ArticleJournal of functional biomaterials2025
The Impact of Different Fiber Placement Techniques on the Fracture Resistance of Premolars Restored with Direct Resin Composite, In Vitro Study.
Article in Journal of functional biomaterials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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.
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Who cites it
4 citing papers in PubMed.
- Clinical evaluation of different bi-layer biomimetic strategies of composite resin in large class I cavities: an 18-month randomized clinical trial.BMC oral health · 2026Trial
- Evaluation of fracture resistance of class V premolar restorations reinforced with Ribbond and InFibra fibers using two placement techniques: an in vitro study.BMC oral health · 2026Article
- The Effect of Resin-modified Glass Ionomer Containing Bacterial Cellulose Nanocrystal as a Base on the Fracture Resistance of Class II Restorations.Journal of clinical and experimental dentistry · 2025Review
- Fracture Resistance of Teeth Restored With Different Fiber-Reinforced Composites: A Comparative In Vitro Study.Cureus · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fiber-reinforced composites (FRCs) are recognized for enhancing the fracture resistance of structurally compromised teeth. However, the optimal orientation and placement of fibers in direct resin composite restorations remain under debate. This study aimed to evaluate the fracture resistance of maxillary premolars with mesio-occluso-distal (MOD) cavities restored using polyethylene fibers with different placement techniques, compared to conventional incremental composite restoration.
methodsSixty intact maxillary premolars were randomly assigned to six groups (n = 10). Group 1: intact teeth (positive control); Group 2: MOD cavity without restoration (negative control); Group 3: MOD cavity restored with nanohybrid composite using the incremental technique; Group 4: polyethylene fiber placed on the pulpal floor; Group 5: fiber placed circumferentially along cavity walls (wall-papering technique); Group 6: fiber placed buccolingually in an occlusal groove (occlusal splinting). Fracture resistance was assessed using a universal testing machine. Failure mode was also analyzed.
resultsGroup 6 (occlusal splinting) exhibited the highest fracture resistance (1137.72 ± 316.20 N), significantly exceeding Group 3 (546.93 ± 59.89 N) and other fiber-reinforced groups (
conclusionsIncorporating polyethylene fibers, especially through occlusal splinting, significantly improves fracture resistance in MOD-restored maxillary premolars. This technique may offer a promising alternative to conventional composite restorations in structurally weakened posterior teeth.
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