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Enamel-dentin crown fractures bonded with various bonding agents
E C Munksgaard1, L Højtved, E H Jørgensen
1Department of Dental Materials and Technology, University Hospital (Rigshospitalet), Copenhagen, Denmark.
Summary
Researchers measured the fracture strength of repaired sheep incisors. Bonding with specific dental agents and acid etching restored about 50% of intact tooth strength, crucial for dental repair research.
Area of Science:
- Biomaterials Science
- Dental Research
- Mechanical Testing
Background:
- Fractured incisors pose a significant clinical challenge.
- Assessing the mechanical integrity of repaired teeth is crucial for treatment success.
- Previous studies have not fully elucidated the fracture strength of bonded, previously fractured incisors using various agents.
Purpose of the Study:
- To describe a method for measuring the fracture strength of bonded, previously fractured incisors.
- To compare the efficacy of different bonding agents in restoring tooth fracture strength.
Main Methods:
- Sheep incisors were fractured parallel to the incisal edge.
- Fractured surfaces were acid-etched, and some dentin surfaces were treated with Gluma, Tenure, or Scotchbond2.
- Teeth were bonded with an unfilled resin, and fracture strength was measured.
Main Results:
- The mean fracture area of central incisors was 8.45 +/- 0.89 mm2 and lateral incisors was 6.50 +/- 0.64 mm2.
- Enamel constituted approximately 30% of the total fracture area.
- Bonding with acid etching and an unfilled resin yielded ~38% of the strength of repairs using Gluma treatment; different bonding agents (Tenure, Scotchbond2) showed no significant difference from Gluma.
- Repaired teeth achieved approximately 50% of the fracture strength of intact teeth (around 8 MPa).
Conclusions:
- The described method allows for the measurement of fracture strength in repaired incisors.
- Acid etching combined with specific dentin bonding agents and unfilled resin can restore significant fracture strength to previously fractured incisors.
- The restored fracture strength is approximately 50% of intact teeth, providing valuable data for dental repair protocols.