Clinical studies of fiber-reinforced resin-bonded fixed partial dentures: a systematic review
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.
SourceAvailable from: Maria Tahir Azam[Show abstract] [Hide abstract]
ABSTRACT: Dentistry is amuch developed field in the last few decades.New techniques have changed the conventional treatment methods as applications of new dental materials give better outcomes. The current century has suddenly forced on dentistry, a new paradigm regarding expected standards for state-of-the-art patient care. Within the field of restorative dentistry, the incredible advances in dental materials research have led to the current availability of esthetic adhesive restorations. The chemistry and structure of the resins and the nature of the glass fiber reinforced systems in dental composites are reviewed in relation to their influence and properties including mechanical, physical, thermal, biocompatibility, technique sensitivity, mode and rate of failure of restorations on clinical application. It is clear that a deeper understanding of the structure of the polymeric matrix and resinbased dental composite is required. As a result of ongoing research in the area of glass fiber reinforced composites and with the development and advancement of these composites, the future prospects of resin-based composite are encouraging.Materials Science and Engineering C 11/2014; 47:26-39. DOI:10.1016/j.msec.2014.11.015 · 2.74 Impact Factor
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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.
IOSR Journal of Dental and Medical Sciences 09/2014; 13(9). DOI:10.9790/0853-1396129133 · 1.58 Impact Factor