Finite element analysis reveals how cavity designs and ferrule presence affect dentin stress in incisors, suggesting alternatives without ferrules.
This study evaluated the influence of two novel internal retention cavity designs and the presence of a ferrule on stress distribution in endodontically treated maxillary central incisors restored with anatomically shaped fiber posts using finite element analysis (FEA). The models were divided into ferrule-present and ferrule-free groups and further subdivided according to cavity configuration: no additional retention, Retention Area 1, and Retention Area 2. A static oblique load of 100 N at 45° was applied to the palatal surface, 2 mm from the incisal edge. All simulations were conducted in ANSYS under standardized boundary conditions, with dentin stresses prioritized as dentin represents the primary load-bearing structure. The ferrule-free reference model showed the highest dentin stress (187.54 MPa, σ = 7.40 MPa), indicating increased fracture risk. In the absence of a ferrule, Retention Area 1 reduced peak dentin stress substantially (62.74 MPa, σ = 4.12 MPa) and produced the most uniform stress distribution, while Retention Area 2 also lowered stresses compared with the reference (σ = 5.36 MPa). In the ferrule-present groups, stresses were overall lower, confirming the ferrule's protective role; within this group, Retention Area 1 recorded the lowest dentin stress (82.18 MPa). The ferrule remains biomechanically critical for preserving cervical dentin. However, in cases where a ferrule cannot be achieved, retention-oriented cavity designs demonstrated potential as a clinically viable alternative, though further validation is required.
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Özer et al. (2025) studied this question.
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