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Ferrule effect: a literature review.

Jelena Juloski1, Ivana Radovic, Cecilia Goracci

  • 1Department of Fixed Prosthodontics and Dental Materials of Siena, Tuscan School of Dental Medicine, University of Florence and Siena, Siena, Italy. jelenajuloski@gmail.com

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|December 14, 2011
PubMed
Summary
This summary is machine-generated.

A ferrule of 1.5- to 2-mm significantly improves fracture resistance in endodontically treated teeth. An incomplete ferrule is preferable to no ferrule, optimizing tooth performance and fracture patterns.

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Area of Science:

  • Restorative Dentistry
  • Biomaterials Science
  • Dental Biomechanics

Background:

  • Preserving tooth structure, particularly cervical tissue for a ferrule effect, is vital for restored teeth's biomechanical integrity.
  • The ferrule effect's significance and optimal parameters remain subjects of ongoing research and debate.
  • Maintaining coronal and radicular structure is crucial for the long-term success of endodontically treated teeth.

Purpose of the Study:

  • To systematically review and synthesize findings on the ferrule effect from peer-reviewed literature.
  • To evaluate the impact of ferrule design on the biomechanical behavior and fracture resistance of restored teeth.
  • To consolidate current evidence regarding the clinical implications of the ferrule effect in endodontics.

Main Methods:

  • Conducted a literature search in PubMed using keywords: "ferrule," "ferrule effect," "literature review," "fracture resistance," "fatigue," "finite element analysis," and "clinical trials."
  • Categorized reviewed studies into laboratory investigations, computer simulations (finite element analysis), and clinical trials.
  • Further classified laboratory studies based on specific aspects of the ferrule effect investigated.

Main Results:

  • Laboratory studies, finite element analysis, and clinical trials provide varied insights into the ferrule effect.
  • Consistent findings indicate that a ferrule enhances fracture resistance, particularly in endodontically treated teeth.
  • The degree and type of ferrule (circumferential vs. incomplete) influence outcomes, with a minimum of 1.5- to 2-mm ferrule being beneficial.

Conclusions:

  • A 1.5- to 2-mm ferrule positively impacts the fracture resistance of endodontically treated teeth.
  • An incomplete ferrule is a superior alternative to no ferrule when a complete ferrule is not feasible.
  • Adequate ferrule preparation minimizes the negative influence of post-and-core systems, luting agents, and restorations on tooth performance.