Research Article
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Year 2025,
https://doi.org/10.17567/currresdentsci.1424571

Abstract

References

  • 1. Sokol DJ. Effective use of current core and post concepts. J Prost Dent. 1984;52:231-234.
  • 2. Naumann M, Schmitter M, Frankenberger R, Krastl G. “Ferrule comes first. Post is second!” Fake news and alternative facts? A systematic review. J Endod. 2018;44:212-219.
  • 3. Zicari F, Van Meerbeek B, Scotti R, Naert I. Effect of ferrule and post placement on fracture resistance of endodontically treated teeth after fatigue loading. J Dent. 2013;41:207-215.
  • 4. Magne P, Lazari P, Carvalho M, Johnson T, Del Bel Cury A. Ferrule-effect dominates over use of a fiber post when restoring endodontically treated incisors: an in vitro study. Oper Dent. 2017;42:396-406.
  • 5. Magne P, Goldberg J, Edelhoff D, Güth J. Composite resin core buildups with and without post for the restoration of endodontically treated molars without ferrule. Oper Dent. 2016;41:64-75.
  • 6. Ferrari M, Vichi A, Fadda G, et al. A randomized controlled trial of endodontically treated and restored premolars. J Dent Res. 2012;91:S72-S78.
  • 7. Crysanticagidiaco M, Franklingarcia-godoy D, Alessandrovichi D. Placement of fiber prefabricated or custom made posts affects the 3-year survival of endodontically treated premolars. Dent 2008;21:179-184.
  • 8. Schwartz RS, Robbins JW. Post placement and restoration of endodontically treated teeth: a literature review. J Endod. 2004;30:289-301.
  • 9. Peroz I, Blankenstein F, Lange K-P, Naumann M. Restoring endodontically treated teeth with posts and cores--a review. Quintessence Int. 2005;36.
  • 10. Juloski J, Radovic I, Goracci C, Vulicevic ZR, Ferrari M. Ferrule effect: a literature review. J Endod. 2012;38:11-19.
  • 11. Kishen A. Mechanisms and risk factors for fracture predilection in endodontically treated teeth. Endod topics. 2006;13:57-83.
  • 12. Figueiredo FED, Martins-Filho PRS, Faria-e-Silva AL. Do metal post–retained restorations result in more root fractures than fiber post–retained restorations? A systematic review and meta-analysis. J Endod. 2015;41:309-316.
  • 13.Bolla M, Muller‐Bolla M, Borg C, Lupi‐Pegurier L, Laplanche O, Leforestier E. Root canal posts for the restoration of root filled teeth. Cochrane Database Syst Rev. 2007.
  • 14. Balkenhol M, Rupf S, Laufersweiler I, Huber K, Hannig M. Failure analysis and survival rate of post and core restorations under cyclic loading. Inter endod J. 2011;44:926-937.
  • 15. Koch ATA, Binus SM, Holzschuh B, Petschelt A, Powers JM, Berthold C. Restoration of endodontically treated teeth with major hard tissue loss–influence of post surface design on pull‐out bond strength of fiber‐reinforced composite posts. Dent Traumatol. 2014;30:270-279.
  • 16. Ozel E, Dikbas I, Tanalp J, Koksal T, Ersoy M. Evaluation of the effect of different ferrule designs on the fracture resistance of endodontically treated maxillary central incisors incorporating fiber posts, composite cores and crown restorations. J Contemp Dent Pract. 2007;8:62-69.
  • 17. Garcia PP, Wambier LM, de Geus JL, da Cunha LF, Correr GM, Gonzaga CC. Do anterior and posterior teeth treated with post-and-core restorations have similar failure rates? A systematic review and meta-analysis. J Prosthet Dent. 2019;121:887-894. e884.
  • 18. Ricketts D, Tait C, Higgins A. Post and core systems, refinements to tooth preparation and cementation. Br Dent J. 2005;198:533-541.
  • 19. Zavattini A, Feitosa V, Mannocci F, et al. Bonding ability of experimental resin-based materials containing (ion-releasing)-microfillers applied on water-wet or ethanol-wet root canal dentine. Inter J Adhesion and Adhesives 2014;54:214-223.
  • 20. Ferrari M, Cagidiaco MC, Goracci C, et al. Long-term retrospective study of the clinical performance of fiber posts. Am J Dentistry 2007;20:287.
  • 21. Santos TdSA, Abu Hasna A, Abreu RT, et al. Fracture resistance and stress distribution of weakened teeth reinforced with a bundled glass fiber–reinforced resin post. Clin oral invest. 2021:1-11.
  • 22. Kul E, Yeter KY, Aladag LI, Ayrancı LB. Effect of different post space irrigation Procedures on the bond strength of a fiber post attached with a self-adhesive resin cement. J Prost Dent. 2016;115:601-605.
  • 23. Wang H-W, Chang Y-H, Lin C-L. Mechanical resistance evaluation of a novel anatomical short glass fiber reinforced post in artificial endodontically treated premolar under rotational/lateral fracture fatigue testing. Dent Mater J. 2016;35:233-240.
  • 24. Kim A-R, Lim H-P, Yang H-S, Park S-W. Effect of ferrule on the fracture resistance of mandibular premolars with prefabricated posts and cores. J Advanced prosthodont. 2017;9:328-334.
  • 25. Dietschi D, Duc O, Krejci I, Sadan A. Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies). Quintessence Inter. 2008;39.
  • 26. Roscoe MG, Noritomi PY, Novais VR, Soares CJ. Influence of alveolar bone loss, post type, and ferrule presence on the biomechanical behavior of endodontically treated maxillary canines: strain measurement and stress distribution. J Prost Dent. 2013;110:116-126.
  • 27. Pereira JR, De Ornelas F, Conti PCR, Do Valle AL. Effect of a crown ferrule on the fracture resistance of endodontically treated teeth restored with prefabricated posts. J Prost Dent. 2006;95:50-54.
  • 28. Stankiewicz N, Wilson P. The ferrule effect. Dental update 2008;35:222-228.
  • 29. Kul E, Yanıkoğlu N, Yeter KY, Bayındır F, Sakarya RE. A comparison of the fracture resistance of premolars without a ferrule with different post systems. J Prost Dent 2020;123:521-25.
  • 30. Albashaireh ZSM, Sbeih YK. The effect of ferrule and core material on fracture resistance of endodontically treated anterior teeth restored with ceramic crowns after artificial aging. J Dent. 2024 Aug;147:105106.
  • 31. Maroulakos G, Nagy WW, Kontogiorgos ED. Fracture resistance of compromised endodontically treated teeth restored with bonded post and cores: An in vitro study. J Prost Dent. 2015;114:390-397.
  • 32. Nam S-H, Chang H-S, Min K-S, Lee Y, Cho H-W, Bae J-M. Effect of the number of residual walls on fracture resistances, failure patterns, and photoelasticity of simulated premolars restored with or without fiber-reinforced composite posts. J Endod. 2010;36:297-301.
  • 33. Santos-Filho PCF, Veríssimo C, Soares PV, Saltarelo RC, Soares CJ, Martins LRM. Influence of ferrule, post system, and length on biomechanical behavior of endodontically treated anterior teeth. J Endod. 2014;40:119-123.
  • 34. Plotino G, Grande NM, Bedini R, Pameijer CH, Somma F. Flexural properties of endodontic posts and human root dentin. Dent Mater. 2007;23:1129-1135.
  • 35. Lazari PC, de Carvalho MA, Cury AADB, Magne P. Survival of extensively damaged endodontically treated incisors restored with different types of posts-and-core foundation restoration material. J Prost Dent. 2018;119:769-776.
  • 36. Beh YH, Halim MS, Ariffin Z. The load capacity of maxillary central incisor with simulated flared root canal restored with different fiber-reinforced composite post and cementation protocols. PeerJ. 2023;17;11:e16469.

A Comparison of the Fracture Resistance of Maxillary Central Incisors with a Ferrule with Various Post Systems

Year 2025,
https://doi.org/10.17567/currresdentsci.1424571

Abstract

Purpose. In the literature, the influence of different post types utilized on ferrule-formed maxillary central teeth on fracture resistance and restoration life is not clearly explained. This study aims to investigate how fiber reinforced composite posts (FRC), fiber posts (FP), and zirconia ceramic posts (ZCP) effect fracture resistance of endodontically treated central teeth with a ferrule.

Materials and Procedures: Ferrule was created to preserve 2 mm of coronal dentin structure for 30 maxillary central teeth that undergone root canal therapy. Thirty maxillary central teeth were separated into three distinct groups, and three distinct posts were applied: FRC, FP, and ZCP. After constructing the post core, the strip crown was applied. Thermal cycling and chewing simulation were performed on the samples. The samples were exposed to a refractive test in a universal testing machine after the refraction test. The samples were subsequently analyzed at x10 magnification using an optical microscope. A one-way ANOVA and Chi-square test were used to assess fracture resistance between groups.

Results. In terms of fracture resistance, the statistical analysis revealed no statistically significant differences between the groups. Regarding fracture type, there were no significant differences between the groups.

Conclusion. Despite the fact that the type of post is particularly critical for the survival of endodontically treated teeth, the presence of a ferrule considerably improves survival. Endodontically treated teeth that have been prosthetically restored with post implantation are more likely to survive because to the ferrule effect.

References

  • 1. Sokol DJ. Effective use of current core and post concepts. J Prost Dent. 1984;52:231-234.
  • 2. Naumann M, Schmitter M, Frankenberger R, Krastl G. “Ferrule comes first. Post is second!” Fake news and alternative facts? A systematic review. J Endod. 2018;44:212-219.
  • 3. Zicari F, Van Meerbeek B, Scotti R, Naert I. Effect of ferrule and post placement on fracture resistance of endodontically treated teeth after fatigue loading. J Dent. 2013;41:207-215.
  • 4. Magne P, Lazari P, Carvalho M, Johnson T, Del Bel Cury A. Ferrule-effect dominates over use of a fiber post when restoring endodontically treated incisors: an in vitro study. Oper Dent. 2017;42:396-406.
  • 5. Magne P, Goldberg J, Edelhoff D, Güth J. Composite resin core buildups with and without post for the restoration of endodontically treated molars without ferrule. Oper Dent. 2016;41:64-75.
  • 6. Ferrari M, Vichi A, Fadda G, et al. A randomized controlled trial of endodontically treated and restored premolars. J Dent Res. 2012;91:S72-S78.
  • 7. Crysanticagidiaco M, Franklingarcia-godoy D, Alessandrovichi D. Placement of fiber prefabricated or custom made posts affects the 3-year survival of endodontically treated premolars. Dent 2008;21:179-184.
  • 8. Schwartz RS, Robbins JW. Post placement and restoration of endodontically treated teeth: a literature review. J Endod. 2004;30:289-301.
  • 9. Peroz I, Blankenstein F, Lange K-P, Naumann M. Restoring endodontically treated teeth with posts and cores--a review. Quintessence Int. 2005;36.
  • 10. Juloski J, Radovic I, Goracci C, Vulicevic ZR, Ferrari M. Ferrule effect: a literature review. J Endod. 2012;38:11-19.
  • 11. Kishen A. Mechanisms and risk factors for fracture predilection in endodontically treated teeth. Endod topics. 2006;13:57-83.
  • 12. Figueiredo FED, Martins-Filho PRS, Faria-e-Silva AL. Do metal post–retained restorations result in more root fractures than fiber post–retained restorations? A systematic review and meta-analysis. J Endod. 2015;41:309-316.
  • 13.Bolla M, Muller‐Bolla M, Borg C, Lupi‐Pegurier L, Laplanche O, Leforestier E. Root canal posts for the restoration of root filled teeth. Cochrane Database Syst Rev. 2007.
  • 14. Balkenhol M, Rupf S, Laufersweiler I, Huber K, Hannig M. Failure analysis and survival rate of post and core restorations under cyclic loading. Inter endod J. 2011;44:926-937.
  • 15. Koch ATA, Binus SM, Holzschuh B, Petschelt A, Powers JM, Berthold C. Restoration of endodontically treated teeth with major hard tissue loss–influence of post surface design on pull‐out bond strength of fiber‐reinforced composite posts. Dent Traumatol. 2014;30:270-279.
  • 16. Ozel E, Dikbas I, Tanalp J, Koksal T, Ersoy M. Evaluation of the effect of different ferrule designs on the fracture resistance of endodontically treated maxillary central incisors incorporating fiber posts, composite cores and crown restorations. J Contemp Dent Pract. 2007;8:62-69.
  • 17. Garcia PP, Wambier LM, de Geus JL, da Cunha LF, Correr GM, Gonzaga CC. Do anterior and posterior teeth treated with post-and-core restorations have similar failure rates? A systematic review and meta-analysis. J Prosthet Dent. 2019;121:887-894. e884.
  • 18. Ricketts D, Tait C, Higgins A. Post and core systems, refinements to tooth preparation and cementation. Br Dent J. 2005;198:533-541.
  • 19. Zavattini A, Feitosa V, Mannocci F, et al. Bonding ability of experimental resin-based materials containing (ion-releasing)-microfillers applied on water-wet or ethanol-wet root canal dentine. Inter J Adhesion and Adhesives 2014;54:214-223.
  • 20. Ferrari M, Cagidiaco MC, Goracci C, et al. Long-term retrospective study of the clinical performance of fiber posts. Am J Dentistry 2007;20:287.
  • 21. Santos TdSA, Abu Hasna A, Abreu RT, et al. Fracture resistance and stress distribution of weakened teeth reinforced with a bundled glass fiber–reinforced resin post. Clin oral invest. 2021:1-11.
  • 22. Kul E, Yeter KY, Aladag LI, Ayrancı LB. Effect of different post space irrigation Procedures on the bond strength of a fiber post attached with a self-adhesive resin cement. J Prost Dent. 2016;115:601-605.
  • 23. Wang H-W, Chang Y-H, Lin C-L. Mechanical resistance evaluation of a novel anatomical short glass fiber reinforced post in artificial endodontically treated premolar under rotational/lateral fracture fatigue testing. Dent Mater J. 2016;35:233-240.
  • 24. Kim A-R, Lim H-P, Yang H-S, Park S-W. Effect of ferrule on the fracture resistance of mandibular premolars with prefabricated posts and cores. J Advanced prosthodont. 2017;9:328-334.
  • 25. Dietschi D, Duc O, Krejci I, Sadan A. Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies). Quintessence Inter. 2008;39.
  • 26. Roscoe MG, Noritomi PY, Novais VR, Soares CJ. Influence of alveolar bone loss, post type, and ferrule presence on the biomechanical behavior of endodontically treated maxillary canines: strain measurement and stress distribution. J Prost Dent. 2013;110:116-126.
  • 27. Pereira JR, De Ornelas F, Conti PCR, Do Valle AL. Effect of a crown ferrule on the fracture resistance of endodontically treated teeth restored with prefabricated posts. J Prost Dent. 2006;95:50-54.
  • 28. Stankiewicz N, Wilson P. The ferrule effect. Dental update 2008;35:222-228.
  • 29. Kul E, Yanıkoğlu N, Yeter KY, Bayındır F, Sakarya RE. A comparison of the fracture resistance of premolars without a ferrule with different post systems. J Prost Dent 2020;123:521-25.
  • 30. Albashaireh ZSM, Sbeih YK. The effect of ferrule and core material on fracture resistance of endodontically treated anterior teeth restored with ceramic crowns after artificial aging. J Dent. 2024 Aug;147:105106.
  • 31. Maroulakos G, Nagy WW, Kontogiorgos ED. Fracture resistance of compromised endodontically treated teeth restored with bonded post and cores: An in vitro study. J Prost Dent. 2015;114:390-397.
  • 32. Nam S-H, Chang H-S, Min K-S, Lee Y, Cho H-W, Bae J-M. Effect of the number of residual walls on fracture resistances, failure patterns, and photoelasticity of simulated premolars restored with or without fiber-reinforced composite posts. J Endod. 2010;36:297-301.
  • 33. Santos-Filho PCF, Veríssimo C, Soares PV, Saltarelo RC, Soares CJ, Martins LRM. Influence of ferrule, post system, and length on biomechanical behavior of endodontically treated anterior teeth. J Endod. 2014;40:119-123.
  • 34. Plotino G, Grande NM, Bedini R, Pameijer CH, Somma F. Flexural properties of endodontic posts and human root dentin. Dent Mater. 2007;23:1129-1135.
  • 35. Lazari PC, de Carvalho MA, Cury AADB, Magne P. Survival of extensively damaged endodontically treated incisors restored with different types of posts-and-core foundation restoration material. J Prost Dent. 2018;119:769-776.
  • 36. Beh YH, Halim MS, Ariffin Z. The load capacity of maxillary central incisor with simulated flared root canal restored with different fiber-reinforced composite post and cementation protocols. PeerJ. 2023;17;11:e16469.
There are 36 citations in total.

Details

Primary Language English
Subjects Prosthodontics
Journal Section Research Articles
Authors

Esra Kul 0000-0003-4750-8955

Munevver Kılıç 0009-0009-2306-9485

Beyza Betül Şencan 0009-0009-2306-9485

Ruhi Yeşildal 0000-0001-7677-1600

Early Pub Date December 18, 2024
Publication Date
Submission Date January 23, 2024
Acceptance Date September 9, 2024
Published in Issue Year 2025

Cite

AMA Kul E, Kılıç M, Şencan BB, Yeşildal R. A Comparison of the Fracture Resistance of Maxillary Central Incisors with a Ferrule with Various Post Systems. Curr Res Dent Sci. Published online December 1, 2024. doi:10.17567/currresdentsci.1424571

Current Research in Dental Sciences is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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