|Year : 2013 | Volume
| Issue : 1 | Page : 48-51
Treatment of nursing bottle caries with ribbond
Ritu Jindal, Gurlal Singh Brar
Professor & H.O.D, Department of Pedodontics & Preventive Dentistry, National Dental College & Hospital, Derabassi, Senior Lecturer, Genesis Institute of Dental Sciences & Research, Ferozepur, Punjab, India
|Date of Web Publication||27-May-2013|
National Dental College and Hospital, S.A.S Nagar, Punjab
Source of Support: None, Conflict of Interest: None
| Abstract|| |
Ribbond is a biocompatible, esthetic material made from high-strength polyethylene fiber. Lenowoven polyethylene ribbon (Ribbond) has been used successfully for tooth splinting, replacement of missing teeth, reinforcement of provisional acrylic resin fixed partial dentures, and orthodontic retention. This article presents the application of this polyethylene ribbon - RIBBOND - for the treatment of nursing bottle caries. To conclude we suggest that this combined technique of polyethylene fibers and composite material could be a very efficient alternative procedure to conventional treatment plans in pedodontic practice, with excellent esthetics and functional results.
Keywords: Lenoweeve, ribbond
|How to cite this article:|
Jindal R, Brar GS. Treatment of nursing bottle caries with ribbond. J Indian Soc Pedod Prev Dent 2013;31:48-51
| Introduction|| |
Fiber reinforcement is a proven technology today, and is being used in almost every field, from the bus industry to ship manufacture, and from something complex like windmills to bullet proof vests and jackets, one of the most important gear in today's world. Dentistry is no exception in accepting this technology in its stride. The use of fiber-reinforced composites / ribbons has become a day-to-day practice in clinical dental practice, which has made life easier for the dentist, at the same time helping him provide quality care to the patients.
Ribbond fibers, introduced in 1992 into the market, are bondable reinforced fibers, consisting of ultrahigh strength polyethylene fibers. These fibers far exceed the breaking point of fiberglass and are so tough that specially made scissors are required to cut them. Unlike Kevlar, Ribbond fibers absorb less moisture than the dental resins.
The key to Ribbond's success is its patented leno weave. Designed with a lock-stitch feature that effectively transfers forces throughout the weave without stress transfer back into the resin, the Ribbond's weave also provides excellent manageability characteristics. Having virtually no memory, Ribbond adapts to the contours of the teeth and dental arch. For example; when making a periodontal splint, Ribbond tucks in interproximally without rebounding. In addition, unlike loosely braided or bundles of unidirectional fibers, Ribbond does not spread or fall apart when manipulated. Inaccurate fiber placement results in voids or excessive composite on the tensile side of the fibers that will be prone to fracturing. The unique fiber design renders the following properties to Ribbond [Figure 1].
|Figure 1: Unique cross-link lock stitch leno weave pattern of Ribbond Fibres.|
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This article presents the application of this polyethylene ribbon, RIBBOND, for the treatment of nursing bottle caries.
| Case Report|| |
Case I -Nursing Bottle Caries
- A three-and-a-half- year- old patient patient, with a chief complaint of black discoloration of anterior teeth.
- Patient diagnosed with NURSING BOTTLE CARIES with root stumps in relation to deciduous right and left central incisors and left lateral incisor [Figure 2].
- Pulpectomy performed 51, 61, 62.
- Removal of obturating material from two-thirds of root canal [Figure 3].
- Etching of root canal.
- Bonding agent applied to root canal.
- Ribbond measuring twice the depth of the canal prepared [Figure 4].
- Dual cure resin cement (Rely X ARC, 3M) injected [Figure 5].
- Ribbond inserted, cured, and final buildup done [Figure 6],[Figure 7],[Figure 8] and [Figure 9].
- Patient was recalled every three weeks.
- Results at the end of the sixth month showed it was still going strong .
|Figure 2: Pre-operative Picture of a patient showing nursing bottle caries|
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|Figure 4: Picture showing RIBBOND strip measuring twice the depth of the root canal prepared|
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|Figure 5: Picture showing Dual cure Resin cement (Rely X ARC, 3M) injected into root canal before inserting Ribbond strip|
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| Discussion|| |
Ribbond is a biocompatible, esthetic material made from high-strength polyethylene fiber. As it is a relatively easy and fast technique (no laboratory work is needed). It also has acceptable strength because of the good integration of fibers with the composite resin; this leads to good clinical longevity. This material is expensive and this is Ribbond's disadvantage.
Since the early 1990s, a lenowoven polyethylene ribbon (Ribbond) has been used successfully for tooth splinting, replacement of missing teeth, reinforcement of provisional acrylic resin fixed partial dentures, and orthodontic retention. The fibers are made for chairside use in a single appointment procedure that requires no special treatment preparation or instrumentation.
Cast posts and cores are commonly used because of their superior mechanical properties. To solve this esthetic problem, tooth-colored fiber and zirconium post systems have been introduced, which are capable of resisting occlusal loads, and have light transmission characteristics, similar to those of natural teeth. Compared to the alternative techniques, such as, composite resin restoration, screw-post, cast-metal posts, and dentin pins, reattachment using a fiber post offers several advantages. It provides immediate esthetic and functional rehabilitation of the fractured tooth. Minimal patient cooperation is required, and the treatment takes less time and is, thus, readily accepted by the patient.
| Conclusions|| |
To conclude we suggest that this combined technique of polyethylene fibers and composite material can be a very efficient alternative procedure to conventional treatment plans, in pedodontic practice, with excellent esthetics and functional results.
| References|| |
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[Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5], [Figure 6], [Figure 7], [Figure 8], [Figure 9]