Review Article
Volume 19 Issue 7 - 2020
Fiber-Post and Core: Some Clinical Considerations
Al Saad Mona J1* and Bakalka Ghaida T2
1Consultant Prosthodontics and Students Clinical Supervisor, Dental Department, King Abdulaziz Medical City, National Guards Health Affairs, Jeddah, KSA
2General Dentist, Dental Department, King Abdulaziz Medical City, National Guards Health Affairs, Jeddah, KSA
*Corresponding Author: Al Saad Mona J, Consultant Prosthodontics and Students Clinical Supervisor, Dental Department, King Abdulaziz Medical City, National Guards Health Affairs, Jeddah, KSA.
Received:January 17, 2020; Published: June 26, 2020


The main goal of all dentists in the daily clinical work is to maintain proper Mastication, Occlusion and Appearance and Speech to their patient. Rehabilitation of endodontically treated teeth is one of the clinical challenges we face to reach our goal, where there is no one formula to use but varieties of situations confronting the dentist. Some factors need to be considered when using fiber post to restore the endodontically treated teeth..

Keywords: Fiber-Post; Core; Mastication; Occlusion


  1. Tronstad L., et al. “Influence of coronal restorations on the periapical health of endodontically treated teeth”. Endodontics and Dental Traumatology 16 (2000): 218-221.
  2. Kayahan MB., et al. “Periapical health related to the type of coronal restorations and quality of root canal fillings in a Turkish subpopulation”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology 105 (2008): e58-e62.
  3. Ray HA and Trope M. “Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration”. International Endodontic Journal 28 (1995): 12-18.
  4. Saunders WP and Saunders EM. “Coronal leakage as a cause of failure in root canal therapy: a review”. Endodontics and Dental Traumatology 10 (1994): 105-108.
  5. Carratu` P., et al. “Evaluation of leakage of bacteria and endotoxins in teeth treated endodontically by different techniques”. Journal of Endodontics 28 (2002): 272-275.
  6. Sokol DJ. “Effective use of current core and post concepts”. Journal of Prosthetic Dentistry 52 (1984): 231.
  7. Guzy GE and Nichols JI. “In vitro comparison of intact endodontically treated teeth with and without endo-post reinforcement”. Journal of Prosthetic Dentistry 42 (1979): 39-44.
  8. Sedgley CM and Messer HH. “Are endodontically treated teeth more brittle?” Journal of Endodontics 18 (1992): 332-335.
  9. Cheung W. “A review of the management of endodontically treated teeth. Post, core and the final restoration”. Journal of the American Dental Association 136 (2005): 611-619. 
  10. Kantor ME and Pines MS. “A comparative study of restorative techniques for pulpless teeth”. Journal of Prosthetic Dentistry 38 (1977): 405- 412.
  11. Morgano SM., et al. “A nationwide survey of contemporary philosophies and techniques of restoring endodontically treated teeth”. Journal of Prosthetic Dentistry 72 (1994): 259-267.
  12. Morgano SM and Brackett SE. “Foundation restorations in fixed prosthodontics: Current knowledge and future needs”. Journal of Prosthetic Dentistry 82 (1999): 643-657.
  13. Zhou L and Wang Q. “Comparison of fracture resistance between cast posts and fiber posts: a meta-analysis of literature”. Journal of Endodontics 39 (2013): 11-15.
  14. Trabert KC., et al. “Tooth fracture- a comparison of endodontic and restorative treatments”. Journal of Endodontics 4 (1978): 341-345.
  15. Ferrari M., et al. “Long-term retrospective study of the clinical performance of fiber posts”. American Journal of Dentistry 20 (2007): 287-291.
  16. Assif D., et al. “Assessment of the resistance to fracture of endodontically treated molars restored with amalgam”. Journal of Prosthetic Dentistry 89 (2003): 462-465.
  17. Boksman L., et al. “Fiber posts and tooth reinforcement: evidence in the literature”. Oral Health (2013).
  18. Rosenstiel SF., et al. “Contemporary Fixed Prosthodontics”. 3rd St. Louis: Mosby (2001): 295.
  19. Duret B., et al. “New concept of coronoradicular reconstruction: the Composipost”. Chir Dent Fr 60 (1990): 131-141. 
  20. Naumann M., et al. “Reinforcement effect of adhesively luted fiber reinforced composite versus titanium posts”. Dent Mater 23 (2007): 138-144.
  21. Hajizadeh H., et al. “Effects of posts on the fracture resistance of load-cycled endodontically-treated premolars restored with direct composite resin”. The Journal of Contemporary Dental Practice 10 (2009): 1-10.
  22. Salameh Z., et al. “The effect of different full-coverage crown systems on fracture resistance and failure pattern of endodontically treated maxillary incisors restored with and without glass fiber posts”. Journal of Endodontics 34 (2008): 842-846.
  23. Dietschi D., et al. “Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature. Part II (Evaluation of fatigue behavior, interfaces, and In vivo studies)”.  Quintessence International 39 (2008): 117-129.
  24. Ferrari M., et al. “Retrospective study of the clinical performance of Fiber posts”. American Journal of Dentistry (2000): 9B-
  25. King PA and Setchell DJ. “An in vitro evaluation of a prototype CFRC prefabricated post developed for the restoration of pulpless teeth”. Journal of Oral Rehabilitation 17 (1990): 599-609.
  26. Monticelli F., et al. “Clinical behavior of translucent-fiber posts: a 2-year prospective study”. The International Journal of Prosthodontics 16 (2003): 593-596.
  27. Ferrari M., et al. “Clinical evaluation of fiber-reinforced epoxy resin posts and cast post and cores”. American Journal of Dentistry (2000a): 15B-18B.
  28. Ferrari M., et al. “Long term retrospective study of the clinical performance of fiber posts”. American Journal of Dentistry 20 (2007): 287-291.
  29. Love RM and Purton DG. “The effect of serrations on carbon fibre posts-retention within the root canal, core retention, and post rigidity”. The International Journal of Prosthodontics 9 (1996): 484-488.
  30. Drummond JL and Bapna MS. “Static and cyclic loading of fiber-reinforced dental resin”. Dental Materials 19 (2003): 226-231.
  31. Lassila LV., et al. “Flexural properties of fiber reinforced root canal posts”. Dental Materials 20 (2004): 29-36.
  32. Heydecke G., et al. “Fracture strength after dynamic loading of endodontically treated teeth restored with different post and core systems”. Journal of Prosthetic Dentistry 87 (2002): 438-445.
  33. Sarkis-Onofre R., et al. “Cast metal vs. glass fibre posts: a randomized controlled trial with up to 3 years of follow up”. Journal of Dentistry 42 (2014): 582-587.
  34. Figueiredo FE ., et al. “Do metal post-retained restorations result in more root fractures than fiber post-retained restorations? A systematic review and meta-analysis”. Journal of Endodontics 41 (2015): 309-316.
  35. Ona M., et al. “The influence of elastic modulus mismatch between tooth and post and core restorations on root fracture”. Medicine 46 (2013): 47-52.
  36. Strassler HE., et al. “Using an esthetic post to restore and reinforce a maxillary incisor”.Contemporary Esthetics and Restorative Practice 4 (2000): 36-44.
  37. Freedman G., et al. “EndoEsthetics Part II: Castable Ceramic Post/Core Restorations”. Ontario Dentist 70 (1993): 521-524.
  38. Saupe WA., et al. “A comparative study of fracture resistance between morphologic dowel and cores and a resin-rein- forced dowel system in the intraradicular restoration of structurally compromised roots”. Quintessence International 27 (1996): 483-491.
  39. Freedman G., et al. “EndoEsthetics Part II: Castable Ceramic. Post/Core Restorations”. Ontario Dentist 5 (1993): 521-524.
  40. Barkhordar RA., et al. “Effect of metal collars on resistance of endodontically treated teeth to root fracture”. Journal of Prosthetic Dentistry 61 (1989): 676-678.
  41. Freeman MA., et al. “Leakage associated with load fatigue-induced preliminary failure of full crowns placed over three different post and core systems”. Journal of Endodontics 24 (1998): 26-32.
  42. Figueiredo FE ., et al. “Do metal post-retained restorations result in more root fractures than fiber post-retained restorations? A systematic review and meta-analysis”. Journal of Endodontics 41 (2015): 309-316.
  43. Kovarik RE., et al. “Fatigue life of three core materials under simulated chewing conditions”. Journal of Prosthetic Dentistry 68 (1992): 584-590. 
  44. Sorensen JA and Engelman MJ. “Ferrule design and fracture resistance of endodon-tically treated teeth”. Journal of Prosthetic Dentistry 63 (1990): 529-536.
  45. Junge T., et al. “Load fatigue of compromised teeth: a comparison of 3 luting cements”. The International Journal of Prosthodontics 11 (1998): 558-564.
  46. Ree M and Schwartz RS. “The endo-restorative interface: current concepts”. Dental Clinics of North America 54 (2010): 345-374.
  47. Sadek FT., et al. “Immediate and 24-hour evaluation of the interfacial strengths of fiber posts”. Journal of Endodontics 32 (2006): 1174-1177.
  48. Tay FR., et al. “Geometric factors affecting dentin bonding in root canals: A theoretical modeling approach”. Journal of Endodontics 31 (2005): 584-589.
  49. Hashimoto M., et al. “Resin-tooth adhesive interfaces after long- term function”. American Journal of Dentistry 14 (2001): 211-215.
  50. Shirai K., et al. “Effect of cavity configuration and aging on the bonding effectiveness of six adhesives to dentin”. Dental Materials 21 (2005): 110-124.
  51. Carvalho RM., et al. “A review of polymerization contraction: the influence of stress development versus stress relief”. Operative Dentistry 21 (1996): 17-24.
  52. Perdigão J., et al. “Effect of calcium removal on dentin bond strengths”.  Quintessence International 32.2 (2001).
  53. Zhang L., et al. “Effect of post-space treatment on retention of fiber posts in different root regions using two self-etching systems”. European Journal of Oral Sciences 116 (2008): 280-286.
  54. Monticelli F., et al. “Surface treatments for improving bond strength to prefabricated fiber posts: a literature review”. Operative Dentistry 33 (2008): 346-355.
  55. Monticelli F., et al. “A simple etching technique for improving the retention of fiber posts to resin composites”. Journal of Endodontics 32 (2006a): 44-47.
  56. Monticelli F., et al. “Post surface conditioning improves interfacial adhesion in post/core restorations”. Dental Materials 22 (2006b): 602-609.
  57. Wrbas KT., et al. “Effect of adhesive resin cements and post surface silanization on the bond strengths of adhesively inserted fiber posts”. Journal of Endodontics 33 (2007): 840-843.
  58. Bitter K., et al. “Effects of pretreatment and thermocycling on bond strength of resin core materials to various fiber-reinforced composite posts”. The Journal of Adhesive Dentistry 10 (2008): 481-489.
  59. Ferrari M., et al. “Long-term retrospective study of the clinical performance of fiber posts”. American Journal of Dentistry 20 (2007): 287-291.
  60. Heydecke G and Peters MC. “The restoration of endodontically treated, single-rooted teeth with cast or direct posts and cores: a systematic review”. Journal of Prosthetic Dentistry 87 (2002): 380-386.
Citation: Al Saad Mona J and Bakalka Ghaida T. “Fiber-Post and Core: Some Clinical Considerations”. EC Dental Science 19.7 (2020): 84-92.

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