48 JOURNAL OF INDIAN SOCIETY OF PEDODONTICS AND PREVENTIVE DENTISTRY | Jan - Mar 2013 | Issue 1 | Vol 31 |

CASE REPORT
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
Correspondence:
Ritu Jindal, National Dental College and Hospital, S.A.S Nagar,
Punjab, India. E-mail: brar_rock001@yahoo.co.in
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.
Key words
Lenoweeve, ribbond
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].
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
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.
Website:
www.jisppd.com
DOI:
10.4103/0970-4388.112412
PMID:
**********
Access this article online
Quick Response Code:
49 JOURNAL OF INDIAN SOCIETY OF PEDODONTICS AND PREVENTIVE DENTISTRY | Jan - Mar 2013 | Issue 1 | Vol 31 |
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
[Figures 6-9].
Patient was recalled every three weeks.
Results at the end of the sixth month showed it
was still going strong.
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 Ribbonds 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.
Jindal: Treatment of nursing bottle caries with ribbond
Figure 1: Unique cross-link lock stitch leno weave pattern of Ribbond
Fibres.
Figure 2: Pre-operative Picture of a patient showing nursing bottle
caries
Figure 3: Radiograph after completing Pulpectomy w.r.t 51,61,62
Figure 4: Picture showing RIBBOND strip measuring twice the depth
of the root canal prepared
50 JOURNAL OF INDIAN SOCIETY OF PEDODONTICS AND PREVENTIVE DENTISTRY | Jan - Mar 2013 | Issue 1 | Vol 31 |
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
1. Samadzadeh A, Kugel G, Hurley E, Aboushala A. Fracture
strengths of provisional restorations reinforced with plasma-
treated woven polyethylene fiber. J Prosthet Dent 1997;78:447-9.
2. Karaman AI, Kir N, Belli S. Four applications of reinforced
polyethylene fiber material in orthodontic practice. Am J Orthod
Dentofacial Orthop 2002;121:650-4.
3. Chafaie A, Portier R. Anterior Fiber-reinforced Composite Resin
Bridge: A Case Report. Pediatr Dent. 2004;26:530-534
4. Miller TE, Barrick JA. Pediatric trauma and polyethylene
reinforced composite fixed partial denture replacement: a new
method. J Can Dent Assoc. 1993;59(3):252-256
5. Yildirim Oz G, Ataolu H, Kir N, Karaman AI. An alternative
method for splinting of traumatized teeth: Case reports. Dent
Traumatol 2006;22:345-9.
6. Giachetti L, Pace R. Rehabilitation of severely injured anterior
teeth in a young patient using ceramic and FRC: A clinical report.
Dent Traumatol 2008;24:560-4.
7. Eminkahyagil N, Erkut S. An innovative approach to chairside
provisional replacement of an extracted anterior tooth: use
of fiber-reinforced ribbon-composites and a natural tooth. J
Prosthodont 2006;15:316-20.
8. Hamza TA, Rosenstiel SF, El-Hosary MM, Ibraheem RM.
Figure 5: Picture showing Dual cure Resin cement (Rely X ARC, 3M)
injected into root canal before inserting Ribbond strip
Figure 6: Picture showing insertion of Ribbond strip
Figure 7: Light Curing after insertion of Ribbond
Figure 8: Pre-operative Photograph
Figure 9: Post-operative Photograph
Jindal: Treatment of nursing bottle caries with ribbond
51 JOURNAL OF INDIAN SOCIETY OF PEDODONTICS AND PREVENTIVE DENTISTRY | Jan - Mar 2013 | Issue 1 | Vol 31 |
Fracture resistance of fiber-reinforced PMMA interim fixed
partial dentures. J Prosthodont 2006;15:223-8.
9. Yildirim Oz G, Ataolu H, Kir N, Karaman AI. An alternative
method for splinting of traumatized teeth: Case reports. Dent
Traumatol 2006;22:345-9.
10. Gurbuz T, Sengul F, Altun C. Finite element stress analysis of
short-post core and over restorations prepared with different
restorative materials. Dent Mater J 2008;27:499-507.
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.
Source of Support: Nil, Conict of Interest: None declared.
Jindal: Treatment of nursing bottle caries with ribbond
Author Help: Reference checking facility
The manuscript system (www.journalonweb.com) allows the authors to check and verify the accuracy and style of references. The tool checks
the references with PubMed as per a predefined style. Authors are encouraged to use this facility, before submitting articles to the journal.
The style as well as bibliographic elements should be 100% accurate, to help get the references verified from the system. Even a
single spelling error or addition of issue number/month of publication will lead to an error when verifying the reference.
Example of a correct style
Sheahan P, Oleary G, Lee G, Fitzgibbon J. Cystic cervical metastases: Incidence and diagnosis using fine needle aspiration biopsy.
Otolaryngol Head Neck Surg 2002;127:294-8.
Only the references from journals indexed in PubMed will be checked.
Enter each reference in new line, without a serial number.
Add up to a maximum of 15 references at a time.
If the reference is correct for its bibliographic elements and punctuations, it will be shown as CORRECT and a link to the correct
article in PubMed will be given.
If any of the bibliographic elements are missing, incorrect or extra (such as issue number), it will be shown as INCORRECT and link to
possible articles in PubMed will be given.