Endodontics · single question

When restoring an endodontically treated tooth with a post and crown, an inadequate ferrule is concerning because it:

  1. Reduces resistance to fracture and increases the risk of root/restoration failure
  2. Improves the esthetic shade match
  3. Makes the post unnecessary
  4. Increases pulpal blood supply
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Correct answer: A. Reduces resistance to fracture and increases the risk of root/restoration failure

The ferrule effect (a 1.5 to 2 mm circumferential band of sound tooth structure encircled by the crown) resists lateral and torquing forces and greatly reduces vertical root fracture and post/crown failure. Insufficient ferrule is a leading cause of failure of post-restored teeth.Other options: Ferrule relates to structural integrity, not shade; it does not eliminate the need for a post; endo-treated teeth have no vital pulp.Key exam takeaway: Aim for a 1.5 to 2 mm ferrule of sound tooth structure; inadequate ferrule means fracture and failure risk.

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