Biomimetic dentistry using polyethylene fibers
Keywords:
biomimetics, conservative treatment, dental fissures, dental restoration repair, elastic modulus.Abstract
Introduction: Biomimetic dentistry employs materials that aim to mimic the inherent nature of teeth and prioritize conservative treatments.
Objective: To review the usage of fiber-reinforced compounds, by considering various types of dental destruction, fractures, and failure patterns.
Methods: A review was conducted on SciELO, Google Scholar, and PubMed using keywords such as "composite resin core," "flared root," "fracture strength," "glass fiber posts," and "glass fiber ribbons," combined with AND and OR operators. It was ensured that all selected articles had been published within the last 5 years. Following selection, the biomechanical characteristics and clinical applications of the reviewed materials were analyzed.
Development: The utilization of polyethylene fibers as a restorative material has revealed various notable physical properties, including fracture resistance, microfiltration, flexural strength, and modulus of elasticity. Literature results support the enhancement of these properties compared to other restorative materials. Concerning clinical application, polyethylene fiber is commonly observed in use for dental fissures, endodontically treated teeth, and extensive restorations. Ultimately, the use of this compound is distinguished by its ability to enhance compared to conventional materials.
Conclusion: Polyethylene fiber stands out in dentistry for its application and benefits, as a less invasive option. In dentistry, fibers improve load and failure mode compared to conventional restorations.
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References
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6. Mangoush E, Garoushi S, Lassila L, Vallittu PK, Säilynoja E. Effect of fiber reinforcement type on the performance of large posterior restorations: A review of in vitro studies. Polymers (Basel). 2021;13(21):3682. DOI: 10.3390/polym13213682
7. Albar N, Khayat W. Fracture Load of Mesio-Occluso-Distal Composite Restorations Performed with Different Reinforcement Techniques: An In Vitro Study. Polymers (Basel). 2023;15(6):1358. DOI: 10.3390/polym15061358
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10. Eliguzeloglu Dalkiliç E, Kazak M, Hisarbeyli D, Fildisi MA, Donmez N, Deniz Arisu H. Can Fiber Application Affect the Fracture Strength of Endodontically Treated Teeth Restored with a Low Viscosity Bulk-Fill Composite? Biomed Res Int. 2019; 3126931:1-7. DOI: 10.1155/2019/3126931
11. Sadr A, Bakhtiari B, Hayashi J, Luong MN, Chen YW, Chyz G, et al. Effects of fiber reinforcement on adaptation and bond strength of a bulk-fill composite in deep preparations. Dent Mater. 2020;36(4):527-34. DOI: 10.1016/j.dental.2020.01.007
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13. Aslan T, Sagsen B, Er Ö, Ustun Y, Cinar F. Evaluation of fracture resistance in root canal-treated teeth restored using different techniques. Niger J Clin Pract. 2018;21(6):795. DOI: 10.4103/njcp.njcp_330_17
14. Kubo M, Komada W, Otake S, Inagaki T, Omori S, Miura H. The effect of glass fiber posts and ribbons on the fracture strength of teeth with flared root canals restored using composite resin post and cores. J Prosthodont Res. 2018;62(1):97-103. DOI: 10.1016/j.jpor.2017.07.002
15. Mishra P, Narang A, Singh S, Sharma A, Chauhan V. A Comparative Evaluation of Fracture Strength of Natural Tooth Pontic Reinforced with Polyethylene-fiber Post vs Glass-fiber Post: An In Vitro Study. Int J Prosthodont Restor Dent. 2022;11(4):178-82. DOI: 10.5005/jp-journals-10019-1346
16. Mital P, Srivastava H, Somani N, Khurana D. Comparison of Ribbond and Everstick Post in Reinforcing the Re-attached Maxillary Incisors Having Two Oblique Fracture Patterns: An In Vitro Study. Int J Clin Pediatr Dent. 2021;14(5):689-92. DOI: 10.5005/jp-journals-10005-2035
17. Sfeikos T, Dionysopoulos D, Kouros P, Naka O, Tolidis K. Effect of a fiber-reinforcing technique for direct composite restorations of structurally compromised teeth on marginal microleakage. J Esthet Restor Dent. 2022;34(4):650-60. DOI: 10.1111/jerd.12895
18. Hu Z. Biomimetic Design and Topology Optimization of Discontinuous Carbon Fiber-Reinforced Composite Lattice Structures. Biomimetics. 2023;8(2):148-64. DOI: 10.3390/biomimetics8020148
19. Ruiz-Matorel M, Pardo-Betancourt MF, Jaimes-Monroy G, Muñoz-Martínez E, Palma-Medina JE. Resistencia a la fractura de postes de fibra de vidrio vs postes colados en dientes anteriores. Revisión sistemática. CES Odontol. [Internet]. 2016 [acceso: 26/27/2023]; 29(1):45-56. Disponible en: http://revistas.ces.edu.co/index.php/odontologia/article/view/3925
20. Hshad M, Dalkiliç E, Ozturk G, Dogruer I, Koray F. Influence of Different Restoration Techniques on Fracture Resistance of Root-filled Teeth: In Vitro Investigation. Oper Dent. 2018;43(2):162-9. DOI: 10.2341/17-040-L
21. Durán-Neira PA, Valdivieso Tocto N. Ribbond® como fibras de refuerzo en la rehabilitación post endodóntica. [Internet]. Rev Científica Espec ODONTOLÓGICAS UG. 2023 [acceso: 26/27/2023]; 6(2): 63-77. Disponible en: https://revistas.ug.edu.ec/index.php/eoug/article/view/2183
22. Psarri C, Kourtis S. Effect of fiber-reinforcement on the strength of polymer materials for provisional restorations: An in vitro study. J Esthet Restor Dent. 2020;32(4):433-40. DOI: 10.1111/jerd.12586
23. Pulley IA, Siguencia LJ. Uso de fibra polietileno en dientes estructuralmente comprometidos. [Internet]. [Tesis de grado]. Guayaquil: Facultad Piloto de Odontología, Universidad de Guayaquil; 2022. [acceso: 26/27/2023]. Disponible en: https://repositorio.ug.edu.ec/server/api/core/bitstreams/0c65788e-1439-49f6-ab7d-a174fdd02210/content
24. Shi R, Meng X, Feng R, Hong S, Hu C, Yang M, et al. Stress Distribution and Fracture Resistance of repairing Cracked Tooth with Fiber-reinforced Composites and Onlay. Aust Endod J. 2022; 48(3):458-64. DOI: 10.1111/aej.12578
25. Hurtado-Montero WA. Aplicaciones de la fibra de polietileno en restauraciones dentales. [Internet]. [Tesis de grado]. Guayaquil: Facultad Piloto de Odontología. Universidad de Guayaquil; 2021. [acceso:26/27/2023]. Disponible en: https://repositorio.ug.edu.ec/server/api/core/bitstreams/862926f7-594c-4224-96de-f300d90926a8/content
26. Pérez-Suazo J, Veloso Machuca M. Uso de poste de fibra de vidrio vs Restauraciones adhesivas de composite con fibras de polietileno en dientes tratados endodónticamente. [Internet]. [Tesis de grado]. Valparaíso: Facultad de Odontología, Universidad Andrés Bello; 2022 [acceso: 26/27/2023]. Disponible en: https://repositorio.unab.cl/xmlui/handle/ria/49343
27. Soto-Cadena SL, Zavala-Alonso N V., Cerda-Cristerna BI, Ortiz-Magdaleno M. Effect of short fiber-reinforced composite combined with polyethylene fibers on fracture resistance of endodontically treated premolars. J Prosthet Dent. 2023;129(4)e1-10. DOI: 10.1016/j.prosdent.2023.01.034
28. Hasija MK, Meena B, Wadhwa D, Aggarwal V. Effect of adding ribbond fibres on marginal adaptation in class II composite restorations in teeth with affected dentine. J Oral Biol Craniofacial Res. 2020;10(2):203-5. DOI: 10.1016/j.jobcr.2020.04.013
29. Espinoza P, Morales J, Riquelme G, Barría F. Aplicación de fibras en dientes posteriores y su resistencia a la fractura: revisión sistemática [Internet]. [Tesis de grado]. Valparaíso: Facultad de Odontología, Universidad Andres Bello; 2022. [acceso: 26/27/2023]. Disponible en: https://repositorio.unab.cl/xmlui/handle/ria/48735
30. Pankratz V, Zimmer S, Markovic L. Anterior fiber-reinforced ribbon composite resin bridge-A case report. Clin Case Reports. 2018;6(10):1941-6. DOI: 10.1002/ccr3.1745
31. Garoushi S, Gargoum A, Vallittu PK, Lassila L. Short fiber-reinforced composite restorations: A review of the current literature. J Investig Clin Dent. 2018;9(3): e12330-38. DOI: 10.1111/jicd.12330
2. Suvarna S, Bedrossian AE, Xu Q, Kuykendall W, Ramos V, Sorenson JA, et al. Effect of Fiber Reinforcement on the Flexural Strength of the Transitional Implant-Supported Fixed Dental Prosthesis. J Prosthodont. 2023;32(2):139-46. DOI: 10.1111/jopr.13507
3. Karabekmez D, Aktas G. Single anterior tooth replacement with direct fiber-reinforced composite bridges: A report of three cases. Niger J Clin Pract. 2020;23(3):434. DOI: 10.1111/jopr.13507
4. Bijelic-Donova J, Keulemans F, Vallittu PK, Lassila LVJ. Direct bilayered biomimetic composite restoration: The effect of a cusp-supporting short fiber-reinforced base design on the chewing fracture resistance and failure mode of molars with or without endodontic treatment. J Mech Behav Biomed Mater. 2020; 103:103554. DOI: 10.1016/j.jmbbm.2019.103554
5. Zotti F, Hu J, Zangani A, Albanese M, Paganelli C. Fracture strenght and ribbond fibers: In vitro analysis of mod restorations. J Clin Exp Dent. 2023;15(4): e318-23. DOI: 10.4317/jced.60334
6. Mangoush E, Garoushi S, Lassila L, Vallittu PK, Säilynoja E. Effect of fiber reinforcement type on the performance of large posterior restorations: A review of in vitro studies. Polymers (Basel). 2021;13(21):3682. DOI: 10.3390/polym13213682
7. Albar N, Khayat W. Fracture Load of Mesio-Occluso-Distal Composite Restorations Performed with Different Reinforcement Techniques: An In Vitro Study. Polymers (Basel). 2023;15(6):1358. DOI: 10.3390/polym15061358
8. Jakab A, Volom A, Sáry T, Vincze-Bandi E, Braunitzer G, Alleman D, et al. Mechanical Performance of Direct Restorative Techniques Utilizing Long Fibers for "Horizontal Splinting" to Reinforce Deep MOD Cavities-An Updated Literature Review. Polymers (Basel). 2022;14(7):1438. DOI: 10.3390/polym14071438
9. Patnana A, Vanga N V., Vabbalareddy R, Chandrabhatla S. Evaluating the fracture resistance of fiber reinforced composite restorations - An in vitro analysis. Indian J Dent Res. 2020;31(1):138-44. DOI: 10.4103/ijdr.IJDR_465_18
10. Eliguzeloglu Dalkiliç E, Kazak M, Hisarbeyli D, Fildisi MA, Donmez N, Deniz Arisu H. Can Fiber Application Affect the Fracture Strength of Endodontically Treated Teeth Restored with a Low Viscosity Bulk-Fill Composite? Biomed Res Int. 2019; 3126931:1-7. DOI: 10.1155/2019/3126931
11. Sadr A, Bakhtiari B, Hayashi J, Luong MN, Chen YW, Chyz G, et al. Effects of fiber reinforcement on adaptation and bond strength of a bulk-fill composite in deep preparations. Dent Mater. 2020;36(4):527-34. DOI: 10.1016/j.dental.2020.01.007
12. Mejía-Calvopiña, EA, Vallejo Vélez KE. Resistencia a la fractura de restauraciones directas convencionales vs restauraciones directas con fibras de polietileno en cavidades clase II MOD. Estudio In Vitro. [Internet]. [Tesis de grado]. Quito: Facultad de Odontología, Universidad Central del Ecuador; 2023 [acceso: 26/27/2023]. Disponible en: https://www.dspace.uce.edu.ec/entities/publication/67ed1edf-0936-45dc-8e66-6bb0c5baf706
13. Aslan T, Sagsen B, Er Ö, Ustun Y, Cinar F. Evaluation of fracture resistance in root canal-treated teeth restored using different techniques. Niger J Clin Pract. 2018;21(6):795. DOI: 10.4103/njcp.njcp_330_17
14. Kubo M, Komada W, Otake S, Inagaki T, Omori S, Miura H. The effect of glass fiber posts and ribbons on the fracture strength of teeth with flared root canals restored using composite resin post and cores. J Prosthodont Res. 2018;62(1):97-103. DOI: 10.1016/j.jpor.2017.07.002
15. Mishra P, Narang A, Singh S, Sharma A, Chauhan V. A Comparative Evaluation of Fracture Strength of Natural Tooth Pontic Reinforced with Polyethylene-fiber Post vs Glass-fiber Post: An In Vitro Study. Int J Prosthodont Restor Dent. 2022;11(4):178-82. DOI: 10.5005/jp-journals-10019-1346
16. Mital P, Srivastava H, Somani N, Khurana D. Comparison of Ribbond and Everstick Post in Reinforcing the Re-attached Maxillary Incisors Having Two Oblique Fracture Patterns: An In Vitro Study. Int J Clin Pediatr Dent. 2021;14(5):689-92. DOI: 10.5005/jp-journals-10005-2035
17. Sfeikos T, Dionysopoulos D, Kouros P, Naka O, Tolidis K. Effect of a fiber-reinforcing technique for direct composite restorations of structurally compromised teeth on marginal microleakage. J Esthet Restor Dent. 2022;34(4):650-60. DOI: 10.1111/jerd.12895
18. Hu Z. Biomimetic Design and Topology Optimization of Discontinuous Carbon Fiber-Reinforced Composite Lattice Structures. Biomimetics. 2023;8(2):148-64. DOI: 10.3390/biomimetics8020148
19. Ruiz-Matorel M, Pardo-Betancourt MF, Jaimes-Monroy G, Muñoz-Martínez E, Palma-Medina JE. Resistencia a la fractura de postes de fibra de vidrio vs postes colados en dientes anteriores. Revisión sistemática. CES Odontol. [Internet]. 2016 [acceso: 26/27/2023]; 29(1):45-56. Disponible en: http://revistas.ces.edu.co/index.php/odontologia/article/view/3925
20. Hshad M, Dalkiliç E, Ozturk G, Dogruer I, Koray F. Influence of Different Restoration Techniques on Fracture Resistance of Root-filled Teeth: In Vitro Investigation. Oper Dent. 2018;43(2):162-9. DOI: 10.2341/17-040-L
21. Durán-Neira PA, Valdivieso Tocto N. Ribbond® como fibras de refuerzo en la rehabilitación post endodóntica. [Internet]. Rev Científica Espec ODONTOLÓGICAS UG. 2023 [acceso: 26/27/2023]; 6(2): 63-77. Disponible en: https://revistas.ug.edu.ec/index.php/eoug/article/view/2183
22. Psarri C, Kourtis S. Effect of fiber-reinforcement on the strength of polymer materials for provisional restorations: An in vitro study. J Esthet Restor Dent. 2020;32(4):433-40. DOI: 10.1111/jerd.12586
23. Pulley IA, Siguencia LJ. Uso de fibra polietileno en dientes estructuralmente comprometidos. [Internet]. [Tesis de grado]. Guayaquil: Facultad Piloto de Odontología, Universidad de Guayaquil; 2022. [acceso: 26/27/2023]. Disponible en: https://repositorio.ug.edu.ec/server/api/core/bitstreams/0c65788e-1439-49f6-ab7d-a174fdd02210/content
24. Shi R, Meng X, Feng R, Hong S, Hu C, Yang M, et al. Stress Distribution and Fracture Resistance of repairing Cracked Tooth with Fiber-reinforced Composites and Onlay. Aust Endod J. 2022; 48(3):458-64. DOI: 10.1111/aej.12578
25. Hurtado-Montero WA. Aplicaciones de la fibra de polietileno en restauraciones dentales. [Internet]. [Tesis de grado]. Guayaquil: Facultad Piloto de Odontología. Universidad de Guayaquil; 2021. [acceso:26/27/2023]. Disponible en: https://repositorio.ug.edu.ec/server/api/core/bitstreams/862926f7-594c-4224-96de-f300d90926a8/content
26. Pérez-Suazo J, Veloso Machuca M. Uso de poste de fibra de vidrio vs Restauraciones adhesivas de composite con fibras de polietileno en dientes tratados endodónticamente. [Internet]. [Tesis de grado]. Valparaíso: Facultad de Odontología, Universidad Andrés Bello; 2022 [acceso: 26/27/2023]. Disponible en: https://repositorio.unab.cl/xmlui/handle/ria/49343
27. Soto-Cadena SL, Zavala-Alonso N V., Cerda-Cristerna BI, Ortiz-Magdaleno M. Effect of short fiber-reinforced composite combined with polyethylene fibers on fracture resistance of endodontically treated premolars. J Prosthet Dent. 2023;129(4)e1-10. DOI: 10.1016/j.prosdent.2023.01.034
28. Hasija MK, Meena B, Wadhwa D, Aggarwal V. Effect of adding ribbond fibres on marginal adaptation in class II composite restorations in teeth with affected dentine. J Oral Biol Craniofacial Res. 2020;10(2):203-5. DOI: 10.1016/j.jobcr.2020.04.013
29. Espinoza P, Morales J, Riquelme G, Barría F. Aplicación de fibras en dientes posteriores y su resistencia a la fractura: revisión sistemática [Internet]. [Tesis de grado]. Valparaíso: Facultad de Odontología, Universidad Andres Bello; 2022. [acceso: 26/27/2023]. Disponible en: https://repositorio.unab.cl/xmlui/handle/ria/48735
30. Pankratz V, Zimmer S, Markovic L. Anterior fiber-reinforced ribbon composite resin bridge-A case report. Clin Case Reports. 2018;6(10):1941-6. DOI: 10.1002/ccr3.1745
31. Garoushi S, Gargoum A, Vallittu PK, Lassila L. Short fiber-reinforced composite restorations: A review of the current literature. J Investig Clin Dent. 2018;9(3): e12330-38. DOI: 10.1111/jicd.12330
Published
2024-04-16
How to Cite
1.
Cabarique-Mojica JM, Castillo-Pedraza MC, Wilches-Visbal JH. Biomimetic dentistry using polyethylene fibers. Rev Cubana Med Milit [Internet]. 2024 Apr. 16 [cited 2025 Apr. 3];53(2):e024038054. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/38054
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