Stress-Reduced Restoration of Endodontically Treated Teeth Using Fiber-Reinforced Direct Composite Resin: A Case Series
Bharath Makonahalli Jaganath
Department of Conservative Dentistry and Endodontics, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India.
Sahadev Chickmagarvalli Krishnegowda
Department of Conservative Dentistry and Endodontics, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India.
Sandeep Rudranaik
Department of Conservative Dentistry and Endodontics, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India.
Kachenahalli Narasimhaiah Raghu
Department of Conservative Dentistry and Endodontics, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India.
Prashanth Sharma Ajakkala
*
Department of Conservative Dentistry and Endodontics, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India.
*Author to whom correspondence should be addressed.
Abstract
Background: Restoration of badly broken endodontically treated teeth (ETT) presents a significant challenge in dentistry. Traditional approaches typically involve posts, crowns, or indirect restorations. However, the use of fiber-reinforced composite resin (FRC) for direct restorations has gained traction due to its ability to provide structural support while maintaining a more conservative treatment approach.
Objective: This case series aims to demonstrate the effectiveness of stress-reduced direct composite restorations using the "wallpapering technique" as an alternative to full-coverage indirect restorations, particularly in young patients under 18 years of age.
Case Presentation: Three cases involving the restoration of anterior and posterior ETT were performed using a combination of continuous glass fiber (Interlig, Angelus), discontinuous short fiber-reinforced composite (EverX Posterior, GC), and nanohybrid composite resin (Tetric N Ceram, Ivoclar). These cases are still under follow up and the outcome after six months is presented in this report.
Conclusion: The wallpapering technique, combined with FRC materials, provides a reliable and conservative approach for restoring badly broken ETT. It offers a functional, esthetic, and durable solution, particularly for patients who are not yet candidates for full-coverage restorations.
Keywords: Endodontically treated teeth, fiber-reinforced composite, wallpapering technique