{"title":"Evaluation of Fracture Resistance of Reattached Tooth Fragments Restored Using Fiber-reinforced Composites: A Systematic Review.","authors":"Nassreen Hassan Mohammad Albar","doi":"10.5005/jp-journals-10024-3710","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim and background: </strong>This systematic review examined the current literature to evaluate the fracture resistance of the tooth fragments reattached using fiber-reinforced composites (FRC).</p><p><strong>Materials and methods: </strong>An electronic search was performed on Scopus, PubMed, and Web of Science databases according to specific inclusion and exclusion criteria to identify relevant articles to be included until January 2023. Articles with full text available in the English language for randomized control studies, observational studies, retrospective studies, and <i>in vitro</i> studies conducted on permanent human teeth were selected. The risk of bias was assessed in all studies using the OHAT tool.</p><p><strong>Results: </strong>Out of 16 search results, seven <i>in vitro</i> studies with a total of 415 samples were included in the review. Three studies reported that reinforcement using rigid FRC posts improves fracture resistance of reattached anterior teeth, three studies reported that reinforcement using flexible fiber bundles enhances the fracture strength of reattached posterior teeth and one study reported that the use of flexible polyethylene fibers improves fracture resistance in molars with reattached cusps.</p><p><strong>Conclusion: </strong>Within the limitations of the studies included in the review, there is low-quality evidence that reinforcement of reattached fragments using FRC posts or fibers improves fracture resistance.</p><p><strong>Clinical significance: </strong>The reattached fractured fragments may be susceptible to re-fracture. The use of FRC to reinforce the resin composite used for reattachment may enhance the bond strength and increase resistance to fracture. How to cite this article: Albar NHM. Evaluation of Fracture Resistance of Reattached Tooth Fragments Restored Using Fiber-reinforced Composites: A Systematic Review. J Contemp Dent Pract 2024;25(6):605-615.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"25 6","pages":"605-615"},"PeriodicalIF":0.0000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Contemporary Dental Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5005/jp-journals-10024-3710","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Dentistry","Score":null,"Total":0}
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Abstract
Aim and background: This systematic review examined the current literature to evaluate the fracture resistance of the tooth fragments reattached using fiber-reinforced composites (FRC).
Materials and methods: An electronic search was performed on Scopus, PubMed, and Web of Science databases according to specific inclusion and exclusion criteria to identify relevant articles to be included until January 2023. Articles with full text available in the English language for randomized control studies, observational studies, retrospective studies, and in vitro studies conducted on permanent human teeth were selected. The risk of bias was assessed in all studies using the OHAT tool.
Results: Out of 16 search results, seven in vitro studies with a total of 415 samples were included in the review. Three studies reported that reinforcement using rigid FRC posts improves fracture resistance of reattached anterior teeth, three studies reported that reinforcement using flexible fiber bundles enhances the fracture strength of reattached posterior teeth and one study reported that the use of flexible polyethylene fibers improves fracture resistance in molars with reattached cusps.
Conclusion: Within the limitations of the studies included in the review, there is low-quality evidence that reinforcement of reattached fragments using FRC posts or fibers improves fracture resistance.
Clinical significance: The reattached fractured fragments may be susceptible to re-fracture. The use of FRC to reinforce the resin composite used for reattachment may enhance the bond strength and increase resistance to fracture. How to cite this article: Albar NHM. Evaluation of Fracture Resistance of Reattached Tooth Fragments Restored Using Fiber-reinforced Composites: A Systematic Review. J Contemp Dent Pract 2024;25(6):605-615.
期刊介绍：
The Journal of Contemporary Dental Practice (JCDP), is a peer-reviewed, open access MEDLINE indexed journal. The journal’s full text is available online at http://www.thejcdp.com. The journal allows free access (open access) to its contents. Articles with clinical relevance will be given preference for publication. The Journal publishes original research papers, review articles, rare and novel case reports, and clinical techniques. Manuscripts are invited from all specialties of dentistry i.e., conservative dentistry and endodontics, dentofacial orthopedics and orthodontics, oral medicine and radiology, oral pathology, oral surgery, orodental diseases, pediatric dentistry, implantology, periodontics, clinical aspects of public health dentistry, and prosthodontics.
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