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VOLUME 8 , ISSUE 2 ( February, 2007 ) > List of Articles

RESEARCH ARTICLE

Fatigue Strength of Fragmented Incisal Edges Restored with a Fiber Reinforced Restorative Material

Lippo V.J. Lassila, Pekka K. Vallittu, Sufyan K. Garoushi

Citation Information : Lassila LV, Vallittu PK, Garoushi SK. Fatigue Strength of Fragmented Incisal Edges Restored with a Fiber Reinforced Restorative Material. J Contemp Dent Pract 2007; 8 (2):9-16.

DOI: 10.5005/jcdp-8-2-9

License: CC BY-NC 3.0

Published Online: 01-03-2008

Copyright Statement:  Copyright © 2007; The Author(s).


Abstract

Aim

The aim of this study was to determine the compressive fatigue limits (CFLs) of fractured incisor teeth restored using either a conventional adhesive-composite technique or using fiber-reinforced composites (FRCs).

Methods and Materials

Fifteen extracted sound upper incisor teeth were prepared by cutting away the incisal one-third part of their crowns horizontally. The teeth were restored using three techniques. Group A (control group) was restored by reattaching the original incisal edge to the tooth. Group B was restored using particulate filler composite (PFC). Group C was restored with PFC and FRC by adding a thin layer of FRC to the palatal surface of the teeth. The bonding system used was a conventional etch system with primer and adhesive. All restored teeth were stored in water at room temperature for 24 h before they were loaded under a cyclic load with a maximum controlled regimen using a universal testing machine. The test employed a staircase approach with a maximum of 103 cycles or until failure occurred. Data were analyzed using analysis of variance (ANOVA) (p=0.05). Failure modes were visually examined.

Results

Group A (reattaching fractured incisal edge) revealed the lowest CFL values, whereas the creation of a new incisal edge with PFC revealed a 152% higher CFL value compared to Group A. Group C (teeth restored with FRC) revealed a 352% higher CFL than the control group. ANOVA revealed the restoration technique significantly affected the compressive fatigue limit (p<0.001). The failure mode in Group A and B was debonding of the restoration from the adhesive interface. While in Group C, the sample teeth fractured below their cemento-enamel junctions.

Conclusion

These results suggested an incisally fractured tooth restored with the combination of PFC and FRC-structure provided the highest CFL.

Citation

Garoushi SK, Lassila LVJ, Vallittu PK. Fatigue Strength of Fragmented Incisal Edges Restored with a Fiber Reinforced Restorative Material. J Contemp Dent Pract 2007 February;(8)2:009-016.

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