Search Results (77)

Background and Clinical Significance: Traumatic dental injuries, particularly complicated crown fractures of permanent incisors, are common in adolescents, with maxillary central incisors most frequently affected due to their prominent position. These injuries, often resulting from sports or accidents, require prompt management to prevent complications such as pulp necrosis or infection, which can compromise long-term prognosis. Fragment reattachment offers a conservative, esthetically favorable approach when the fractured segment is intact, with outcomes comparable to composite restorations. This case report underscores the importance of timely intervention and advanced restorative techniques in pediatric dentistry. Case Presentation: A 16-year-old male presented with a complicated crown fracture of the upper left central incisor sustained during a soccer game. The fracture extended subgingivally with pulp exposure. The patient preserved the fragment in saline. Treatment involved fragment reattachment using a dentin bonding agent and flowable composite resin, followed by single-visit root canal therapy due to delayed presentation (48 h). A glass fiber post was placed to reinforce the restoration due to significant coronal loss. Three years of follow-up visits (1, 3, 6, 12, 24, and 36 months) revealed no clinical or radiographic complications, with the tooth remaining asymptomatic and functional. Conclusions: This case underscores the effectiveness of fragment reattachment when combined with meticulous technique and long-term monitoring. Full article

Background/Objectives: This study aimed to assess the long-term clinical performance of full-arch fixed restorations made of fiber-reinforced composite (FRC) supported by four ultra-short implants (4.0 × 5.0 mm) in patients with edentulous, atrophic mandibles. Methods: Ten patients were treated at Sapienza University of Rome and monitored over a 10-year period. Each case involved the placement of four plateau-design implants with a pure conometric connection and a calcium phosphate-treated surface. The final prostheses were fabricated using CAD/CAM-milled Trinia^® fiber-reinforced composite frameworks. Clinical parameters included implant and prosthesis survival, marginal bone level (MBL), peri-implant probing depth (PPD), and patient-reported outcome measures (PROMs). Results: Implant and prosthesis survival reached 100% over the 10-year follow-up. MBL data showed a minor bone gain of approximately 0.11 mm per 5 years (p < 0.0001). PPD remained stable under 3 mm, with a minimal increase of 0.16 mm over the same period (p < 0.0001). PROMs reflected sustained high patient satisfaction. No technical complications, such as chipping or framework fracture, were observed. Conclusions: Rehabilitation of the edentulous mandible with ultra-short implants and metal-free FRC prostheses proved to be a minimally invasive and long-lasting treatment option. The 10-year follow-up confirmed excellent implant and prosthetic outcomes, favorable peri-implant tissue health, and strong patient satisfaction. Nonetheless, further studies with larger sample sizes are needed to confirm these encouraging results and strengthen the clinical evidence. Full article

Background/Objectives: Autopolymerizing poly (methyl methacrylate) (PMMA) resin is widely used in provisional restorations; however, its inadequate mechanical properties represent a significant limitation. This study aimed to develop electrospun fibers with chemically reduced graphene oxide (rGO) and to evaluate the effect of fiber reinforcement on the mechanical and physical properties of a commercially available PMMA resin. Methods: Electrospinning was employed to produce nanofibers containing 0.02 wt% and 0.05 wt% rGO within a PMMA matrix. Fiber characterization was performed using SEM-EDS, XRD, TGA/DTG, and FTIR. Following characterization, the fibers were blended into PMMA resin at 1%, 2.5%, and 5% (by weight). The resulting fiber-reinforced composites were tested for flexural strength, elastic modulus, surface roughness, and Vickers microhardness. Results: The addition of 1% and 2.5% PMMA/rGO-0.02 fibers and 1% PMMA/rGO-0.05 fibers significantly improved the flexural strength of PMMA compared with the control group (p < 0.05). A statistically significant increase in elastic modulus was observed only in the group containing 1% PMMA/rGO-0.02 fibers (p < 0.05). However, there were no significant differences in surface roughness or microhardness between the control and experimental groups (p > 0.05). Conclusions: Incorporating electrospun PMMA-rGO fibers into PMMA resin enhances flexural properties at low concentrations without altering surface characteristics. These findings suggest that such fiber-reinforced systems hold promises for improving the mechanical performance and functional longevity of provisional dental restorations under clinical conditions. Full article

This study investigates the effectiveness of strain-hardening cementitious composites (SHCC) reinforced with glass fiber (GF) mesh in enhancing the torsional behavior of reinforced concrete (RC) beams with circular openings. Eight full-scale RC beams were tested under pure torsion, including two control beams and six strengthened beams with varying configurations of horizontal, vertical, and combined SHCC-GF mesh retrofitting. The experimental program evaluated the influence of single- and double-layer GF mesh reinforcement on torsional capacity, crack propagation, stiffness, and energy absorption. The results demonstrated that the presence of an opening reduced the ultimate torsional capacity by 29%, elastic stiffness by 48%, and energy absorption by 64% compared to the solid control beam. Strengthening with horizontal SHCC strips restored 21–35% of the lost capacity, while vertical strips performed even better, achieving 44–61% improvement. The combined horizontal–vertical configuration with a double-layer GF mesh proved the most effective, increasing ultimate load by 91% compared to the unstrengthened beam with an opening. Finite element models (FEM) are developed using ABAQUS to simulate the performance of the tested beams. Full article

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. Methods: Sixty 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. Results: Group 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 (p < 0.05). Failure mode analysis revealed no significant differences between the fiber-reinforced groups and the intact teeth. Group 6 also had the highest percentage of restorable fractures (90%). Conclusions: Incorporating 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. Full article

This study aimed to evaluate the nanomechanical surface properties and water uptake of a flowable short-fiber-reinforced composite (SFRC) using various restorative techniques in order to assess its potential as a standalone restorative material. Nanoindentation and compressive creep testing were employed to characterize material performance. Three resin composites were examined: a flowable SFRC (everX Flow), a bulk-fill particulate filler composite (PFC), and a conventional PFC. Five experimental groups were established based on the restorative technique: layered PFC, layered SFRC, bulk SFRC, bulk PFC, and a bi-structure combining SFRC and PFC. Ninety standardized specimens (n = 18/group) were fabricated. Static and creep nanoindentation tests were conducted to assess surface properties, and water uptake was measured over a 30-day period. Data were analyzed using one-way ANOVA and Bonferroni post hoc tests. Nanoindentation revealed significant differences in hardness, with bulk PFC exhibiting the lowest values (p < 0.001). Creep testing indicated changes in modulus and viscosity following water storage. Notably, bulk SFRC showed the lowest water absorption (p < 0.001). Overall, bulk-applied SFRC demonstrated favorable nanomechanical properties and reduced water uptake, demonstrating its suitability as a standalone restorative material. Further clinical investigations are recommended to validate its long-term performance. Full article

Background/purpose: Fiber-reinforced materials are commonly used as biobases beneath indirect restorations, potentially affecting the seating and marginal accuracy of the restorations. This study intended to assess the impact of various biobase techniques on the marginal adaptation of lithium disilicate overlay restorations. Methods: Fifty sound maxillary first premolar teeth of comparable dimensions were prepared using a full-bevel overlay design (3 mm occlusal reduction) and allocated randomly to five groups as follows (n = 10): Group A, delayed dentin sealing; Group B, immediate dentin sealing using Optibond FL; Group C, immediate dentin sealing with a 1 mm flowable composite layer (Clearfil AP-X Flow); Group D, immediate dentin sealing followed by a 1 mm short-fiber-reinforced composite layer (everX Flow); and Group E, immediate dentin sealing coated with a 1 mm flowable composite layer reinforced with polyethylene Ribbond fibers. Digital impressions were obtained using a Medit i700 intraoral scanner, and the overlays were digitally designed via the Sirona inLab CAD software and milled via a four-axis milling machine. The overlays were luted with a preheated composite (Clearfil AP-X). Marginal gap assessments were conducted pre- and post-cementation via a digital microscope at 230× magnification. The data were statistically analyzed using a one-way analysis of variance and paired t-tests. Results: The one-way ANOVA disclosed no significant differences among the groups before or after cementation (p > 0.05). Conclusions: The presence or absence of fiber-reinforced biobases did not impact the marginal adaptation of the restorations; these biobases can be incorporated to optimize the mechanical behavior of indirect restorations without adversely affecting their seating accuracy. These findings suggest that fiber-reinforced and non-reinforced biobase techniques can be safely integrated into clinical adhesive protocols to enhance the mechanical performance of restorations without comprising their marginal adaptation. Full article

A novel approach to the calculation and optimization methodology of repairable elements of unmanned aerial vehicle (UAV) structures using pre-cured composite patches is proposed. These patches are glued to the damaged structure with adhesives filled with short fibers or particulate fillers. Compared with conventional repair procedures (in which composite prepregs or wet lay-up are used), the suggested method allows damaged UAV structures to be repaired relatively quickly in field conditions without the need for a vacuum or special equipment. In most scientific studies on this problem, significant attention is devoted to the investigation of rectangular patches used for reinforcing plates that have defects such as cracks and damage. This study focuses on the potential application of circular patches for reinforcing plates with defects or damage and includes further parametric optimization of the geometric parameters of the patch. A fundamental approach to the topological and structural optimization of adhesive bonding, along with an experimental study of adhesive properties, has been combined into a single model. This model includes the optimization of the shape and structure of patches for bonded repair, allowing for changes in adhesive thickness to restore the load-carrying capacity of the structure. The simulation and analysis of the results of the renovation of damaged structures for double-sided and single-sided repaired elements of the UAV structure were performed. Full article

This study evaluates the optical properties and mechanical durability of adhesive restorations fabricated using different techniques for the treatment of single-tooth loss in the posterior region after an aging process. Sixty extracted human teeth (thirty molars and thirty premolars) were restored using three different fabrication methods: 3D-printed resin restorations, fiber mesh-reinforced direct composite restorations, and indirect composite restorations. Color stability was assessed using a spectrophotometer, and fracture resistance was measured using a universal testing machine. Finite element stress analysis (FEA) was conducted to validate mechanical test results under simulated intraoral conditions. The fiber-reinforced composite group exhibited the highest fracture resistance (1057.91 MPa), while 3D-printed restorations showed the lowest (p < 0.05). Regarding color stability, the fiber-reinforced group demonstrated the highest ΔE⁰⁰ values (ΔE⁰⁰ = 1.71), differing significantly from the other groups, while the 3D-printed and indirect composite restorations showed no significant difference. Mechanical test results were consistent with FEA findings. These results indicate that fiber reinforcement enhances mechanical durability in high-load-bearing areas, while 3D-printed restorations may not yet be suitable for posterior regions. However, their potential use in anterior restorations, where occlusal forces are lower, warrants further investigation to improve material properties. Full article

Objectives: Trauma to maxillary incisors is frequent, and requires timely, conservative management for optimal prognosis. This in vitro study evaluated the fracture resistance (FR) and orthodontic bracket bond strength (BS) of incisors following incisal fragment reattachment using various restorative techniques. Materials and Methods: Two independent tests—FR testing (Newtons) and BS testing (megapascals)—were conducted. Eighty intact human maxillary central incisors (n = 40/test), standardized in size and shape using a digital caliper (Mitutoyo, ±0.01 mm), were embedded in acrylic resin and numbered. An uncomplicated crown fracture was induced in 64 teeth (n = 32/test), and the teeth were randomly assigned (simple randomization using Excel’s RAND function) to five groups (n = 8/group/test): (1) intact teeth (negative control, NC); (2) nanohybrid composite buildup using Filtek Z250 and Single Bond 2 (positive control, CB); (3) fragment reattachment using flowable composite (Filtek Supreme, FL); (4) reattachment with a palatal veneer using a nanohybrid composite (PV); and (5) reattachment reinforced with a polyethylene fiber band (Ribbond Inc., RB). In BS testing groups, stainless steel orthodontic brackets (PINNACLE) were bonded using Transbond XT, centered over the fracture line. Light curing was performed using an LED unit (Mini LED Standard, Acteon, 1250 mW/cm², 20 s/bond, 40 s/composite, 2 mm curing tip distance). Specimens were stored in distilled water at room temperature for 24 h before reattachment. FR and BS were evaluated using a universal testing machine (Instron) until failure. Failure modes were analyzed, and data were statistically evaluated using one-way ANOVA, Tukey’s post hoc test, and Pearson’s correlation analysis. Results: Significant differences were observed among groups for both FR and BS (p < 0.05). The NC group exhibited the highest FR (514.4 N) and BS (17.6 MPa). The RB group recorded the second-highest FR (324.6), followed by the PV (234.6), CB (224.9), and FL (203.7) groups. The CB group demonstrated the second-best BS (16.6), followed by the RB (15.2), FL (13.4), and PV (6.5) groups. FR and BS were negatively correlated. Mixed failures predominated in the reattachment groups, except for the PV group, which showed mainly adhesive failures. In BS testing, mixed failures dominated in the NC and CB groups, while adhesive failures predominated in the PV and FL groups. Conclusions: Ribbond reinforcement improves the mechanical performance of reattached incisal fragments, and composite buildup may provide more reliable bracket bonding than fragment reattachment. Clinical Relevance: In cases where biomimetic, minimally invasive reattachment is indicated, Ribbond fiber reinforcement appears to offer a reliable restorative solution. Full article

Introduction: High-performance fiber-reinforced technopolymers for computer-aided design/computer-aided manufacturing (CAD/CAM) of dental restorations offer superior durability and strength. However, exposure to acidic solutions may adversely affect these mechanical properties. Objective: This study aimed to evaluate the flexural properties of a high-strength commercially available CAD/CAM fiber-reinforced dental material in response to water, cola, and artificial gastric acid solutions. Method: Forty bar-shaped specimens (1 × 4 × 13 mm) were fabricated from a pre-polymerized glass fiber-reinforced composite (Trilor disks, Bioloren, Saronno, Italy). Ten specimens were randomly selected for baseline testing. The remaining specimens were subdivided into three groups based on the storage media (n = 10): artificial gastric acid solution, Coca-Cola, and deionized water (37 °C, 48 h). Mean flexural strengths and moduli were statistically compared at a significance level of p < 0.05. Results: No statistically significant change in flexural strength was observed after immersion in the different media. However, there was a statistically significant decrease in the flexural modulus after storage for 48 h, regardless of pH. Conclusion: Fiber-reinforced CAD/CAM technopolymers show promising strength stability in response to varying pH conditions. However, further studies are needed to investigate the material’s long-term strength stability. Full article

A recent composite technique, namely Resin Pre-Coating (RPC), has demonstrated remarkably high effectiveness in the repair of Carbon Fiber-Reinforced Polymer (CFRP) composites. Compared to widely used scarf repair and injection repair, this non-destructive method offers advantages in addressing subsurface damages from the millimeter to micron scale, such as edge delaminations that frequently occur due to machining or low-energy impacts. The acetone-rich RPC solution can spontaneously transport sticky resin and other toughening agents into defects through capillary action. In this study, we further improved the solution by adopting a self-curing resin (i.e., SC-RPC), reducing the repair duration from the initial 2–3 months to merely a few hours. Using this modified solution, the CFRP specimens prepared containing delamination cracks were largely restored, reaching up to 94.9% of the original compressive strength. With the additional incorporation of carbon nanotubes (CNTs), full restoration was achieved, as is evidenced by load-bearing capacities and overload failure modes comparable to those of pristine specimens. The findings of this study may help alleviate concerns regarding substandard post-repair performance and prolonged repair durations, which are frequently criticized in real-world CFRP maintenance projects. The preparation of two new formulations, SC-RPC and SC-RPC+CNT, along with the optimization of key parameters, was carefully detailed in the manuscript to ensure experimental reproducibility. Full article

Based on the tensile strain hardening characteristics of fiber-reinforced cementitious composites (FRCC), this study experimentally investigated the mechanical properties of reinforced concrete (RC) beams reinforced with FRCC, both with and without precast cracks. The spraying process was applied, and different thicknesses of FRCC reinforcement layers were considered. Additionally, crack identification based on Digital Image Correlation (DIC) technology was employed in the study. The results indicated that as the ratio of the thickness of the FRCC reinforcement layer to the beam height increased, the initial cracking load, yield load, and ultimate load of the RC beams after reinforcement also increased. Moreover, the FRCC layer effectively controlled the development of cracks. When considering the damage to existing RC beams, the application of sprayed FRCC reinforcement improved the ultimate flexural capacity of the beams with precast cracks by over 20%. Specifically, a 30 mm FRCC reinforcement layer restored the flexural capacity of damaged RC beams to more than 85% of their uncracked state. Additionally, the use of DIC technology improved the identification of cracks in images and verified the process of damage and cracking in RC beams. Hence, the utilization of sprayed FRCC as formwork-free reinforcement presents significant value in terms of enhancing durability and mechanical properties. Full article

Objectives: This study aimed to analyze the load-bearing performance of upper incisors and evaluate the curing of the luting polymer composite at various depths within the canal. Methods: A total of one hundred maxillary central incisors (10 groups, n = 10/group) were subjected to various restorative techniques. Approach A used Gradia Core for post-core and crown; Approach B employed prefabricated fiber posts (4 mm or 8 mm) with Gradia for luting and core build-up; Approach C used short-fiber composite (everX Flow) for post-core build-up; and Approach D used fiber posts with everX Flow for luting and core build-up. Restorations underwent cyclic fatigue (40,000 cycles at 95 N) and quasi-static fracture testing. Surface hardness of luting polymer composites was also measured. Results: Data showed that restorations with additional fiber posts (Approaches B and D) had significantly higher load-bearing capacity (p < 0.05), while post material and length had no significant impact (p > 0.05). Short-fiber composite as luting and core material (Approach D) enhanced load-bearing performance compared to Gradia-based restorations (Approach B, p < 0.05). Conclusions: The use of short-fiber composite as both the post luting and core material in restoring compromised incisors, along with a conventional fiber post, demonstrated favorable results in terms of load-bearing capacity. Full article

Carbon fiber-reinforced polymers (CFRPs) are widely used in high-performance applications, but their inherent brittleness and susceptibility to impact damage remain critical challenges. This study investigated the effect of core–shell rubber (CSR) particles as impact modifiers on the mechanical properties of CFRPs and evaluated patch repair techniques for damaged CFRP panels. Mechanical tests, including flexural, tensile, short-beam, fracture toughness, and impact tests, were conducted on reference and CSR-modified specimens to assess their structural performance. The CSR-modified samples demonstrated significant improvements in energy absorption and fracture toughness, with a 50% increase in impact strength and up to 181% improvement in absorbed energy during Mode I fracture testing. However, slight reductions in flexural and tensile strengths were observed due to the softening effect of CSR particles. Fracture surface analysis revealed distinct failure mechanisms, with Scanning Electron Microscopy imaging showing consistent fiber pull-out behavior in tensile and flexural tests, but more stable delamination propagation in CSR-modified specimens during short-beam shear tests. Patch repair effectiveness was assessed through drop-weight impact tests on damaged panels repaired with patches containing CSRs of two thicknesses. Patches of equal thickness to the damaged panel successfully restored structural integrity and enhanced energy absorption by 37% compared with the reference samples, while thinner patches (as a suggestion to reduce production costs) failed to withstand impact loads effectively. Non-destructive testing (NDT) via ultrasonic C-scans confirmed reduced delamination and damage depth in CSR-modified repaired panels, validating the toughening effect of CSR particles. These findings demonstrate the potential of CSR-modified resins to improve CFRPs’ performance and provide effective repair solutions for extending the service life of damaged composite structures, rendering them especially suitable for applications demanding high damage tolerance and durability, including aerospace structures, automotive body panels, and energy-absorbing crash components. Full article