Clinical studies of fiber-reinforced resin-bonded fixed partial dentures: a systematic review.

Department of Oral Function and Prosthetic Dentistry, College of Dental Science, University Medical Centre Nijmegen, Nijmegen, The Netherlands.
European Journal Of Oral Sciences (Impact Factor: 1.73). 03/2009; 117(1):1-6. DOI: 10.1111/j.1600-0722.2008.00595.x
Source: PubMed

ABSTRACT In the past decade, follow-up studies on fiber-reinforced composite fixed partial dentures (FRC FPDs) have been described. Combining the results of these studies to draw conclusions about the effectiveness of FRC FPDs is challenging. The objective of this systematic review was to obtain survival rates of FRC FPDs and to explore the relationships between reported survival rates and risk factors. In a literature-selection procedure on the clinical performance of FRC FPDs, 15 studies, reporting on 13 sets of patients, were analyzed. The Kaplan-Meier estimate of the overall survival, based on the data from all sets of patients (n = 435) was 73.4% (69.4-77.4%) at 4.5 yr. Converted survival rates at 2 yr of follow-up showed substantial heterogeneity between studies. It was not possible to build a reliable regression model that indicated risk factors. The technical problems most commonly described were fracture of the FPD and delamination of the veneering composite.

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    ABSTRACT: Color match between fiber-reinforced composite (FRC) restorations and teeth is an imperative factor in esthetic dentistry. The purpose of this study is to evaluate the influence of veneering composites and fibers on the color change of FRC restorations. Glass and polyethylene fibers were used to reinforce a direct microhybrid composite (Z250, 3M ESPE) and a microfilled composite (Gradia Indirect, GC). There were eight experimental groups (n=5 disks per group). Four groups were used as the controls (non-FRC control) and the others were used as experimental groups. CIELAB parameters (L*, a* and b*) of specimens were evaluated against a white background using a spectrophotometer to assess the color change. The color difference (ΔE*) and color coordinates were (L*, a* and b*) analyzed by two-way ANOVA and Tukey's test. Both types of composite and fiber influenced the color parameters (ΔL*, Δa*). The incorporation of fibers into the composite in the experimental groups made them darker than the control groups, except in the Gradia Indirect+ glass fibers group. Δb* is affected by types of fibers only in direct fiber reinforced composite. No statistically significant differences were recognized in ΔE* among the groups (p>0.05). The findings of the present study suggest that the tested FRC restorations exhibited no difference in color in comparison with non-FRC restoration. Hence, the types of veneering composites and fibers did not influence the color change (ΔE*) of FRC restorations.
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    ABSTRACT: Purpose: This study evaluated the effect of either an intermediate application of adhesive resin or flowable resin application on the adhesion of particulate filler composite (PFC) to glass fiber-reinforced composite (FRC). Materials and Methods: Unidirectional, pre-impregnated S2-glass fiber bundles (Dentapreg) (length: 40 mm; thickness: 0.5 mm) were obtained (N = 30, n = 10 per group) and secured in translucent silicone material with the adhesion surface exposed and photopolymerized. They were randomly divided into 3 groups for the following adhesion sequence: A) FRC+PFC, B) FRC+intermediate adhesive resin+PFC, C) FRC+flowable resin+PFC. The PFC was applied in a polyethylene mold onto the FRC and photopolymerized. PFCs were debonded from the FRC surface using shear bond test in a universal testing machine (1 mm/min). After debonding, all specimens were analyzed using scanning electron microscopy to categorize the failure modes. The data were statistically analyzed using one-way ANOVA and Tukey's tests (α = 0.05). Results: A significant difference was observed between the groups (p < 0.05). The highest mean bond strength value was obtained with the application of an intermediate layer of adhesive resin (group B: 19.4 ± 1.1 MPa) (p < 0.05) followed by group A (14.1 ± 0.6 MPa) and group C (10.4 ± 0.8 MPa), which were also significantly different from one another (p < 0.05). Group A exclusively presented a combination of partial cohesive failure in the PFC and adhesive failure between the FRC and PFC. While group B showed large cohesive defects in the FRC, in group C, only small cohesive failures were observed in the FRC. Conclusion: Based on the highest mean bond strength and the large cohesive failures within the FRC, application of an intermediate layer of adhesive resin on the S2-glass FRC surface prior to incremental build up of the PFC seems to be compulsory.
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