Fracture resistance of reattached incisor fragments with mini fibre-reinforced composite anchors

W M M Fennis, C M Kreulen, J G C Wolke, W A Fokkinga, C Machado, N H J Creugers
Journal of Dentistry 2009, 37 (6): 462-7

OBJECTIVES: Fractured coronal fragments of incisors can be adhered to the remaining tooth with resin composite, but are prone to failure. This study explores whether mini fibre-reinforced composite (FRC) anchors increase fracture resistance of reattached fragments.

METHODS: Forty-five extracted incisors were randomly divided into three groups. In Groups A and B coronal fragments were reattached to the remaining tooth, with additionally two anchors placed in Group B. In Group C resin composite buildups were made. Specimens were statically loaded until failure occurred. Failure modes were characterized as intact remaining tooth substrate (adhesive or cohesive failure of coronal fragment) or fractured remaining tooth substrate (fracture limited to enamel or extending into dentin).

RESULTS: Mean fracture loads were 255N (SD=108N) for Group A, 599N (SD=465N) for Group B and 786N (SD=197N) for Group C (values significantly different, all p values <0.05). Group A showed purely adhesive failures, while Groups B and C showed 73 and 53% fractures of remaining tooth substrate (p<0.05).

CONCLUSIONS: Mini FRC anchors increase fracture resistance of reattached coronal fragments, but induce more remaining tooth substrate fractures.

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