Comparison of Conventional and Fiber-Reinforced Restorative Protocols Using Standardized Three-Dimensional Printed Cracked Tooth Models: An In Vitro Study.

Authors

Isabella Sousa Corrêa, Kênia Maria Pereira Soares de Toubes, Alberto Nogueira da Gama Antunes, Paulo Isaías Seraidarian, Stephanie Quadros Tonelli, Daniel Sousa Pardini, Gilberto Antônio Borges, Frank Ferreira Silveira

Published in

International journal of dentistry. Volume 2026. Pages 9975701. Epub Oct 25, 2026.

Abstract

To compare the fracture resistance and failure patterns of different restorative protocols in standardized three-dimensional (3D)-printed cracked molars.
Sixty standardized mandibular molar models were fabricated from a single digital design using 3D printing technology and randomly allocated into five experimental groups (n = 12): sound teeth, cracked teeth (CT), CT with mesio-occluso-distal (MOD) cavity preparation, MOD cavities restored with conventional composite resin, and MOD cavities restored with a polyethylene fiber-reinforced composite protocol. Fracture resistance was evaluated by static compressive loading. Failure patterns were classified according to predefined criteria. Data were analyzed using the Kruskal-Wallis test followed by Dunn's post hoc test with Bonferroni adjustment (α = 0.05).
Significant differences in fracture resistance were observed among the experimental groups (p < 0.001). The polyethylene fiber-reinforced composite group exhibited the highest fracture resistance (1288 ± 345 N), whereas the unrestored MOD group showed the lowest values (187 ± 63 N). The fiber-reinforced and conventional composite groups did not differ significantly in fracture resistance (Bonferroni-adjusted p = 1.000). Failure patterns showed a descriptively heterogeneous distribution within the fiber-reinforced restorative protocol.
Within the limitations of this in vitro study, the fiber-reinforced restorative protocol demonstrated fracture resistance comparable to sound teeth and conventional composite restorations under static loading. The observed failure patterns differed descriptively among restorative protocols. These findings provide preliminary biomechanical evidence regarding the performance of different restorative strategies in a standardized 3D-printed model.

PMID:
42928738
Bibliographic data and abstract were imported from PubMed on 26 Oct 2026.

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