Clinical Performance of Polyethylene Fiber Reinforced Resin Composite Restorations (Wall Papering Technique) Versus Bulk Fill Resin Composite Restorations in Endodontically Treated Teeth Will be Evaluated Using Modified USPHS Criteria.
NCT ID: NCT05180903
Last Updated: 2023-09-26
Study Results
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Basic Information
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COMPLETED
NA
28 participants
INTERVENTIONAL
2022-04-01
2023-09-10
Brief Summary
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Detailed Description
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Restoration of non-vital teeth is always challenging for dentists. Without placing the coronal restoration, root canal treatments are not considered complete. Appropriate treatment plan selection should be based on remaining tooth structure, cavity wall thickness, tooth position in the arch, and load applied to the tooth. Previously, endodontically treated teeth (ETT) were reconstructed automatically with post, core, and full crown. But this treatment plan had many risks like root perforation, sacrificing a considerable amount of sound tooth structure, and tooth fracture.Several techniques and materials have been developed for the restoration of endodontically treated teeth including complete cast coverage, composite resins and amalgam and indirect restorations covering cusps. Resin-based materials provide rigidity and increase the fracture resistance of non-vital teeth by rein-forcing unsupported tissues. Advanced adhesive systems with improved physical properties are more aesthetic and support remaining tooth structures better than amalgam. In order to reduce polymerization shrinkage stresses, flowable resins with low elastic modulus have been suggested as a stress-absorbing layer under composite restorations. On the other hand, the use of flowable resin does not increase fracture resistance, and this layer results in contraction stresses.
Rational:
In fact, the primary aims of "biomimetic dentistry" are to be as minimally invasive as possible, and to substitute the missing hard dental tissues with restorative materials closely resembling the natural tissues regarding their mechanical features and properties.
Leno weaved Ultra-high-molecular-weight polyethylene (LWUHMWPE) fibers are plasma treated fibers. LWUHMWPE fiber reinforcement Ribbond systems (Ribbond THM, Ribbond Inc, Seattle, WA, USA) have been introduced in the attempt to increase composite resin toughness, thus increasing both durability and damage tolerance. These bondable reinforcement fibers can be closely adapted to the residual tooth structure without requiring additional preparation. The high modulus of elasticity and low flexural modulus of polyethylene fiber have a modifying effect on the interfacial stresses developed along the cavity walls.
According to a systematic review published in 2021 that was done to evaluate various in vitro studies, it was confirmed that the effect of the Ultra-high-molecular weight polyethylene fibers is increasing the fracture resistance and making more favorable fractures in endodontically treated teeth. However, there is no enough clinical data regarding this point, so this proposal is introduced.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Bulk Fill resin composite restorations reinforced by ultra high molecular weight polyethylene.
Bulk Fill resin composite restorations (X-tra base \& GrandioSO, Voco, Cuxhaven, Germany) reinforced by ultra high molecular weight polyethylene. (Ribbond THM, Ribbond Inc, Seattle, WA, USA)
X-tra base & GrandioSO reinforced by Ribbond
The missing peripheral tooth structure will be built up via 2-mm wedge-shaped a universal hybrid resin composite, GrandioSO . Then the polyethylene fibers will be wetted with an unfilled resin first . After removing the excess resin, fibers will be covered with a very thin layer of flowable composite X-tra base . After that, fibers will be bonded immediately against the peripheral missing walls and cured for 20 seconds. Then a bulk-fill flowable resin composite lining X-tra base will be applied in approximately 4 mm thick in bulk increments as needed to fill the cavity 2 mm short of the occlusal cavosurface and each increment will be light cured for 20 s. The remaining occlusal part of the cavity will be restored with a universal hybrid resin composite, GrandioSO . The shade of the composite will be selected according to the teeth to be restored. All cavities will be restored with open-sandwich technique (Deliperi, et al. 2017).
Bulk Fill resin composite restorations
Bulk Fill resin composite restorations (X-tra base \& GrandioSO, Voco, Cuxhaven, Germany)
X-tra base & GrandioSO reinforced by Ribbond
The missing peripheral tooth structure will be built up via 2-mm wedge-shaped a universal hybrid resin composite, GrandioSO . Then the polyethylene fibers will be wetted with an unfilled resin first . After removing the excess resin, fibers will be covered with a very thin layer of flowable composite X-tra base . After that, fibers will be bonded immediately against the peripheral missing walls and cured for 20 seconds. Then a bulk-fill flowable resin composite lining X-tra base will be applied in approximately 4 mm thick in bulk increments as needed to fill the cavity 2 mm short of the occlusal cavosurface and each increment will be light cured for 20 s. The remaining occlusal part of the cavity will be restored with a universal hybrid resin composite, GrandioSO . The shade of the composite will be selected according to the teeth to be restored. All cavities will be restored with open-sandwich technique (Deliperi, et al. 2017).
Interventions
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X-tra base & GrandioSO reinforced by Ribbond
The missing peripheral tooth structure will be built up via 2-mm wedge-shaped a universal hybrid resin composite, GrandioSO . Then the polyethylene fibers will be wetted with an unfilled resin first . After removing the excess resin, fibers will be covered with a very thin layer of flowable composite X-tra base . After that, fibers will be bonded immediately against the peripheral missing walls and cured for 20 seconds. Then a bulk-fill flowable resin composite lining X-tra base will be applied in approximately 4 mm thick in bulk increments as needed to fill the cavity 2 mm short of the occlusal cavosurface and each increment will be light cured for 20 s. The remaining occlusal part of the cavity will be restored with a universal hybrid resin composite, GrandioSO . The shade of the composite will be selected according to the teeth to be restored. All cavities will be restored with open-sandwich technique (Deliperi, et al. 2017).
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
1. Patients ages 18 to 55 years.
2. Patients with endodontically treated teeth.
3. Patients with good general health.
4. Patients with good recall availability.
Teeth:
1. Successfully endotreated molar teeth.
2. Endodontically treated teeth (ETT) with at least two remaining walls.
3. ETT without apical or periapical pathosis.
4. ETT with healthy peridontium.
Exclusion Criteria
1. Patients who are allergic to product ingredient.
2. Patients who need indirect restorations.
3. Patients with poor oral hygiene.
4. Patients with history of bruxism and parafunctional habits.
Teeth:
1. Teeth with noncarious cervical lesions.
2. ETT with more than two remaining walls.
3. Presence of apical or periapical pathosis.
4. Teeth with advanced periodontal diseases. -
18 Years
55 Years
ALL
Yes
Sponsors
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Cairo University
OTHER
Responsible Party
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Ahmed Abdelsattar Mohamed Metwaly
Assistant Lecturer, Conservative Department, Faculty of Dentistry.
Principal Investigators
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Amira Farid Elzoghbi, Professor
Role: STUDY_DIRECTOR
Cairo University
Locations
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Faculty of Dentistry, Cairo University
Giza, , Egypt
Countries
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References
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Abdelaziz Kandil, S. A., M. R. Farid, et al. (2021).
Atlas A, Grandini S, Martignoni M. Evidence-based treatment planning for the restoration of endodontically treated single teeth: importance of coronal seal, post vs no post, and indirect vs direct restoration. Quintessence Int. 2019;50(10):772-781. doi: 10.3290/j.qi.a43235.
Ayna B, Celenk S, Atakul F, Uysal E. Three-year clinical evaluation of endodontically treated anterior teeth restored with a polyethylene fibre-reinforced composite. Aust Dent J. 2009 Jun;54(2):136-40. doi: 10.1111/j.1834-7819.2009.01106.x.
Durao MA, Andrade AKM, Santos MDCMDS, Montes MAJR, Monteiro GQM. Clinical Performance of Bulk-Fill Resin Composite Restorations Using the United States Public Health Service and Federation Dentaire Internationale Criteria: A 12-Month Randomized Clinical Trial. Eur J Dent. 2021 May;15(2):179-192. doi: 10.1055/s-0040-1718639. Epub 2020 Nov 26.
Deliperi S, Alleman D, Rudo D. Stress-reduced Direct Composites for the Restoration of Structurally Compromised Teeth: Fiber Design According to the "Wallpapering" Technique. Oper Dent. 2017 May/Jun;42(3):233-243. doi: 10.2341/15-289-T.
Frater M, Lassila L, Braunitzer G, Vallittu PK, Garoushi S. Fracture resistance and marginal gap formation of post-core restorations: influence of different fiber-reinforced composites. Clin Oral Investig. 2020 Jan;24(1):265-276. doi: 10.1007/s00784-019-02902-3. Epub 2019 May 16.
Garoushi S, Gargoum A, Vallittu PK, Lassila L. Short fiber-reinforced composite restorations: A review of the current literature. J Investig Clin Dent. 2018 Aug;9(3):e12330. doi: 10.1111/jicd.12330. Epub 2018 Feb 25.
Karaman E, Keskin B, Inan U. Three-year clinical evaluation of class II posterior composite restorations placed with different techniques and flowable composite linings in endodontically treated teeth. Clin Oral Investig. 2017 Mar;21(2):709-716. doi: 10.1007/s00784-016-1940-y. Epub 2016 Aug 19.
Kashi, A. M. A., S. Ghanbaran, et al. (2020).
Lempel E, Lovasz BV, Bihari E, Krajczar K, Jeges S, Toth A, Szalma J. Long-term clinical evaluation of direct resin composite restorations in vital vs. endodontically treated posterior teeth - Retrospective study up to 13 years. Dent Mater. 2019 Sep;35(9):1308-1318. doi: 10.1016/j.dental.2019.06.002. Epub 2019 Jul 2.
Ozsevik AS, Yildirim C, Aydin U, Culha E, Surmelioglu D. Effect of fibre-reinforced composite on the fracture resistance of endodontically treated teeth. Aust Endod J. 2016 Aug;42(2):82-7. doi: 10.1111/aej.12136. Epub 2015 Nov 27.
Shah EH, Shetty P, Aggarwal S, Sawant S, Shinde R, Bhol R. Effect of fibre-reinforced composite as a post-obturation restorative material on fracture resistance of endodontically treated teeth: A systematic review. Saudi Dent J. 2021 Nov;33(7):363-369. doi: 10.1016/j.sdentj.2021.07.006. Epub 2021 Jul 14.
Valizadeh S, Ranjbar Omrani L, Deliperi S, Sadeghi Mahounak F. Restoration of a Nonvital Tooth with Fiber Reinforce Composite (Wallpapering Technique). Case Rep Dent. 2020 Jun 5;2020:9619787. doi: 10.1155/2020/9619787. eCollection 2020.
Wang X, Shu X, Zhang Y, Yang B, Jian Y, Zhao K. Evaluation of fiber posts vs metal posts for restoring severely damaged endodontically treated teeth: a systematic review and meta-analysis. Quintessence Int. 2019;50(1):8-20. doi: 10.3290/j.qi.a41499.
Metwaly AA, Elzoghby AF, Abd ElAziz RH. Clinical performance of polyethylenefiber reinforced resin composite restorations in endodontically treated teeth: (a randomized controlled clinical trial). BMC Oral Health. 2024 Oct 24;24(1):1285. doi: 10.1186/s12903-024-05009-8.
Other Identifiers
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Ribbond Reinforced Composite
Identifier Type: -
Identifier Source: org_study_id
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