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Effects of the Ferrule Design on Fracture Resistance to Endodontically-Treated Teeth Restored with Fiber Posts: A Systematic Review
Abstract
The ferrule is considered to be a key element in teeth preparation when restoring using a fiber post. It helps to resist occlusal forces, maintain cement tightness and minimize stress concentration on restoration using posts.
Aim:
The aim of this review is to determine the influence of the ferrule design in endodontically-treated teeth using fiber posts on their fracture resistance.
Materials and Methods:
The electronic databases examined were Medline, Scopus, and PubMed from April 2019 to October 2019. The studies were selected using well-established inclusion criteria.
Results:
In total, 79 articles were identified, 16 of which were selected after considering the titles and abstracts. After reading the full-text articles, the total number of articles included in this review was 7 with a low risk of bias.
Conclusion:
A full ferrule with a maximum height is the best design for resistance to fractures in all groups of teeth, but if it is impossible to provide this condition, the ferrule height from the palatal/lingual wall of the tooth should be increased.
The PROSPERO ID: 153543.