Efecto del composite reforzado con fibras cortas y con fibras de polietileno sobre la resistencia a la fractura en premolares endodónticamente tratados

Abstract

Background: Previous studies have shown that endodontically treated teeth are at critically higher risk of fracture compared to vital teeth because tissue loss compromises the structural strength of the endodontically treated tooth. Objective: To determine the effect of short fiberreinforced composite and polyethylene fibers on fracture resistance in endodontically treated premolars, period 2023-2024. Methods: An in vitro cohort study was conducted with 40 maxillary premolars, of which 10 formed the control group (G4). Thirty teeth underwent endodontic treatment, standardized cavity preparations, and were divided into three restorative groups: (G1) Ribbond polyethylene fibers with flowable composite resin, (G2) Ribbond polyethylene fibers plus short fiber-reinforced composite, and (G3) only short fiberreinforced composite, with 10 teeth in each group. An oblique compressive load (30°) was applied until fracture. Results: Results show that intact premolars (control group, G4) showed the highest fracture resistance with an average of 440,710 ± 28,147 N. Among the experimental groups, the Ribbond fiber + everX Posterior group (G2) obtained the highest resistance (330,710 ± 27,475 N), followed by the everX Posterior group (G3) with 257,934 ± 57,124 N. The differences between the restored groups were statistically significant (P < 0.05), indicating a consistent variation in fracture resistance depending on the material used. The Weibull distribution reflected that group G2 presented the highest reliability (m = 11.644). Conclusion: The combination of Ribbond fiber with everX Posterior (G2) showed the highest strength, while Ribbond fiber alone (G1) had the lowest.