent.2005.05.013
  81. Kallio TT, Lastumäki TM, Vallittu PK. Bonding of restorative and veneering composite resin to somepolymeric composites. Dent Mater. 2001;17(1):80-6. https://doi.org/10.1016/S0109-5641(00)00064-6
  82. Love RM, Purton DC. The effect of serrations on carbon fibre posts-retention within the root canal, core retention, and post rigidity. Int J Prosthodont. 1996;9(5):484-8.
  83. Al-harbi F, Nathanson D. In vitro assessment of retention of four esthetic dowels to resin core foundation and teeth. J Prosthet Dent. 2003;90(6):547-55.
  84. https://doi.org/10.1016/j.prosdent.2003.09.014
  85. Soares CJ, Pereira JC, Valdivia AD, Novais VR, Meneses MS. Influence of resin cement and post configuration on bond strength to root dentine. Int Endod J. 2012; 45(2):136-45. https://doi.org/10.1111/j.1365-2591.2011.01953.x
  86. Lastumäki TM, Kallio TT, Vallittu PK. The bond strength of light-curing composite resin to finally polymerized and aged glass fiber-reinforced composite substrate. Biomater. 2002;23(23):4533-9. https://doi.org/10.1016/S0142-9612(02)00197-7
  87. Kallio TT, Lastumäki TM, Vallittu PK. Effect of resin application time on bond strength of polymer substrate repaired with particulate filler composite. J Mater Sci: Mater Med. 2003;14(11):999-1004. https://doi.org/10.1023/A:1026311001967
  88. Sahafi A, Peutzfeldt A, Asmussen E, Gotfredsen K. Bond strength of resin cement to dentin and to surface-treated posts of titanium alloy, glass fiber, and zirconia. J Adhes Dent. 2003;5(2):153-62.
  89. Corsalini, M., Genovese, K., Lamberti, L., Pappalettere, C., Carella, M., Carossa, S.A. Laboratory comparison on individual Targis/Vectris posts with standard fiberglass posts. Int J Prosthodont. 2007;20(2):190-192.
  90. Lassila LV, Tanner J, Le Bell AM, Narva K, Vallittu PK. Flexural properties of fiber reinforced root canal posts. Dent Mater. 2004;20(1):29-36. https://doi.org/10.1016/S0109-5641(03)00065-4
  91. Le Bell AM, Tanner J, Lassila LV, Kangasniemi I, Vallittu PK. Bonding of composite resin luting cement to fiber-reinforced composite root canal posts. J Adhes Dent. 2004;6(4):319-25.
  92. Le Bell AM, Lassila LV, Kangasniemi I, Vallittu PK. Bonding of fibre-reinforced composite post to root canal dentin. J Dent. 2005;33(7):533-9.
  93. https://doi.org/10.1016/j.jdent.2004.11.014
  94. Bitter K, Noetzel J, Neumann K, Kielbassa AM. Effect of silanization on bond strengths of fiber posts to various resin cements. Quintessence Int. 2007;38(2):121-8.
  95. Le Bell-Rönnlöf AM, Lassila LV, Kangasniemi I, Vallittu PK. Load-bearing capacity of human incisor restored with various fiber-reinforced composite posts. Dent Mater. 2011;27(6):e107-15. https://doi.org/10.1016/j.dental.2011.02.009
  96. Mannocci F, Sherriff M, Watson TF, Vallittu PK. Penetration of bonding resins into fibre?reinforced composite posts: a confocal microscopic study. Int Endod J. 2005;38(1):46-51. https://doi.org/10.1111/j.1365-2591.2004.00900.x
  97. Alla RK, Guduri V, Savitha P Rao, Suresh Sajjan MC, Ramaraju AV. Self-sealing resin fix-ators in dentistry. Int J Dent Mater 2020;2(2): 60-68. https://doi.org/10.37983/IJDM.2020.2205
  98. Guzy GE, Nicholls JI. In vitro comparison of intact endodntically treated teeth with and without endo-post reinforcement. J Prosthet Dent. 1979;42(1):39-44. https://doi.org/10.1016/0022-3913(79)90328-7
  99. Karlsson S, Nilner K, Dahl BL. A textbook of fixed prosthodontics. The Scandinavian Approach. Stockholm: FoÈ rlagshuset Gothia. 2000:337-56.
  100. Hatta M, Shinya A, Vallittu PK, Shinya A, Lassila LV. High volume individual fibre post versus low volume fibre post: the fracture load of the restored tooth. J Dent. 2011;39(1):65-71. https://doi.org/10.1016/j.jdent.2010.10.004
  101. Le Bell AM, Tanner J, Lassila LV, Kangasniemi I, Vallittu PK. Depth of light-initiated polymerization of glass fiber-reinforced composite in a simulated root canal. Int J Prosthodont. 2003;16(4):403-408.
  102. Makarewicz D, Le Bell-Rönnlöf AM, Lassila LV, Vallittu PK. Effect of cementation technique of individually formed fiber-reinforced composite post on bond strength and microleakage. The Open Dentistry Journal. 2013;7:68.
  103. https://doi.org/10.2174/1874210601307010068
  104. American Association of Endodontists. An Annotated Glossary of Terms used in
  105. Endodontics7th edn. Chicago: American Association of Endodontists, 2003: 15.
  106. Strassler HE, Brown C. Periodontal splinting with a thin-high-modulus polyethylene ribbon. Compendium. 2001 Aug;22(8):610-20.
  107. Ritter AV. Periodontal splinting. J Esthet Dent 2004;16:329–30. https://doi.org/10.1111/j.1708-8240.2004.tb00062.x
  108. Strassler HE, Tomona N, Spitznagel Jr JK. Stabilizing periodontally compromised teeth with fiber-reinforced composite resin. Dent Today. 2003;22(9):102.
  109. Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra?alveolar root fractures. 2. Effect of treatment factors such as treatment delay, repositioning, splinting type and period and antibiotics. Dent Traumatol. 2004;20(4):203-11. https://doi.org/10.1111/j.1600-9657.2004.00278.x
  110. Arhun N, Arman A. Fiber-reinforced technology in multidisciplinary chairside approaches. Ind J Dent Res. 2008;19(3):272. https://doi.org/10.4103/0970-9290.42965

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