Effect of Fiber Reinforcement Type on the Performance of Large Posterior Restorations: A Review of In Vitro Studies

To reinforce extensively prepared cavities, different types of fiber reinforcement are utilized. Polyethylene and glass fibers are the most commonly used fibers in that purpose; each type has its own advantages over the other type. Therefore, the aim of this study is to review the literature to eval...

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Main Authors: Enas Mangoush, Sufyan Garoushi, Lippo Lassila, Pekka K. Vallittu, Eija Säilynoja
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Polymers
Subjects:
Online Access:https://www.mdpi.com/2073-4360/13/21/3682
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author Enas Mangoush
Sufyan Garoushi
Lippo Lassila
Pekka K. Vallittu
Eija Säilynoja
author_facet Enas Mangoush
Sufyan Garoushi
Lippo Lassila
Pekka K. Vallittu
Eija Säilynoja
author_sort Enas Mangoush
collection DOAJ
description To reinforce extensively prepared cavities, different types of fiber reinforcement are utilized. Polyethylene and glass fibers are the most commonly used fibers in that purpose; each type has its own advantages over the other type. Therefore, the aim of this study is to review the literature to evaluate and compare the influence of different fiber reinforcement types on the performance of posterior large composite restorations. Two independent authors performed a comprehensive literature search using MEDLINE/PubMed, Google Scholar, and a manual search for cross references until July 2021. Authors selected only studies that contain comparisons between glass (continuous or short) and polyethylene (woven) fiber-reinforced composites (FRCs) in posterior cavities of human teeth, and that report the effect of fiber inclusion on fracture resistance, microleakage, and marginal adaptation of restorations. A number of 2711 potentially relevant articles were obtained from the electronic search. After extensive assessment, 2696 articles were ineligible to be included in the review, and only 15 articles met the inclusion criteria. Four out of nine studies, which tested the fracture resistance of FRC restorations, revealed similar performance of the glass and polyethylene fibers. The rest of the studies (<i>n</i> = 5) revealed statistically significant differences between the two types of fiber reinforcement, with the majority showed superior reinforcement of glass fiber. Moreover, the reviewed studies revealed that, using fibers within the composite restorations would reduce the microleakage and improve the marginal adaptation of the restoration regardless of the fiber type. FRCs tend to strengthen the restorations of structurally compromised teeth and improve their performance compared to plain composite restorations.
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spelling doaj.art-df50233d594b4bd58b358b10d20fde1f2023-11-22T21:27:12ZengMDPI AGPolymers2073-43602021-10-011321368210.3390/polym13213682Effect of Fiber Reinforcement Type on the Performance of Large Posterior Restorations: A Review of In Vitro StudiesEnas Mangoush0Sufyan Garoushi1Lippo Lassila2Pekka K. Vallittu3Eija Säilynoja4Turku Clinical Biomaterial Center (TCBC), Institute of Dentistry, University of Turku, 20100 Turku, FinlandTurku Clinical Biomaterial Center (TCBC), Institute of Dentistry, University of Turku, 20100 Turku, FinlandTurku Clinical Biomaterial Center (TCBC), Institute of Dentistry, University of Turku, 20100 Turku, FinlandTurku Clinical Biomaterial Center (TCBC), Institute of Dentistry, University of Turku, 20100 Turku, FinlandDepartment of Biomaterials Science, Institute of Dentistry, University of Turku, 20100 Turku, FinlandTo reinforce extensively prepared cavities, different types of fiber reinforcement are utilized. Polyethylene and glass fibers are the most commonly used fibers in that purpose; each type has its own advantages over the other type. Therefore, the aim of this study is to review the literature to evaluate and compare the influence of different fiber reinforcement types on the performance of posterior large composite restorations. Two independent authors performed a comprehensive literature search using MEDLINE/PubMed, Google Scholar, and a manual search for cross references until July 2021. Authors selected only studies that contain comparisons between glass (continuous or short) and polyethylene (woven) fiber-reinforced composites (FRCs) in posterior cavities of human teeth, and that report the effect of fiber inclusion on fracture resistance, microleakage, and marginal adaptation of restorations. A number of 2711 potentially relevant articles were obtained from the electronic search. After extensive assessment, 2696 articles were ineligible to be included in the review, and only 15 articles met the inclusion criteria. Four out of nine studies, which tested the fracture resistance of FRC restorations, revealed similar performance of the glass and polyethylene fibers. The rest of the studies (<i>n</i> = 5) revealed statistically significant differences between the two types of fiber reinforcement, with the majority showed superior reinforcement of glass fiber. Moreover, the reviewed studies revealed that, using fibers within the composite restorations would reduce the microleakage and improve the marginal adaptation of the restoration regardless of the fiber type. FRCs tend to strengthen the restorations of structurally compromised teeth and improve their performance compared to plain composite restorations.https://www.mdpi.com/2073-4360/13/21/3682fiber-reinforced composite restorationpolyethylene fiberglass fiberfracture resistancemicroleakage
spellingShingle Enas Mangoush
Sufyan Garoushi
Lippo Lassila
Pekka K. Vallittu
Eija Säilynoja
Effect of Fiber Reinforcement Type on the Performance of Large Posterior Restorations: A Review of In Vitro Studies
Polymers
fiber-reinforced composite restoration
polyethylene fiber
glass fiber
fracture resistance
microleakage
title Effect of Fiber Reinforcement Type on the Performance of Large Posterior Restorations: A Review of In Vitro Studies
title_full Effect of Fiber Reinforcement Type on the Performance of Large Posterior Restorations: A Review of In Vitro Studies
title_fullStr Effect of Fiber Reinforcement Type on the Performance of Large Posterior Restorations: A Review of In Vitro Studies
title_full_unstemmed Effect of Fiber Reinforcement Type on the Performance of Large Posterior Restorations: A Review of In Vitro Studies
title_short Effect of Fiber Reinforcement Type on the Performance of Large Posterior Restorations: A Review of In Vitro Studies
title_sort effect of fiber reinforcement type on the performance of large posterior restorations a review of in vitro studies
topic fiber-reinforced composite restoration
polyethylene fiber
glass fiber
fracture resistance
microleakage
url https://www.mdpi.com/2073-4360/13/21/3682
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