Impact of Different Fiber Reinforcement Techniques on Stress Distribution of Cervical Composite Restorations: Finite Element Analysis.
DOI:
https://doi.org/10.32828/mdj.v21i2.1222Keywords:
Finite element analysis, short fiber reinforced composite, Ribbond fibers, cervical cavity, Resin modified GICAbstract
Abstract
Aim: To compare the stress distributions in the cervical cavities of four different restorations using Von Mises stress under varying loading directions. Methods: Virtual restored lower first premolar models (n=4) with class V cavities were created from a sound premolar CAD model. Single restorative materials of a resin-modified GIC (model A), a conventional filler composite (CFC) (model B), a combination of short-fiber-reinforced composite-CFC (model C), and a ribbond fiber-CFC (model D) in a bilayered fasion were considered in this study. The FEA models received a 150 N occlusal load in the axial and oblique directions. The stress distribution in the enamel and dentin components of the model and restorative sections was analyzed. The maximum von Mises criterion was determined and compared between the tested models. Results: The FEA model indicated that the highest mvM was detected in the enamel structure of the premolar. Notably, greater stresses were observed in the GIC (Model A) and CFC (Model B) restorations than in the combined EverX-CFC restoration (Model C), which resulted in less stress in the enamel and dentin. Finally, the bilayered ribbond-CFC restoration (Model D) had the lowest stress values among the different components of the model. In the oblique loading scenario, all the models with various components presented higher stress values than did those with axial loading, with slightly lower stress values in the fiber-reinforced composite restorations. Conclusion: The incorporation of either glass or polyethylene fibers within the cervical composite restoration apparently enhances stress distributions on the surrounding tooth structure, thus probably improve the retention rate of the restoration.
References
1- AGRAWAL, M. J. J. A. M. D. S. R. 2014. Applications of ultrahigh molecular weight polyethylene fibres in dentistry: A review article. 2, 95-99.
2- ASMUSSEN, E., PEUTZFELDT, A. & SAHAFI, A. J. T. J. O. P. D. 2005. Finite element analysis of stresses in endodontically treated, dowel-restored teeth. 94, 321-329.
3- ASMUSSEN, E. & PEUTZFELDT, A. J. D. M. 2008. Class I and Class II restorations of resin composite: an FE analysis of the influence of modulus of elasticity on stresses generated by occlusal loading. 24, 600-605.
4- AUSIELLO, P., CIARAMELLA, S., DI RIENZO, A., LANZOTTI, A., VENTRE, M. & WATTS, D. C. J. D. M. 2019. Adhesive class I restorations in sound molar teeth incorporating combined resin-composite and glass ionomer materials: CAD-FE modeling and analysis. 35, 1514-1522.
5- AUSIELLO, P., CIARAMELLA, S., MARTORELLI, M., LANZOTTI, A., ZARONE, F., WATTS, D. C. & GLORIA, A. J. D. M. 2017. Mechanical behavior of endodontically restored canine teeth: Effects of ferrule, post material and shape. 33, 1466-1472.
6- BARRETO, B. C. F., VAN ENDE, A., LISE, D. P., NORITOMI, P. Y., JAECQUES, S., SLOTEN, J. V., DE MUNCK, J. & VAN MEERBEEK, B. J. C. O. I. 2016. S hort fibre-reinforced composite for extensive direct restorations: a laboratory and computational assessment. 20, 959-966.
7- BEZERRA, I. M., BRITO, A. C. M., DE SOUSA, S. A., SANTIAGO, B. M., CAVALCANTI, Y. W. & DE ALMEIDA, L. D. F. D. J. H. 2020. Glass ionomer cements compared with composite resin in restoration of noncarious cervical lesions: A systematic review and meta-analysis. 6.
8- DELIPERI, S., ALLEMAN, D. & RUDO, D. J. O. D. 2017. Stress-reduced direct composites for the restoration of structurally compromised teeth: Fiber design according to the “wallpapering” technique. 42, 233-243.
9- DIKOVA, T., VASILEV, T., HRISTOVA, V. & PANOV, V. 2020. Finite Element Analysis in Setting of Fillings of V-Shaped Tooth Defects Made with Glass-Ionomer Cement and Flowable Composite. 8, 363.
10- DIKOVA, T., VASILEV, T., HRISTOVA, V. & PANOV, V. J. J. O. T. M. B. O. B. M. 2021. Finite element analysis of V-shaped tooth defects filled with universal nanohybrid composite using incremental technique. 118, 104425.
11- ELRAGGAL, A., ABDELRAHEEM, I. M., WATTS, D. C., ROY, S., DOMMETI, V. K., ALSHABIB, A., ALTHAQAFI, K. A. & AFIFI, R. R. J. D. M. 2024. Biomechanical reinforcement by CAD-CAM materials affects stress distributions of posterior composite bridges: 3D finite element analysis. 40, 869-877.
12- ESCOBAR, L. B., PEREIRA DA SILVA, L. & MANARTE-MONTEIRO, P. J. P. 2023. Fracture resistance of Fiber-Reinforced Composite restorations: a systematic review and Meta-analysis. 15, 3802.
13- ESKITAŞCıOĞLU, G., BELLI, S. & KALKAN, M. J. J. O. E. 2002. Evaluation of two post core systems using two different methods (fracture strength test and a finite elemental stress analysis). 28, 629-633.
14- FAGUNDES, T. C., BARATA, T. J., BRESCIANI, E., SANTIAGO, S. L., FRANCO, E. B., LAURIS, J. R. P. & NAVARRO, M. J. O. D. 2014. Seven-year clinical performance of resin composite versus resin-modified glass ionomer restorations in noncarious cervical lesions. 39, 578-587.
15- FERRACANE, J. L. J. D. M. 2011. Resin composite—State of the art. 27, 29-38.
16- GAROUSHI, S., GARGOUM, A., VALLITTU, P. K., LASSILA, L. J. J. O. I. & DENTISTRY, C. 2018. Short fiber‐reinforced composite restorations: a review of the current literature. 9, e12330.
17- GAROUSHI, S., SÄILYNOJA, E., VALLITTU, P. K. & LASSILA, L. J. D. M. 2013. Physical properties and depth of cure of a new short fiber reinforced composite. 29, 835-841.
18- HASIJA, M., WADHWA, D., MIGLANI, S., MEENA, B., ANSARI, I. & KOHLI, S. J. E. 2014. Analysis and comparison of stress distribution in class V restoration with different restorative materials using finite element analysis. 26, 301-304.
19- HOLLANDERS, A., KUPER, N., HUYSMANS, M. & VERSLUIS, A. J. D. M. 2020. The effect of occlusal loading on cervical gap deformation: A 3D finite element analysis. 36, 681-686.
20- ICHIM, I., LI, Q., LOUGHRAN, J., SWAIN, M. & KIESER, J. J. D. M. 2007a. Restoration of non-carious cervical lesions: Part I. Modelling of restorative fracture. 23, 1553-1561.
21- ICHIM, I., SCHMIDLIN, P., KIESER, J. & SWAIN, M. J. J. O. D. 2007b. Mechanical evaluation of cervical glass-ionomer restorations: 3D finite element study. 35, 28-35.
22- ISPAS, A., HOLONEC, R., CRIŞAN, T., FODOR, G., CONSTANTINIUC, M. J. H. & MEDICINE, V. 2019. Role of occlusal forces in the development of noncarious cervical lesions. 11, 6-10.
23- JAIN, A., SHAH, N. C., KUMAR, M., ISHWAR, S., PURKAYASTHA, D. D., MISHRA, D. & SHANBHAG, A. 2024. Stress distribution pattern in two different no-post systems in endodontically treated maxillary central incisors: A three-dimensional finite element analysis. 27, 572-576.
24- JAKUPOVIĆ, S., ŠEHIĆ, A., JULARDŽIJA, F., GAVRANOVIĆ-GLAMOČ, A., SOFIĆ, A., BAJSMAN, A. & KAZAZIĆ, L. J. E. J. O. D. 2022. The Influence of Different Occlusal Loading on Six Restorative Materials for Restoration of Abfraction Lesions—Finite Element Analysis. 16, 886-894.
25- JORDEHI, A. Y., SHAHABI, M. S. & AKBARI, A. J. D. R. J. 2019. Comparison of self-adhering flowable composite microleakage with several types of bonding agent in class V cavity restoration. 16, 257-263.
26- KHAN, A. A., ZAFAR, M. S., FAREED, M. A., ALMUFAREH, N. A., ALSHEHRI, F., ALSUNBUL, H., LASSILA, L., GAROUSHI, S. & VALLITTU, P. K. J. D. M. 2023. Fiber-reinforced composites in dentistry–An insight into adhesion aspects of the material and the restored tooth construct. 39, 141-151.
27- KIM, S.-Y., KIM, B.-S., KIM, H. & CHO, S.-Y. J. D. M. 2021. Occlusal stress distribution and remaining crack propagation of a cracked tooth treated with different materials and designs: 3D finite element analysis. 37, 731-740.
28- KUBO, S., KAWASAKI, K., YOKOTA, H. & HAYASHI, Y. J. J. O. D. 2006. Five-year clinical evaluation of two adhesive systems in non-carious cervical lesions. 34, 97-105.
29- LASSILA, L., GAROUSHI, S., VALLITTU, P. K. & SÄILYNOJA, E. J. J. O. T. M. B. O. B. M. 2016. Mechanical properties of fiber reinforced restorative composite with two distinguished fiber length distribution. 60, 331-338.
30- LASSILA, L., KEULEMANS, F., SÄILYNOJA, E., VALLITTU, P. K. & GAROUSHI, S. J. D. M. 2018. Mechanical properties and fracture behavior of flowable fiber reinforced composite restorations. 34, 598-606.
31- LASSILA, L., SÄILYNOJA, E., PRINSSI, R., VALLITTU, P. K. & GAROUSHI, S. J. J. O. T. M. B. O. B. M. 2020. Fracture behavior of Bi-structure fiber-reinforced composite restorations. 101, 103444.
32- LEPRINCE, J. G., PALIN, W. M., VANACKER, J., SABBAGH, J., DEVAUX, J. & LELOUP, G. J. J. O. D. 2014. Physico-mechanical characteristics of commercially available bulk-fill composites. 42, 993-1000.
33- LUO, X., RONG, Q., LUAN, Q. & YU, X. J. B. O. H. 2022. Effect of partial restorative treatment on stress distributions in non-carious cervical lesions: A three-dimensional finite element analysis. 22, 607.
34- MACHADO, A., SOARES, C., REIS, B., BICALHO, A., RAPOSO, L. & SOARES, P. J. O. D. 2017. Stress-strain analysis of premolars with non-carious cervical lesions: Influence of restorative material, loading direction and mechanical fatigue. 42, 253-265.
35- MANGOUSH, E., GAROUSHI, S., LASSILA, L., VALLITTU, P. K. & SÄILYNOJA, E. 2021. Effect of Fiber Reinforcement Type on the Performance of Large Posterior Restorations: A Review of In Vitro Studies. 13, 3682.
36- NARAYANASWAMY, S., MEENA, N., SHETTY, A., KUMARI, A., NAVEEN, D. J. J. O. C. D. & ENDODONTICS 2008. Finite element analysis of stress concentration in Class V restorations of four groups of restorative materials in mandibular premolar. 11, 121-126.
37- REES, J. & JACOBSEN, P. J. J. O. D. 1998. The effect of cuspal flexure on a buccal Class V restoration: a finite element study. 26, 361-367.
38- RICHERT, R., FARGES, J.-C., TAMIMI, F., NAOUAR, N., BOISSE, P. & DUCRET, M. J. M. 2020. Validated finite element models of premolars: A scoping review. 13, 3280.
39- SAFWAT, E. M., KHATER, A. G., ABD-ELSATAR, A. G. & KHATER, G. A. J. B. O. T. N. R. C. 2021. Glass fiber-reinforced composites in dentistry. 45, 190.
40- SCHWENDICKE, F., MÜLLER, A., SEIFERT, T., JEGGLE-ENGBERT, L.-M., PARIS, S. & GÖSTEMEYER, G. J. J. O. D. 2021. Glass hybrid versus composite for non-carious cervical lesions: Survival, restoration quality and costs in randomized controlled trial after 3 years. 110, 103689.
41- SOARES, L. M., RAZAGHY, M. & MAGNE, P. J. D. M. 2018. Optimization of large MOD restorations: Composite resin inlays vs. short fiber-reinforced direct restorations. 34, 587-597.
42- SOARES, P. V., SANTOS‐FILHO, P. C. F., QUEIROZ, E. C., ARAÚJO, T. C., CAMPOS, R. E., ARAÚJO, C. A. & SOARES, C. J. J. J. O. P. 2008. Fracture resistance and stress distribution in endodontically treated maxillary premolars restored with composite resin. 17, 114-119.
43- SUZAKI, N., YAMAGUCHI, S., HIROSE, N., TANAKA, R., TAKAHASHI, Y., IMAZATO, S. & HAYASHI, M. J. D. M. 2020. Evaluation of physical properties of fiber-reinforced composite resin. 36, 987-996.
45- YAMANEL, K., ÇAGLAR, A., GÜLSAHI, K. & ÖZDEN, U. A. J. D. M. J. 2009. Effects of different ceramic and composite materials on stress distribution in inlay and onlay cavities: 3-D finite element analysis. 28, 661-670.
46- YAZICI, A. R., BASEREN, M. & DAYANGAC, B. J. O. D. 2003. The effect of flowable resin composite on microleakage in class V cavities. 28, 42-46.
47- ZOTTI, F., FERRARI, F., PAGANELLI, C., PILATI, F., LANZARETTI, G., ARLACCHI, D., ZERMAN, N. J. J. O. C. & DENTISTRY, E. 2024. Increasing the fracture strength of MOD restorations with Ribbond fibers. 707-713.
48- ZOTTI, F., HU, J., ZANGANI, A., ALBANESE, M., PAGANELLI, C. J. J. O. C. & DENTISTRY, E. 2023a. Fracture strength and ribbond fibers: In vitro analysis of mod restorations. 15, e318.
49- ZOTTI, F., JIE, H., ZANGANI, A., ALBANESE, M., PAGANELLI, C. J. J. O. C. & DENTISTRY, E. 2023b. Fracture strength and ribbond fibers: In vitro analysis of mod restorations. 15, 318-323.
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2025 Ali Nahidh, Abdallah Ahmed Elsherbiny, Ahmed Sleibi

This work is licensed under a Creative Commons Attribution 4.0 International License.
Articles of this journal are licensed under the terms of the Creative Commons Attribution International Public License CC-BY 4.0 that licensees are unrestricted to search, download, share, distribute, print, or link to the full texts of the articles; crawl them for indexing; and reproduce any medium of the articles provided that they give the author(s) proper credit (citation). The journal allows the author(s) to retain the copyright of their published article.




