Fracture Resistance of Teeth Restored with Bulk-Fill and Fiber-Reinforced Composites in Class II Cavities / Resistencia a la fractura de dientes restaurados con resinas de relleno y resinas reforzadas con fibra en cavidades clase II

ABSTRACT: This study aimed to evaluate the fracture resistance of teeth restored with conventional, bulk-fill, and fiber-reinforced composite materials regarding intact teeth. Standard cavities were prepared on 70 sound third molar teeth. The teeth were randomly divided into six groups: intact teeth, conventional Bis-GMA based composite, fiber-reinforced composite, Bis-GMA based bulk-fill composite, ormocer based bulk-fill composite, glass containing resin-based bulk-fill composite. The data was obtained by a Universal Testing Machine and analyzed statistically. Fracture resistance of the teeth restored with conventional composite was significantly lower than the other groups (p0.05). The obtained data showed that restoring teeth with bulk-fill and fiber-reinforced composites could be recommended in Class II cavities.

RESUMEN: El objetivo del presente estudio fue evaluar la resistencia a la fractura de los dientes restaurados con materiales compuestos convencionales, de relleno y reforzados con fibras, en relación con los dientes intactos. Se prepararon cavidades estándar en 70 dientes de terceros molares sanos. Los dientes se dividieron al azar en seis grupos: dientes intactos, compuesto convencional basado en Bis-GMA, compuesto reforzado con fibra, compuesto de relleno a base de Bis-GMA, compuesto de relleno a base de ormocer, compuesto de relleno a base de vidrio que contiene resina. Los resultados fueron obtenidos utilizando una máquina universal de pruebas y analizados estadísticamente. La resistencia a la fractura de los dientes restaurados con el composite convencional fue significativamente menor que la de los otros grupos (p0,05). Los datos obtenidos mostraron que la restauración de dientes con composites de relleno y reforzados con fibra podría ser recomendada en cavidades de Clase II.

Use of Mineral Trioxide Aggregate with or without a Collagen Sponge as an Apical Plug in Teeth with Immature Apices.

OBJECTIVE: This retrospective study aimed to evaluate the clinical outcomes of the apical plug performed using MTA with or without collagen sponge in immature anterior maxillary teeth with necrotic pulp. STUDY DESIGN: The study included apical obturation of 20 upper incisor teeth from 18 patients and outcomes of 12-month follow-up. The teeth were divided into 2 groups with 10 cases in each group according to the apexification protocol (Group 1; apical plug with MTA, Group 2; collagen sponge and apical plug with MTA). The artificial apical barrier, approximately 4-mm-thick, was created with MTA in each group. Based on clinical and radiographic criteria, the outcome was assessed using the periapical index (PAI) by 2 calibrated investigators. RESULTS: In this study, 3 of the 6 teeth (50%) in Group 1 and 5 of the 8 teeth (62.5%) in Group 2 healed at the 12-month follow-up. However, there was no statistically significant difference between the groups at the post-treatment follow-up times. CONCLUSION: The use of collagen as an apical matrix prior to the MTA plug can be suggested due to favorable clinical outcomes.

Bond strength of Ion-releasing Restorative Materials to Sound and Caries-affected Dentin.

OBJECTIVE: This study evaluated the microtensile bond strength (µTBS) of ion-releasing restorative materials to sound and caries-affected dentin (CAD). STUDY DESIGN: 60 teeth were randomly divided into 2 groups (sound dentin, CAD) and 5 subgroups of 6 samples each: conventional glass ionomer cement (GIC), resin-modified GIC (RMGIC), glass hybrid reinforced GIC (EQ), giomer (BII), and bioactive restorative material (ACT). µTBS analyses were performed and data were analyzed statistically. RESULTS: The ACT group bonded to sound dentin and the BII group bonded to CAD showed the highest µTBS (p<0.05). The GIC, RMGIC, and ACT groups, showed significantly lower µTBS when bonded to CAD compared with sound dentin (p<0.05). However, in the BII group, there were no statistically significant differences between the samples bonded to sound and CAD (p>0.05). All groups except EQ that bonded to sound dentin showed predominantly adhesive failure. CONCLUSION: The use of the giomer can be recommended due to its more stable bond durability.