The Effect of Different Ferrule Configurations and Preparation Designs on the Fatigue Performance of Endodontically Treated Maxillary Central Incisors: A 3D Finite Element Analysis

The presence of an adequate circumferential ferrule is of great importance for the prosthetic rehabilitation of endodontically treated teeth. However, there may not be an adequate circumferential ferrule effect. This study aimed to evaluate the fatigue performance of endocrown and post–core restorat...

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Main Authors: Mehmet Gökberkkaan Demirel, Reza Mohammadi
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/14/4/1355
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author Mehmet Gökberkkaan Demirel
Reza Mohammadi
author_facet Mehmet Gökberkkaan Demirel
Reza Mohammadi
author_sort Mehmet Gökberkkaan Demirel
collection DOAJ
description The presence of an adequate circumferential ferrule is of great importance for the prosthetic rehabilitation of endodontically treated teeth. However, there may not be an adequate circumferential ferrule effect. This study aimed to evaluate the fatigue performance of endocrown and post–core restorations applied to different configurations without an adequate ferrule effect using the finite element method and endeavors to offer a comprehensive perspective on the challenging rehabilitation of maxillary incisors with excessive coronal substance loss, addressing a notable gap in research and providing valuable insights for clinicians. The goal is to address this gap in research and contribute valuable insights that could be beneficial for practitioners. The maxillary central incisor was selected, and lithium disilicate (LS) and a polymer-infiltrated ceramic network (PICN) were used in post–core groups with no ferrule effect (PC0); a 2 mm ferrule effect on the buccal wall (PC1); a 2 mm ferrule effect on the buccal-mesial wall (PC2); a 2 mm ferrule effect on the buccal–mesial–palatal wall (PC3); and a 2 mm circumferential ferrule effect (PC4) In the endocrown groups, an external retention group with a circumferential ferrule (ECER) and an inner retention form group (ECIR) were prepared. Fatigue performance was examined by applying a 150 N oblique load. The evaluation of the fatigue performance of the restorative materials shows that LS always had more successful fatigue performance results, while the post–core groups were generally more successful in terms of dentin survival. In situations where there is insufficient circumferential ferrule, the application of endocrowns is likely to result in a less successful prognosis for survival.
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spelling doaj.art-9876db80bee849ff8052110082a59ac52024-02-23T15:05:44ZengMDPI AGApplied Sciences2076-34172024-02-01144135510.3390/app14041355The Effect of Different Ferrule Configurations and Preparation Designs on the Fatigue Performance of Endodontically Treated Maxillary Central Incisors: A 3D Finite Element AnalysisMehmet Gökberkkaan Demirel0Reza Mohammadi1Department of Prosthodontics, Faculty of Dentistry, Necmettin Erbakan University, 42090 Konya, TurkeyFaculty of Dentistry, Necmettin Erbakan University, 42090 Konya, TurkeyThe presence of an adequate circumferential ferrule is of great importance for the prosthetic rehabilitation of endodontically treated teeth. However, there may not be an adequate circumferential ferrule effect. This study aimed to evaluate the fatigue performance of endocrown and post–core restorations applied to different configurations without an adequate ferrule effect using the finite element method and endeavors to offer a comprehensive perspective on the challenging rehabilitation of maxillary incisors with excessive coronal substance loss, addressing a notable gap in research and providing valuable insights for clinicians. The goal is to address this gap in research and contribute valuable insights that could be beneficial for practitioners. The maxillary central incisor was selected, and lithium disilicate (LS) and a polymer-infiltrated ceramic network (PICN) were used in post–core groups with no ferrule effect (PC0); a 2 mm ferrule effect on the buccal wall (PC1); a 2 mm ferrule effect on the buccal-mesial wall (PC2); a 2 mm ferrule effect on the buccal–mesial–palatal wall (PC3); and a 2 mm circumferential ferrule effect (PC4) In the endocrown groups, an external retention group with a circumferential ferrule (ECER) and an inner retention form group (ECIR) were prepared. Fatigue performance was examined by applying a 150 N oblique load. The evaluation of the fatigue performance of the restorative materials shows that LS always had more successful fatigue performance results, while the post–core groups were generally more successful in terms of dentin survival. In situations where there is insufficient circumferential ferrule, the application of endocrowns is likely to result in a less successful prognosis for survival.https://www.mdpi.com/2076-3417/14/4/1355digital dentistryendocrownfatigue performanceferrulefinite element analysis3D analysis for accuracy
spellingShingle Mehmet Gökberkkaan Demirel
Reza Mohammadi
The Effect of Different Ferrule Configurations and Preparation Designs on the Fatigue Performance of Endodontically Treated Maxillary Central Incisors: A 3D Finite Element Analysis
Applied Sciences
digital dentistry
endocrown
fatigue performance
ferrule
finite element analysis
3D analysis for accuracy
title The Effect of Different Ferrule Configurations and Preparation Designs on the Fatigue Performance of Endodontically Treated Maxillary Central Incisors: A 3D Finite Element Analysis
title_full The Effect of Different Ferrule Configurations and Preparation Designs on the Fatigue Performance of Endodontically Treated Maxillary Central Incisors: A 3D Finite Element Analysis
title_fullStr The Effect of Different Ferrule Configurations and Preparation Designs on the Fatigue Performance of Endodontically Treated Maxillary Central Incisors: A 3D Finite Element Analysis
title_full_unstemmed The Effect of Different Ferrule Configurations and Preparation Designs on the Fatigue Performance of Endodontically Treated Maxillary Central Incisors: A 3D Finite Element Analysis
title_short The Effect of Different Ferrule Configurations and Preparation Designs on the Fatigue Performance of Endodontically Treated Maxillary Central Incisors: A 3D Finite Element Analysis
title_sort effect of different ferrule configurations and preparation designs on the fatigue performance of endodontically treated maxillary central incisors a 3d finite element analysis
topic digital dentistry
endocrown
fatigue performance
ferrule
finite element analysis
3D analysis for accuracy
url https://www.mdpi.com/2076-3417/14/4/1355
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