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Fatigue Resistance of Dissected Lower First Molars Restored with Direct Fiber-Reinforced Bridges-An In Vitro Pilot Study
The aim of this research was to evaluate the mechanical impact of utilizing different fiber-reinforced composite (FRC) systems to reinforce inlay-retained bridges in dissected lower molars with different levels of periodontal support. A total of 24 lower first molars and 24 lower second premolars we...
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Published in: | Polymers 2023-03, Vol.15 (6), p.1343 |
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creator | Szabó, Veronika T Szabó, Balázs Barcsayné-Tátrai, Noémi Mészáros, Csongor Braunitzer, Gábor Szabó, Balázs P Lassila, Lippo Garoushi, Sufyan Fráter, Márk |
description | The aim of this research was to evaluate the mechanical impact of utilizing different fiber-reinforced composite (FRC) systems to reinforce inlay-retained bridges in dissected lower molars with different levels of periodontal support. A total of 24 lower first molars and 24 lower second premolars were included in this study. The distal canal of all molars received endodontic treatment. After root canal treatment, the teeth were dissected, and only the distal halves were kept. Standardized class II occluso-distal (OD) (premolars) and mesio-occlusal (MO) (dissected molars) cavities were prepared in all teeth, and premolar-molar units were created. The units were randomly distributed among four groups (n = six/group). With the aid of a transparent silicone index, direct inlay-retained composite bridges were fabricated. In Groups 1 and 2, both discontinuous (everX Flow) and continuous (everStick C&B) fibers were used for reinforcement, while in Groups 3 and 4, only discontinuous fibers (everX Flow) were used. The restored units were embedded in methacrylate resin, simulating either physiological periodontal conditions or furcation involvement. Subsequently, all units underwent fatigue survival testing in a cyclic loading machine until fracture, or a total of 40,000 cycles. Kaplan-Meyer survival analyses were conducted, followed by pairwise log-rank post hoc comparisons. Fracture patterns were evaluated visually and with scanning electron microscopy. In terms of survival, Group 2 performed significantly better than Groups 3 and 4 (
< 0.05), while there was no significant difference between the other groups. In the case of impaired periodontal support, a combination of both continuous and discontinuous short FRC systems increased the fatigue resistance of direct inlay-retained composite bridges compared to bridges that only contained short fibers. Such a difference was not found in the case of sound periodontal support between the two different bridges. |
doi_str_mv | 10.3390/polym15061343 |
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< 0.05), while there was no significant difference between the other groups. In the case of impaired periodontal support, a combination of both continuous and discontinuous short FRC systems increased the fatigue resistance of direct inlay-retained composite bridges compared to bridges that only contained short fibers. Such a difference was not found in the case of sound periodontal support between the two different bridges.</description><identifier>ISSN: 2073-4360</identifier><identifier>EISSN: 2073-4360</identifier><identifier>DOI: 10.3390/polym15061343</identifier><identifier>PMID: 36987124</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Acrylic resins ; Adhesives ; Bridges (Dentistry) ; Communication ; Composite bridges ; Continuous fibers ; Crack initiation ; Cyclic loads ; Dentistry ; Dissection ; Edentulous ; Fatigue ; Fatigue strength ; Fatigue testing machines ; Fatigue tests ; Fiber composites ; Fibrous composites ; Fractures ; Materials ; Mechanical properties ; Molars ; Short fibers ; Success ; Survival ; Teeth ; Testing ; Transplants & implants</subject><ispartof>Polymers, 2023-03, Vol.15 (6), p.1343</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-5b4bf987f8c481e3d450490f741497fd98436afc8d460e2c8dbb77eb1d8daa4f3</citedby><cites>FETCH-LOGICAL-c450t-5b4bf987f8c481e3d450490f741497fd98436afc8d460e2c8dbb77eb1d8daa4f3</cites><orcidid>0000-0001-5950-3858 ; 0000-0002-0365-1613 ; 0000-0001-9457-2314 ; 0000-0002-5720-6566</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2791699372/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2791699372?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36987124$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Szabó, Veronika T</creatorcontrib><creatorcontrib>Szabó, Balázs</creatorcontrib><creatorcontrib>Barcsayné-Tátrai, Noémi</creatorcontrib><creatorcontrib>Mészáros, Csongor</creatorcontrib><creatorcontrib>Braunitzer, Gábor</creatorcontrib><creatorcontrib>Szabó, Balázs P</creatorcontrib><creatorcontrib>Lassila, Lippo</creatorcontrib><creatorcontrib>Garoushi, Sufyan</creatorcontrib><creatorcontrib>Fráter, Márk</creatorcontrib><title>Fatigue Resistance of Dissected Lower First Molars Restored with Direct Fiber-Reinforced Bridges-An In Vitro Pilot Study</title><title>Polymers</title><addtitle>Polymers (Basel)</addtitle><description>The aim of this research was to evaluate the mechanical impact of utilizing different fiber-reinforced composite (FRC) systems to reinforce inlay-retained bridges in dissected lower molars with different levels of periodontal support. A total of 24 lower first molars and 24 lower second premolars were included in this study. The distal canal of all molars received endodontic treatment. After root canal treatment, the teeth were dissected, and only the distal halves were kept. Standardized class II occluso-distal (OD) (premolars) and mesio-occlusal (MO) (dissected molars) cavities were prepared in all teeth, and premolar-molar units were created. The units were randomly distributed among four groups (n = six/group). With the aid of a transparent silicone index, direct inlay-retained composite bridges were fabricated. In Groups 1 and 2, both discontinuous (everX Flow) and continuous (everStick C&B) fibers were used for reinforcement, while in Groups 3 and 4, only discontinuous fibers (everX Flow) were used. The restored units were embedded in methacrylate resin, simulating either physiological periodontal conditions or furcation involvement. Subsequently, all units underwent fatigue survival testing in a cyclic loading machine until fracture, or a total of 40,000 cycles. Kaplan-Meyer survival analyses were conducted, followed by pairwise log-rank post hoc comparisons. Fracture patterns were evaluated visually and with scanning electron microscopy. In terms of survival, Group 2 performed significantly better than Groups 3 and 4 (
< 0.05), while there was no significant difference between the other groups. In the case of impaired periodontal support, a combination of both continuous and discontinuous short FRC systems increased the fatigue resistance of direct inlay-retained composite bridges compared to bridges that only contained short fibers. Such a difference was not found in the case of sound periodontal support between the two different bridges.</description><subject>Acrylic resins</subject><subject>Adhesives</subject><subject>Bridges (Dentistry)</subject><subject>Communication</subject><subject>Composite bridges</subject><subject>Continuous fibers</subject><subject>Crack initiation</subject><subject>Cyclic loads</subject><subject>Dentistry</subject><subject>Dissection</subject><subject>Edentulous</subject><subject>Fatigue</subject><subject>Fatigue strength</subject><subject>Fatigue testing machines</subject><subject>Fatigue tests</subject><subject>Fiber composites</subject><subject>Fibrous composites</subject><subject>Fractures</subject><subject>Materials</subject><subject>Mechanical properties</subject><subject>Molars</subject><subject>Short fibers</subject><subject>Success</subject><subject>Survival</subject><subject>Teeth</subject><subject>Testing</subject><subject>Transplants & implants</subject><issn>2073-4360</issn><issn>2073-4360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNptkt9vFCEQx4nR2Kb20VdD4vNWWNhleTJn62mTa2rqj1fCwnCl2V1OYK3338ulte0lhYeZzHzmmxkYhN5ScsKYJB82YdiOtCEtZZy9QIc1EazirCUvn_gH6DilG1IOb9qWitfogLWyE7Tmh-jvUme_ngFfQfIp68kADg6f-ZTAZLB4FW4h4qWPKeOLMOiYdmgOseRufb4uaCxkIXqI1RX4yYVoSvJT9HYNqVpM-HzCv3yOAX_zQ8j4e57t9g165fSQ4PjeHqGfy88_Tr9Wq8sv56eLVWV4Q3LV9Lx3pVnXGd5RYLZEuSROcMqlcFZ2ZUTtTGd5S6Autu-FgJ7azmrNHTtCH-90N3M_gjUw5agHtYl-1HGrgvZqPzP5a7UOfxQlpGGCtkXh_b1CDL_nMru6CXOcStOqFpK2UjJRP1JrPYDavUJRM6NPRi0EZ0KQppaFOnmGKtfC6E2YwPkS3yuo7gpMDClFcA-dU6J2O6D2dqDw756O-0D__3H2D4Wxras</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Szabó, Veronika T</creator><creator>Szabó, Balázs</creator><creator>Barcsayné-Tátrai, Noémi</creator><creator>Mészáros, Csongor</creator><creator>Braunitzer, Gábor</creator><creator>Szabó, Balázs P</creator><creator>Lassila, Lippo</creator><creator>Garoushi, Sufyan</creator><creator>Fráter, Márk</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SR</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>HCIFZ</scope><scope>JG9</scope><scope>KB.</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5950-3858</orcidid><orcidid>https://orcid.org/0000-0002-0365-1613</orcidid><orcidid>https://orcid.org/0000-0001-9457-2314</orcidid><orcidid>https://orcid.org/0000-0002-5720-6566</orcidid></search><sort><creationdate>20230301</creationdate><title>Fatigue Resistance of Dissected Lower First Molars Restored with Direct Fiber-Reinforced Bridges-An In Vitro Pilot Study</title><author>Szabó, Veronika T ; 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A total of 24 lower first molars and 24 lower second premolars were included in this study. The distal canal of all molars received endodontic treatment. After root canal treatment, the teeth were dissected, and only the distal halves were kept. Standardized class II occluso-distal (OD) (premolars) and mesio-occlusal (MO) (dissected molars) cavities were prepared in all teeth, and premolar-molar units were created. The units were randomly distributed among four groups (n = six/group). With the aid of a transparent silicone index, direct inlay-retained composite bridges were fabricated. In Groups 1 and 2, both discontinuous (everX Flow) and continuous (everStick C&B) fibers were used for reinforcement, while in Groups 3 and 4, only discontinuous fibers (everX Flow) were used. The restored units were embedded in methacrylate resin, simulating either physiological periodontal conditions or furcation involvement. Subsequently, all units underwent fatigue survival testing in a cyclic loading machine until fracture, or a total of 40,000 cycles. Kaplan-Meyer survival analyses were conducted, followed by pairwise log-rank post hoc comparisons. Fracture patterns were evaluated visually and with scanning electron microscopy. In terms of survival, Group 2 performed significantly better than Groups 3 and 4 (
< 0.05), while there was no significant difference between the other groups. In the case of impaired periodontal support, a combination of both continuous and discontinuous short FRC systems increased the fatigue resistance of direct inlay-retained composite bridges compared to bridges that only contained short fibers. Such a difference was not found in the case of sound periodontal support between the two different bridges.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36987124</pmid><doi>10.3390/polym15061343</doi><orcidid>https://orcid.org/0000-0001-5950-3858</orcidid><orcidid>https://orcid.org/0000-0002-0365-1613</orcidid><orcidid>https://orcid.org/0000-0001-9457-2314</orcidid><orcidid>https://orcid.org/0000-0002-5720-6566</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Acrylic resins Adhesives Bridges (Dentistry) Communication Composite bridges Continuous fibers Crack initiation Cyclic loads Dentistry Dissection Edentulous Fatigue Fatigue strength Fatigue testing machines Fatigue tests Fiber composites Fibrous composites Fractures Materials Mechanical properties Molars Short fibers Success Survival Teeth Testing Transplants & implants |
title | Fatigue Resistance of Dissected Lower First Molars Restored with Direct Fiber-Reinforced Bridges-An In Vitro Pilot Study |
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