Zotti Francesca, Hu Jie, Zangani Alessandro, Albanese Massimo, Paganelli Corrado
Researcher, Department of Surgical Sciences, Paediatrics and Gynecology, University of Verona, 37134 Verona, Italy (IT).
M.D., Private Practice, 37134, Verona, Italy.
J Clin Exp Dent. 2023 Apr 1;15(4):e318-e323. doi: 10.4317/jced.60334. eCollection 2023 Apr.
Ribbond fibers are supposed to be a reinforcing material in restoration of compromised teeth. This study aims to compare MOD restorations with and without Ribbond Fiber in terms of fracture strength under axial loading; to identify the minimum depth of MOD cavities to use Ribbond Fiber (to improve the fracture strength under axial load.
20 upper and lower molars extracted intact were used for the experiment. The teeth were prepared with 2 types of cavities and then divided into 4 groups: 1) 5 mm deep MOD cavities with residual interaxial dentin restored without Ribbond; 2) 5 mm deep MOD cavities with residual interaxial dentin restored with Ribbond; 3) 5 mm deep MOD cavities without residual interaxial dentin, restored without Ribbond; 4) 5 mm deep MOD cavities without residual interaxial dentin restored with Ribbond. The restored teeth were then subjected to thermal cycling and their fracture strength was evaluated using an Instron device. The Mann-Whitney statistical test was used to compare fracture strength among groups. Finally, a descriptive analysis of the verified fractures was performed.
There was a statistically significant difference between groups 1 and 2 ( = 0.0090) in the loading force required for a fracture. In contrast, there was no statistically significant difference between groups 3 and 4 ( = 0.7540). Groups 1 and 2 had the fewest non-restorable fractures, in contrast to groups 3 and 4.
Ribbond fiber application in MOD cavities seems to be more effective in terms of strengthening where cavities have interaxial dentinal tissue. Ribbond fibers, fracture strenght, direct dental restorations.
带状纤维被认为是修复受损牙齿的一种增强材料。本研究旨在比较有和没有带状纤维的近中-牙合-远中(MOD)修复体在轴向加载下的断裂强度;确定使用带状纤维的MOD洞型的最小深度(以提高轴向加载下的断裂强度)。
使用20颗完整拔除的上下颌磨牙进行实验。制备两种类型的洞型,然后将牙齿分为4组:1)5mm深的MOD洞型,剩余轴间牙本质未用带状纤维修复;2)5mm深的MOD洞型,剩余轴间牙本质用带状纤维修复;3)5mm深的MOD洞型,无剩余轴间牙本质,未用带状纤维修复;4)5mm深的MOD洞型,无剩余轴间牙本质,用带状纤维修复。然后对修复后的牙齿进行热循环,并使用英斯特朗设备评估其断裂强度。采用曼-惠特尼统计检验比较各组之间的断裂强度。最后,对已证实的骨折进行描述性分析。
第1组和第2组在骨折所需加载力方面存在统计学显著差异(P = 0.0090)。相比之下,第3组和第4组之间没有统计学显著差异(P = 0.7540)。与第3组和第4组相比,第1组和第2组的不可修复骨折最少。
在有轴间牙本质组织的洞型中,在MOD洞型中应用带状纤维在增强方面似乎更有效。带状纤维、断裂强度、直接牙修复。