metal free dental solutions

InFibra®
Reinforcement ribbon
ILLUSTRATED GUIDE

High molecular weight Polyethylene fibre

InFibra is the long-term solution, reliable,

fast, economical for both the dentist and
the dental technician for a metal free
dentistry.

0546
 OUR COMPANY
BIOLOREN is an innovative Italian company specializing in "Metal free" dental systems.
The company was founded in 1998 and has since focused on the manufacture of cutting-
edge dental products. Over the years the company has earned a considerable reputation
as a producer of fiber posts sold in more than 40 countries.
The quality system of BIOLOREN is certifified UNI CEI EN ISO 13485. All the products by
BIOLOREN are certified CE and many of them also received the prestigious American FDA.
BIOLOREN uses high quality materials and cooperates with important universities both in
Italy and abroad.
BIOLOREN offers different product lines:
- Fiber posts
- Fiber ribbons
- Trilor discs and blocks for CAD/CAM machines and Trilor Arch for manual use.
- URC Universal resinous Cement + Adhesive system AD+
The products are designed and manufactured by BIOLOREN which owns patents for many
of them. In particular, the research team specializes in the development of fiberglass, carbon
and polyethylene products. BIOLOREN provides metal free solutions to meet the needs of
all dentists and dental technicians.
The company distributes worldwide through a network of distributors.

2
THE COMPANY Pag. 2

CLINICAL APPLICATIONS 3

PRODUCT DESCRIPTION 4

PRINCIPLES ON THE USE OF InFibra 5

Mechanical behavior of a bridge (InFibra + composite) 5
Advantages 6
Reinforcement of a provisional armed bridge - direct and indirect method 7
Construction of reinforced bridge 8
Space maintainer - temporary reconstruction of an element 10
Repair of mobile dentures in acrylic resin 11
Construction of reinforced bridge using H 25 mm. height InFibra 11
Reinforce with a 2nd segment of Infibra a previous artifact 11
“All on 4” anchored with InFibra and composite 12
Solidarization of Implants and passivation 13
Periodontal Splintage - Direct method 14
Periodontal Splintage - Indirect method 15
Periodontal Splintage - Direct method 16
URC and ad+ 17
Packaging 18

InFibra is used with resinous composites or acrylic resins

1 - Reel of Ribbon 2 - Space Maintainer 3 - InFibra and composite

4 - Repair of acrylic 5 - Periodontal Splinting 6 - Maryland Bridge

prostheses

For the contributions to the drafting of this document we thank:

Dr. Umberto Ratti - Italy; Dr. Angelo Della Bona - Italy; Dr. Ivan Minchev - Bulgaria; Dr. Sergey
Sobolev - Russia; Dr. Oleg Savchenko - Russia; Odt. Massimo Previti - Italy; Odt. Giovanni
Malvisi - Italy; Odt. Giancalosi Giovanni; Odt. Riccomini Emanuele.
3
 Product Description
High molecular weight polyethylene is the most widely used material in the world by orthopedics
to coat the acetabular of the hip prosthesis for its high wear resistance and self-lubricating. In
addition high level sutures are also produced.

Infibra is made up of high molecular weight polyethylene fibres, long, continuous, white, crystal-
lized over 90% with excellent mechanical properties that make it the ideal product for non-metal
dentistry. The particular weave (Bioloren patent) allows an effective armour to prevent the pro-
pagation of microfractures of resinous composites and acrylic resins.

Mechanical Properties
Elasticity modulus 95Gpa
Tensile strength 3,0 Gpa
Specific weight 0,97 g/cm3
Percentage of elongation 2,4%
Water absorption meno del 0,9%
Melting temperature 145 °C

Different heights of InFibra

ø 1 mm Tubular is used for repairing mobile dentures.
1 mm has the same uses as that of 2 mm and is used in case of limited space.
2 mm widely used as orthodontic retention and for intercoronal splinting.
3 mm used in periodontal splintering and bridge armour where the natural element is used as a
Pontic.
4 mm Widely used in case of temporary bridges.
25 mm Used for fixed and mobile prostheses and for large repairs and reconstructions.

The specialist will decide which height is the ideal one.

4
 Mechanical principles on the use of Infibra
The concept illustrated hereunderis common to all the InFibra applications: Splintings – Maintai-
ners of space - Inlay and onlay – Hybrid bridges - provisional - Structures of solidarization and
retention - Repair of acrylic prostheses.

Mechanical behavior of a bridge (InFibra + composite).

Incident force
1. In a bridge constrained/resting at
Occlusal the end, where the force insists
centrally, the vincular reactions en-
InFibra sure that the "occlusal" fibres are
ribbon compressed and the "gingival"
fibers, subjected to traction,
Gingival stretch.
Reaction Reaction
force force
Compressed fibers

Behavior of
Stretched fibers
fibres

Incident force
Reaction
force 1. In a bridge constrained/resting at
Occlusal the end, where the force insists
centrally, the vincular reactions en-
InFibra sure that the "occlusal" fibres are
ribbon compressed and the "gingival"
fibers, subjected to traction,
Gingival stretch.
Reaction
Stretched fibers
force
+ height + duration
+ height + resistance

The fibers are mainly charged with

Compressed fibers the resistance to tension strains,
Behavior of while the polymerized composite
fibres contributes to compressive
strength.

5
 Advantages
Handy:
Infibra appears as a silky fabric, pleasant to the touch because soft, flexible, easy to apply unlike
metal bands.

Comfortable:
Infibra adapts easily to dental surfaces and has "no me-
mory" so it is ideal for adapting to interproximal spaces. The
tapes are thin (about 0.3 mm) and the patient almost does
not feel their presence in the mouth.

Aesthetic:
Infibra is white and translucent. It is highly camouflaged and
the plot lines disappear when coated with composite and
acrylic resin. The particular weaving allows a perfect inte-
gration with the coating materials.

Resistant:
The toughness of about 15 times that of steel, the high ela-
stic modulus, as well as the tensile strength and the high re-
siliency make it the material of choice for definitive and
temporary prosthetic reconstructions.

• biocompatibile
• Low liquid absorption
• Stable dimensionally
• Radiopaque
• High stress resistance
• Long lasting
• Compatible with all resinous composites and acrylic resins
• Economical

Applications
Main applications of InFibra: It is advisable to build a test case as
• Bridge construction soon as you receive the first InFibra
• Space maintainer kit. Not only to familiarize yourself
• Orthodontic Reconstruction with the material, but also to have a
• Splintages model to show patients
• Reinforcement of artifacts in composite and resin
• Bars on implants
• Repair of dentures

6
 Construction of a provisional bridge - direct method
In the case of a bridge supported at both ends, trace the pattern of a superficial channel in which
to place InFibra and the composite. Proceed by determining the required length of the Infibra
segment. Soak Infibra with an unfilled (AD +) adhesive and then with a dual composite (URC).
Place Infibra, add URC and trim.
If you perform a cantilever follow the principles seen on Pag. 5.

1 - Trace a channel 2 - Apply InFibra + composite 3 - Cure

Construction of an armed provisional bridge

indirect method
The aim is to incorporate an armature of InFibra and URC into the bridge
in order to give it a higher resistance and durability. The following illustra-
tion highlights the most significant steps of the application.

For a more durable and solid execution it is advisable to use an incremen-

tal layer coating.

WAX

Ref. Technical Lab Massimo Previti

7
 Construction of a reinforced bridge
1.  Make a model with the help of a foil segment or other suitable material to identify the length
and position of the InFibra. Take care of the interproximal areas, which are the structure areas
subjected to the maximum effort during the occlusal movements.

Use some The (patented) texture of

aluminum foil Infibra is designed to op-
to make a timize the permeation of
model a composite through the
mesh of Infibra itself.

Areas subjected to the

maximum effort

2.  Cut a segment of InFibra as determined by the model and soak it with ad+ or URC. At this
point the element must be handled as a real composite.

3.  Adapt the "wet" side of Infibra to the first stump using tweezers.

4.  Apply a thin layer of URC to begin to adhere InFibra to the stump. Wrap the two "circles"
around the stumps, as shown in the figure.

8
5.  Wrap InFibra on the two stumps and close the gap. Add a few drops of URC to fix InFibra in
the desired position and cure.

Curing

Fibres should never be exposed

in the oral cavity. A layer of URC
preserves its integrity and re-
moves the feeling of roughness
from the patient.

View from the top

6.  Place Infibre with your fingers and tweezers. Add URC with the technique of the incremental
layers.

Side view

7.  If you believe that you need to further reinforce the bridge, there are two solutions:
a)  Interpose a fibreglass bar between the two sides of InFibra that intervene inside the stumps;
b)  Wrap an additional segment of InFibra mounted of the first stretch of InFibra that has already
been used for the structure.

a.  Reinforce with a

fiberglass bar
b.  Wrap a further
Fiberglass bar segment of InFibra

View from the top

9
 Space Maintainer and Reconsruction of an element
1 - Determine the required length of ribbon. In doing this make sure
that there will be a correct occlusion at work performed. Prepare
the area on which the ribbon will adhere according to traditional
methods (such as sanding) and clean up.
Palatal perspective

2 - Etch the areas on which to allocate the tape adhesion, then re-
move with water jet and dry. Apply a thin layer of AD + and cure
with the lamp.

3 - Apply a thin layer of fluid composite URC and place infibra on it.
Follow as much as possible the tooth surface progression up to half
the interproximal space (palatal/lingual) and cure.

4 - To get a very durable and solid bridge, wrap a small stretch of

InFibra around the bridge itself so as to reinforce the structure in
the central part. Soak with a little URC and cure.

5 - On the structure obtained, lay a layer of URC to cover entirely

the fibres. Cure and continue the construction with the technique
of the incremental layers.

6 - Complete the artificial element, taking into account to optimize

the occlusal function.

10
 Contruction of a bridge reinforced
with 25 mm high InFibra
1. Build the model using aluminum foil. Cover the stumps for at least 3 or 4 mm. Cut the InFibra
segment if necessary.
2. Isolate the model appropriately.
3. Initially soak InFibra with a dual resinous cement (URC).
4. Apply a first layer of URC on the ribbon.
5. Adapt InFibra so that to perfectly cover the stumps in the desired lateral view
position and start curing.
6. Apply successive layers to cover and finish taking care not to
leave exposed fibers.

Reinforce with a second segment of Infibra

a previous artifact
1. Measure the required length of InFibra equal to the space 2º segment of InFibra
to be reinforced.
2. Properly isolate the model.
3. Cut and soak with URC the Infibra segment.
4. Apply the URC composite to the InFibra ribbon.
5. Apply the various layers of composite to cover InFibra al-
ready fixed to the stumps and to a possible present seg- lateral view
ment of InFibra.
In case of high stress it is advisable to reinforce the structure by adding an additional segment
of the ribbon.

Repair of acrylic resin prosthesis

1 - Adhere the two parts of the 2 - Trace and etch a channel in the 3 - Apply a layer of composite in-
denture using an adhesive acrylic resin; measure and cut the side the channel
corresponding segment

4 - Position InFibra in the channel 5 - The repair can be reinforced by 6 - Complete the repair covering
and cover InFibra with the com- making an inner additional chan- entirely with acrylic resin
posite nel

We recommend Tubular InFibra because it is more suitable for this use

11
 “All on 4” docked with InFibra and URC
An important application of InFibra is in the implantoprosthesis both
1
in the immediate and deferred loads.

Many authors have shown that the use of rods on plants with semi-
rigid materials reduces the bone retraction in time, unlike the metal
bars that are too rigid, which do not allow a physiological dispersion
of the occlusal forces, therefore less stress it is transmitted from
implants to the bone that needs to be reformed.
2
Infibra is a semi-rigid fibrous material with modulus of elasticity si-
milar to that of bone.

1) Remove the required length of tubular InFibra (1mm).

3

2) Fix InFibra with a layer of URC.

3) The structure with InFibra has solved the dispararallelelism.

5
4) Adapt the artifact to the mesostructure.

5) Make the prosthesis using some acrylic resin.

6

6) Complete the case by positioning the artifact on the model.

12
olidarization of 8 systems and passivation
Indirect method
1 1) Position InFibra with some drops of URC composite on some
points of the structure.

2 2) With the help of tweezers place in a definitive way InFibra on the

model.

3 3) Apply a first layer of URC along the entire length of InFibra.

The artifact can now be cured in order to solidify the transverse
bond.

4) Cover the entire length of InFibra with successive layers of URC

4 with the technique of the incremental layers.

5 5) The structure is further covered and reinforced with URC.

6 6) The structure is ready to be positioned and anchored to the im-

plants.

7 7) Case completed.

13
 Periodontal Splintage - Direct method
To achieve a periodontal splintage, measure the required length of the InFibra segment. Use
aluminum foil to build a faithful model.

In Fibra Ribbon Splintage can be per-

formed in the lingual or
palatal area. Teeth should
not present tooth decay.

Insert dental floss segments. Carry out the preparation of the surfaces to be treated for adhesion.
Apply a thin layer of AD + on the treated surface.

Preparation of the
surface Dentin Adhesive

Bioloren's dual URC (Uni-

versal Resin Cement)
Composite is recom-
mended for all uses of In-
Fibra.

Apply a layer of URC composite to the tooth surface, but do not cure yet. Adapt the ribbon with
bonding to the contour of the teeth, once you find the right position pull out the floss so as to per-
fectly fit InFibra to the teeth profiles.

To better adhere infibra to

the dental surfaces, seg-
ments of dental floss are
inserted and then pulled
outward. In this way InFi-
bra will adapt better to the
profile of the teeth.

Incremental curing. Cover the fibers by paying attention to the interproximal areas. Do not leave
exposed fibers.
URC Curing

14
 Splintage with indirect method
1) Make the impression and the corresponding model.
2) Draw the upper and lower sides that delimit the splintering. Take into account the occlusal
characteristics of the patient.

3) Create the model of the splintage with the wax technique.

4) Make any corrections after verifying the accuracy of the splintering directly in the patient's
mouth.
5) Prepare the dental surfaces (as already seen with the direct method).
6) After measuring the required length, cut the correct amount of InFibra with the special scis-
sors or other suitable instrument.

With the direct method the Splin-

tage is performed in a single ses-
sion. The indirect method allows
more manageability and the resin
is cured optimally.

7) Apply a small amount of URC fluid composite to the model at the adhesion surfaces.

8) Place a segment of InFibra joined to a layer of URC and cure. Insert the model obtained in
the patient's oral cavity. Make sure the splintage is correct.
9) Reinforce with subsequent URC layers and cure.
10) Remove the support of the splintage and add more URC to refine, making sure not to leave
exposed fibers.

Splinting on the model

15
 Periodontal Splintage-Direct method
Diagnosis:
-  Abnormal mobility;
-  Periodontitis.

Place the rubber dam. The preparation must provide an excel-

lent interproximal adaptation. Use the tinfoil method for the
model.

Prepare the teeth taking care to make the surface rough to im-
prove adhesion.

Unlike fibreglass, Infibra does not require any clips to fix its po-
sition.

The adhesion is improved using for example etching gel, taking

care to treat also the interproximal zones.

A + bonding agent is applied to the treated surface. We then

proceed with the application of a fluid composite (URC).

Fix InFibra in the desired position and start curing.

The splinting is completed and finished without leaving exposed

fibers.

Clinical case; Concession of Dr. Ivan Minchev-Sofia.

16
 URC: Universal resinous Cement
• Dual Proprietà fisiche:
• Hydrofilic
• Fluid Resistance to compression 310 MPa
• Eliminates microfractures Tensile strength 32 Kg
• Self etching Film thickness 12 micron
• Stable colour when cured Low viscosity
• Available in automix syringes
• Radiopaque
• Releases fluorine

URC ideal for cementation of materials such as InFibra for the absence
of microfractures; Anaerobic.

URC:
- Syringe 7 g
- Syringe 3,5 g

Syringes are supplied with straight or angled tips

Ideal for cementing all surfaces such as: polyethylene, InFibra, precious and non metals, ce-
ramics, zirconia, acrylic resins, glass and carbon fibers, bridges, crowns, inlays.

The chemical nature of URC is hydrophilic, therefore in the moist environment of the oral cavity
it binds perfectly with the natural structures. URC allows a marginal closure without step or with-
out micro-fractures, leading cause of failures. Tests performed by an autonomous body show
that the impregnation of Infibre with AD + and URC is absent from microbubbles, the main cause
of detachments.

ad+: the adhesive system

ad+ Mono is a latest generation adhesive: Monocomponent (1 vial) photohardening. The
PMGDM patented monomer creates a hybrid layer (Hibrid layer) with the collagen of the dentinal
tubules with the result of an exceptional micromechanical retention (> 34mpa). Ideal with all
resinous composite cements such as URC.

ad+ACTIVATOR is the right com-

plement to make AD + Mono even
dual

- ad+Mono bottle of 6 ml;

- ad+ACTIVATOR bottle of 3 ml.

Adhesion Test with resinous composite and PMMA. The results obtained have val-
ues of 500 N and 600 n, respectively. 17
 Packaging

InFibra Kit – 5 spools + InFibra – Height 25 mm InFibra – Single spool

special scissors Length 50 cm 50 cm

Main recommendations on the use of IFfibra

1. Remove an InFibra segment from the spool with sterile tweezers.
2. Cut the InFibra ribbon with the special scissors or other suitable instrument.
3. If InFibra is used with non-adhesive-action composites, it must be wetted with a bonding
agent (AD + MONO).
4. If InFibra is used with an acrylic resin, a specific monomer should be added.
5. The InFibra artifact must always be covered with resin or composite.
6. InFibra has no expiry date. On the other side it should be protected from intense light or
polluting agents during storage

Products available
Spool of ø 1 mm - L. 50 cm Cod. IF 1T
Spool of 1 mm - L. 50 cm Cod. IF 1
Spool of 2 mm - L. 50 cm Cod. IF 2
Spool of 3 mm - L. 50 cm Cod. IF 3
Spool of 4 mm - L. 50 cm Cod. IF 4
Pack of 25 mm - L. 50 cm Cod. IF 25
URC - Resinous Cement 7 g. Cod. URC7
URC - Resinous Cement 3,5 g. Cod. URC3,5
ad+ MONO 6 ml. Cod. ADHE6
Activator 3 ml. Cod. ACTIV3
InFibra Ribbon Kit - 5 spools + special scissors Cod. IFKIT5
Special scissors Cod. SCS

18
 Bibliography
- Oleg Savchenko DDS - “ Splint Therapy with the help of fibre”
Lipetsk, Russia - Moderm Dentistry 2/2013.

- George Freedmann DDS - “InFibra ribbon system” - Vol. 2 Issue

n° 28 Feb. Dentistry Today.

- Cirulli Nunzio DDS, De Frenza Gianluca DDS, Cantore Stefania

DDS, Grassi F. Roberto - “DDS Proposal of treatment with poly-
ethylene fibres” - European journal of implant prosthodontics, Vol.
2, N° 3 Sept.-Dec. (2006): Supplement.

- Oleg Savchenko DDS - “A prospective for periodontal splinting

using fiberglass” Lipetsk, Russia - Stoma-Servis Dental Market,
N° 2, 2010.

- Farronato Davide DDS - “Direct splinting with composite rein-

forced with ultra-high-molecular-weight polyethylene feibre” - Il
dentista Moderno - ECM, XXIX, N°1 gen. 2011.

- Mohamed A. Saad Aldeen and Ehab A. Esaih- “Marginal bone

height changes of splinted implants supporting mandibular com-
plete overdenture (metal bar versus InFibra ribbon bar)” - Egypt-
ian dental journal, vol 59, 31-40, January 2013

- Silvana M.M. Spyrides, Maira do Prado, Renata Antoun Simão,

Fernando Luis Bastian – “ Effect of plasma and fiber position on
flexural properties of a Polyethylene fiber reinforced composite”
- Brazilian Dental Journal (2015) 26(5):490-496

- Silvana M.M. Spyrides, Maira do Prado, Joyce Rodrigues de

Araujo, Renata Antoun Simão, Fernando Luis Bastian - “Effects
of plasma on Polyethylene fiber surface for prosthodontics appli-
cation” - J. Appl. Oral SCi. 2015; 23(6):614-22

19
 metal free dental solutions

Bioloren S.r.l.
Via Alessandro Volta, 59
21047 Saronno (VA), Italy
Tel/Fax: +39 02 96703261

[email protected]
www.bioloren.com

MADE IN ITALY
Rev. 3 - 11/2018