EC Dental Science

Research Article Volume 22 Issue 11 - 2023

The Effect of Ferrule Length on Fracture Resistance of Teeth Restored with Two Different Posts Cemented with Two Types of Luting Materials

Salah A Yousief1*, Abdullah Saleh Alshehri2, Saleh Ali Hassan Alyami3,Hassan Mehsen A Alsharief4,Ali Saleh Alkhamsan2,Alsaqoor Mohamed Shaghath H5, Ali Saeed Ali Alyami5, Mansour Mahdi Abdullah Alyami4, Hamed Ali Saleh Alsaed4, Mohamed F Metwally6, Maha Altaifi2, Zain Majdy M Baslom2 and Osama Saleh A Alzahrani2

1Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia and Department of Crown and Bridge, Faculty of Oral and Dental Medicine, Al Azhar University, Assuit Branch, Egypt
2General Dentist, Saudi Arabia
3Dental Hygienist, Saudi Arabia
4Dentist, Saudi Arabia
5Dental Technician, Saudi Arabia
6Lecturer, Crown and Bridge Department, Al-Azhar University, Cairo (Boys), Saudi Arabia

*Corresponding Author: Salah A Yousief, Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia and Department of Crown and Bridge, Faculty of Oral and Dental Medicine, Al Azhar University, Assuit Branch, Egypt.
Received: September 22, 2023; Published: October 17, 2023



Objectives: To determine the ferrule length influence on fracture resistance of teeth repaired with two distinct forms of posts, luted using two different cement luting kinds.

Materials: Eighty healthy, recently removed, non-caries central maxillary incisors were collected and preserved at room temperature in 0.9% normal saline solution. The teeth were randomly allocated into two equal groups. Based on the cement type utilized in its cementation, each group was further subdivided into two subgroups: composite resin and zinc phosphate. The compressive force was applied at a crosshead speed of 0.5 mm/min using universal testing equipment until all samples were fractured.

Results: Resin cementation of the cast post exhibited greater load values than the resin phosphate cementation of the cast post with and without the ferrule effect. However, increasing the ferrule length with the two types of cement used for cementing various posts in their respective root canals enhanced the fraction resistance.

Conclusion: Root-filled teeth revealed an enhanced resistance to fracture with increasing the Ferrule length. Root-filled teeth that underwent restoration by flexi post and cementation using composite resin had a higher fracture resistance than cementation with zinc phosphate. Root-filled teeth that underwent restoration with cast post and cementation with composite resin had a greater resistance to fracture in comparison with the cast post cemented by zinc phosphate. Restoration of Root-filled teeth using flexi post and Ti core had a greater fracture resistance than cast post and its core.

 Keywords: Fracture Resistance; Central Incisors; Ferrule Length

  1. Ibrahim AM., et al. “Effect of remaining tooth structure on the fracture resistance of endodontically-treated maxillary premolars: An in vitro study”. The Journal of Prosthetic Dentistry3 (2016): 290-295.
  2. Peroz I., et al. “Restoring endodontically treated teeth with posts and cores--a review”. Quintessence International9 (2005): 737-746.
  3. Cheung W. “A review of the management of endodontically treated teeth: Post, core, and the final restoration”. The Journal of the American Dental Association5 (2005): 611-619.
  4. Jotkowitz A and Samet N. “Rethinking ferrule--a new approach to an old dilemma”. British Dental Journal 209 (2010): 25-33.
  5. Kytridou V., et al. “Adaptation and salability of two contemporary obturation techniques in the absence of the dentinal smear layer”. International Endodontic Journal 32 (1999): 464-474.
  6. Kar S., et al. “Effect of different ferrule length on fracture resistance of endodontically treated teeth: An in vitro study”. Journal of Clinical and Diagnostic Research: JCDR4 (2017): ZC49.
  7. Mankar S., et al. “Fracture resistance of teeth restored with cast post and core: An in vitro study”. Journal of Pharmacy and Bioallied Sciences2 (2012): S197.
  8. , et al. “An in vitro study evaluating the effect of ferrule design on the fracture resistance of endodontically treated mandibular premolars after simulated crown lengthening or forced eruption methods”. BMC Oral Health 18 (2018): 1-7.
  9. Qingfei M., et al. “In vitro study evaluating the effect of different subgingival root exposure methods and ferrule designs on fracture resistance of residual root”. West China Journal of Stomatology1 (2014).
  10. Mamoun JS. “On the ferrule effect and the biomechanical stability of teeth restored with cores, posts, and crowns”. European Journal of Dentistry02 (2014): 281-286.
  11. Nascimento AS., et al. “Does ferrule thickness influence resistance to fracture of endodontically treated teeth?” Journal of Conservative Dentistry: JCD6 (2018): 613.
  12. Weisgold AS and Starr NL. 27 Restoration of the Periodontally Compromised Dentition (2004).
  13. Vikhe DM. “Restoration of Endodontically Treated Teeth”. In Clinical Concepts and Practical Management Techniques in Dentistry. Intech Open (2021).
  14. Metzger Z., et al. “Correlation between remaining length of root canal fillings after immediate post space preparation and coronal leakage”. The Journal of Endodontics 26 (2000): 724-728.
  15. Zarow M., et al. “Effect of composite core materials on fracture resistance of endodontically treated teeth: A systematic review and meta-analysis of in vitro studies”. Polymers14 (2021): 2251.
  16. Wang X., et al. “Evaluation of fiber posts vs metal posts for restoring severely damaged endodontically treated teeth: a systematic review and meta-analysis”. Quintessence International1 (2019).
  17. Deutsch AS and Musikant BL. “The Flexi-Post as a tap in post placement”. General Dentistry2 (1986): 146-147.
  18. Cohen BI., et al. “Cyclic fatigue testing of five endodontic post designs supported by four core materials”. The Journal of Prosthetic Dentistry5 (1997): 458-464.
  19. Cohen BI., et al. “Torsional resistance of crowns cemented to composite cores involving three stainless steel endodontic post designs”. The Journal of Prosthetic Dentistry11 (2000): 38-42.
  20. Bhuva B., et al. “The restoration of root filled teeth: a review of the clinical literature”. International Endodontic Journal4 (2021): 509-535.
  21. Tyagi S., et al. “Evolution of root canal sealers: An insight story”. European Journal of General Dentistry03 (2013): 199-218.
  22. Shafigh E., et al. “Push-out Evaluation on Metal and Fiber Posts Using Two Different Types of Cement in a Hyper-Narrow Environment”. European Journal of General Dentistry03 (2022): 166-172.
  23. De Oliveira DC., et al. “Influence of irrigating solutions and post luting on bond strength of fiber posts after aging”. European Journal of General Dentistry01 (2020): 7-10.
  24. Ahmed SN., et al. “Survey of dentists to determine contemporary use of endodontic posts”. The Journal of Prosthetic Dentistry5 (2017): 642-645.
  25. Chang JW., et al. “Evaluation of fiber post-supported restorations under simulated occlusal loading”. The Journal of Prosthetic Dentistry3 (2012): 158-164.
  26. McLean A. “Predictably restoring endodontically treated teeth”. Journal-Canadian Dental Association 64 (1998): 782-787.
  27. Cohen BI., et al. “Fracture strength of three different core materials in combination with three different endodontic posts”. International Journal of Prosthodontics2 (1994).
  28. Sonkesriya S., et al. “An in vitro comparative evaluation of fracture resistance of custom made, metal, glass fiber reinforced and carbon reinforced posts in endodontically treated teeth”. Journal of International Oral Health: JIOH5 (2015): 53.
  29. Sambrook R and Burrow M. “A survey of Australian prosthodontists: the use of posts in endodontically treated teeth”. Australian Dental Journal3 (2018): 294-301.

Salah A Yousief., et al. The Effect of Ferrule Length on Fracture Resistance of Teeth Restored with Two Different Posts Cemented with Two Types of Luting Materials. EC Dental Science 22.11 (2023): 01-14.