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The ferrule effect: a literature review.

N R Stankiewicz1, P R Wilson

  • 1General Dental Practice, Bath, UK.

International Endodontic Journal
|August 23, 2002
PubMed
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A ferrule, a metal ring reinforcing dental crowns, is beneficial for root-filled teeth. However, its use should not compromise the remaining tooth structure.

Area of Science:

  • Dental materials science
  • Restorative dentistry
  • Prosthodontics

Background:

  • Root-filled teeth are often weakened and susceptible to fracture.
  • Restorative techniques aim to enhance the longevity and strength of endodontically treated teeth.
  • Ferrules have been proposed as a method to reinforce these compromised tooth structures.

Purpose of the Study:

  • To review the existing literature on the ferrule effect in reinforcing root-filled teeth.
  • To evaluate the benefits and limitations of using ferrules in dental restorations.

Main Methods:

  • A comprehensive literature review was conducted.
  • Studies investigating the biomechanical properties and clinical outcomes of ferrule use were analyzed.

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Main Results:

  • The ferrule effect is achieved when an artificial crown braces against dentine coronal to the crown margin.
  • This bracing action contributes to the reinforcement of the tooth structure.
  • The literature supports the desirability of a ferrule for reinforcing root-filled teeth.

Conclusions:

  • A ferrule is a desirable component for reinforcing root-filled teeth.
  • The provision of a ferrule should be balanced against the preservation of remaining tooth and root structure.
  • Optimal ferrule design and placement are crucial for maximizing benefits while minimizing risks.