Evidence map›Paper›PMID 40737195›Full record

ArticleJournal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]2026

Biomechanical Performance of Polyethylene Fibers and Fiber-Reinforced Composite Resins in Direct Restorations: A Scoping Review.

Beatriz Fernandes, Joana A Marques, Gabriela Almeida, João Carlos Ramos, Markus B Blatz, Rui I Falacho

Abstract readScoping Review
In one paragraph

Article in Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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.] · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Beatriz FernandesDentistry Department, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.ORCID https://orcid.org/0009-0001-5734-0036
Joana A MarquesInstitute of Endodontics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.ORCID https://orcid.org/0000-0001-5210-6155
Gabriela AlmeidaDentistry Department, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.ORCID https://orcid.org/0009-0009-6170-4857
João Carlos RamosCenter for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, Portugal.ORCID https://orcid.org/0000-0003-1965-1092
Markus B BlatzDepartment of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-6341-7047
Rui I FalachoCenter for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, Portugal.ORCID https://orcid.org/0000-0001-7099-8871

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the biomechanical performance of the application of polyethylene fiber and fiber-reinforced composite resins in direct restorations. MATERIALS AND

methodsAn electronic search was performed in Cochrane Library, Embase, and Pubmed on January 16th, 2025, with previously identified MeSH and free text terms by two independent authors. A total of 1127 papers were initially obtained. Exclusion criteria comprised nonrelevant materials, evaluation of pins and posts, material characterization, indirect or provisional restorations, and the use of artificial, animal, or immature teeth.

resultsFrom the 754 studies remaining after duplicates removal, 679 were excluded after title and abstract screening, followed by the exclusion of 7 papers after full-text assessment for eligibility. Additionally, 10 full texts were not obtained after requesting the authors. Therefore, a total of 58 studies were included in this scoping review. When compared to conventional composites, fiber-reinforced composite resins proved to be beneficial in 82.1% of the articles, while polyethylene fibers improved the biomechanical performance in 91.7%.

conclusionsThe individual application of fiber-reinforced composite resins and polyethylene fibers demonstrates promising potential in dental direct restorations. No adverse biomechanical outcomes were reported, with findings either supporting their use or indicating no significant difference. Nevertheless, the results are ambiguous and insufficient to directly compare both materials or assess the effects of their combined use. It is recommended to establish standardized guidelines for future research to enhance the comparability of results, explore long-term outcomes, and customize study designs to more closely resemble clinical settings. CLINICAL SIGNIFICANCE: Fiber-reinforced composite resins and polyethylene fibers have emerged in an attempt to improve the biomechanical performance of direct restorations. However, a comprehensive review of the existing literature is necessary to assess their influence on biomechanical outcomes and identify knowledge gaps, thereby guiding future research.

Indexed as

Composite ResinsDental MaterialsDental Restoration, PermanentPolyethyleneBiomechanical PhenomenaHumansMaterials TestingComposite ResinsDental MaterialsPolyethylenecomposite resinsfiber reinforced compositeflexural strengthpolyethylene fiber

Identifiers

PMID40737195
PMCPMC13062705

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.