ArticleClinical oral investigations2024
Effect of fiber-reinforced direct restorative materials on the fracture resistance of endodontically treated mandibular molars restored with a conservative endodontic cavity design.
Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of horizontal posts to support MOD cavities compared with other restorative approaches in endodontically treated teeth: systematic review with meta-analysis of laboratory studies.BMC oral health · 2025Pooled it
- Polymerization Kinetics of Conventional vs. Fiber-Reinforced Composites Using Rapid High-Intensity Photo-Activation.Polymers · 2026Article
- Comparison of marginal adaptation and fracture resistance of contemporary composite resins in molars with extensive MOD cavities.BMC oral health · 2026Article
- Influence of proximal box depth associated with deep margin elevation and restorative materials on fracture resistance and repairability of endodontically treated teeth: an in vitro study.BMC oral health · 2026Article
- Fracture Resistance of Extensively Compromised Anterior Teeth Restored With Fiberglass Posts and Biomimetic Protocols: An In Vitro Study.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026Article
- Clinical Observations on Postless Fiber-Reinforced Composite Restorations in Endodontically Treated Teeth with Immediate Pre-Endodontic Dentin Sealing and an Internal Adhesive Ferrule: A Case Series.Dentistry journal · 2026Article
- Biomechanical Performance of Polyethylene Fibers and Fiber-Reinforced Composite Resins in Direct Restorations: A Scoping Review.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026Article
- Next-Gen Restorative Materials to Revolutionise Smiles.Bioengineering (Basel, Switzerland) · 2026Review
- Assessment of fracture resistance in endodontically treated premolars restored using various bulk-fill composites.Bioinformation · 2026Article
- Fiber-reinforced composite restorations in endodontically treated teeth under functional loading.Bioinformation · 2026Article
- Effect of titanium, glass, and polyethylene fibers in reinforcing pericervical dentin with wallpapering technique - AnJournal of conservative dentistry and endodontics · 2026Article
- Review
- Micro-CT Comparative Assessment of Quartz Fiber Hollow and Solid Posts for the Restoration of Endodontically Treated Teeth.Journal of clinical medicine · 2025Article
- Comparative evaluation of fracture resistance of endodontically treated premolars restored with additively manufactured inlays and self-cure bulk-fill composites.Clinical oral investigations · 2025Article
- The impact of using two fiber-reinforced composites with different placement methods on the flexural strength of two resin materials: an in vitro study.BMC oral health · 2025Article
- Access cavity in endodontics: Balancing precision, preservation, and clinical needs.Journal of conservative dentistry and endodontics · 2025Article
- Influence of cusp reduction and fiber reinforcement on cusp deflection and fracture strength of restored endodontically treated molar teeth.Clinical oral investigations · 2025Article
- Fracture resistance of endocrowns made from different CAD/CAM materials after prolonged fatigue aging.Clinical oral investigations · 2025Article
- A Finite Element Method Study of Stress Distribution in Dental Hard Tissues: Impact of Access Cavity Design and Restoration Material.Bioengineering (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to evaluate the fracture strength of teeth restored using fiber-reinforced direct restorative materials after endodontic treatment with a conservative mesio-occlusal access cavity design. MATERIALS AND
methodsA total of 100 extracted intact mandibular first molars were selected and distributed into a positive control group where teeth left intact and the following four test groups comprised of teeth with conservative mesio-occlusal access cavities that had undergone root canal treatment (n = 20/group): access cavity without restoration (negative control), bulk-fill resin composite with horizontal glass fiber post reinforcement, fiber-reinforced composite with bulk-fill resin and bulk-fill resin composite. Following thermocycling (10,000 cycles), fracture resistance was measured using a universal testing machine. Statistical analyses (one-way analysis of variance and the Tamhane test) were performed, and statistical significance was set at p < 0.05.
resultsGroups with minimally invasive access cavities had lower fracture strength than intact teeth, regardless of the restoration material (p < 0.05). Fiber-reinforced composite groups demonstrated higher fracture strength than bulk-fill resin composite alone (p < 0.05). Fracture types varied among groups, with restorable fractures predominant in the fiber-reinforced composite groups.
conclusionThis study suggests that using fiber-reinforced composite materials, especially in combination with bulk-fill resin composites, can effectively enhance the fracture strength of endodontically treated teeth with conservative access cavities. However, using only bulk-fill resin composite is not recommended based on the fracture strength results. CLINICAL SIGNIFICANCE: When teeth that undergo endodontic treatment are restored using a conservative access cavity design and fiber-reinforced composite materials, especially in combination with bulk-fill resin composites, the fracture strength of the teeth can be effectively increased.
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