{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:13:40Z","timestamp":1791987220786,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T00:00:00Z","timestamp":1673395200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study is to assess the shrinkage\u2010induced cuspal deformation and strength of large MOD restorations using three different short fiber\u2010reinforced composite resins (SFRC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Twenty\u2010seven typodont teeth #30 (Columbia) received a standardized slot\u2010type preparation (5\u2010mm by 5\u2010mm depth and bucco\u2010palatal width). Three types of SFRCs (everX Posterior, everX Flow, and a 50\/50 mixture of both materials) were used with the Optibond FL bonding system. The intercuspal distance of each specimen (<jats:italic>n<\/jats:italic>\u00a0=\u00a09) was measured after preparation, immediately after restoration and at 3, 18, and 24\u2009h. Each specimen was then subjected to simulated mastication (30\u00b0 angulation with cyclic loading of buccal cusp at 5\u00a0Hz), starting at 100\u2009N with 100\u2009N increase every 100\u2009cycles until fracture. Failure mode was determined as re\u2010restorable versus nonrestorable failures. Cusp deformation data were analyzed by two\u2010way repeated measures ANOVA and the fracture performance by Kaplan\u2013Meier survival analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Shrinkage\u2010induced cuspal deformation ranged from 27\u201334 microns (immediately) to 33\u201343 microns (24\u2009h). The largest deformations were observed for everX Flow and the 50\/50 mixture (up to 43 microns at 24\u2009h), which also demonstrated the lowest average strength (1456 to 1511\u2009N). everX Posterior demonstrated the least amount of shrinkage\u2010induced cuspal deformation (27 microns, up 33 microns at 24\u2009h) and the higher average strength (1744\u2009N). everX Flow tended to demonstrate more repairable partial fractures while everX Posterior induced mainly catastrophic failures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Large direct MOD restorations were most favorably restored with everX Posterior (less shrinkage, higher strength) at the expense of failure mode. everX Flow induced more friendly failure modes but more shrinkage\u2010induced cuspal deformation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Significance<\/jats:title><jats:p>When a low\u2010cost restoration must be chosen, EverX Posterior will significantly improve the performance but not the failure mode of directly layered restorations. Because of its increased shrinkage values, everX Flow is best indicated as a limited liner to cover the IDS layer and improve geometry for semi\u2010(in)direct restorations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.12998","type":"journal-article","created":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T10:55:33Z","timestamp":1673434533000},"page":"56-63","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Shrinkage\u2010induced cuspal deformation and strength of three different short fiber\u2010reinforced composite resins"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2476-9725","authenticated-orcid":false,"given":"Pascal","family":"Magne","sequence":"first","affiliation":[{"name":"Center for Education and Research in Biomimetic Restorative Dentistry (CER BRD)  Beverly Hills California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7468-6568","authenticated-orcid":false,"given":"Marco Aurelio","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Dental School Evangelical University of Goias  Anapolis Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taban","family":"Milani","sequence":"additional","affiliation":[{"name":"Herman Ostrow School of Dentistry University of Southern California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-5712(96)00066-8"},{"issue":"5","key":"e_1_2_8_3_1","first-page":"481","article-title":"Buonocore memorial lecture. 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