{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T20:18:02Z","timestamp":1791836282815,"version":"4.3.4"},"reference-count":40,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\n                      Endocrown preparation of endodontically treated teeth as final restoration has been extensively studied for different teeth. Bindl\n                      <jats:italic toggle=\"yes\">et al<\/jats:italic>\n                      . questioned the application of endocrowns for premolars due to the pulp chamber space\u2019s smaller dimensions, which diminish bonding surface area. The addition of ferrule into the endocrown preparations of premolars has not been extensively studied.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims and Study Design:<\/jats:title>\n                    <jats:p>Comparative evaluation of incorporation of the ferrule in premolars endocrown designs to check any alterations in their fracture resistance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>The sample consisted of 40 maxillary first premolars without cracks or caries, extracted for orthodontic or periodontal purposes. The teeth were individually mounted with cold-cure acrylic resin. Group A: Composite endocrown without ferrule and Group B: Composite endocrown with ferrule. An endocrown former was prepared with elastomeric polyvinyl siloxane material (GC Exaclear). Endocrowns were then prepared with dual-cure core build-up composite-Core-x flow (Dentsply Maillefer, Switzerland) using the endocrown former so that morphologically, they all were almost identical. Endocrowns are cemented by dual-cure resin cement following manufacturer instructions. The fracture resistance of endocrowns with and without ferrule was evaluated and compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and Observations:<\/jats:title>\n                    <jats:p>\n                      The data were tabulated in Microsoft Excel and analyzed with SPSS version 24 software. The variables were presented with mean, standard deviation, and independent\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test. The\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2264 0.05 is considered statistically significant. Group B (with ferrule) showed higher fracture resistance (622.06 N) than Group A (537.59 N) (without ferrule). Independent\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test showed that the difference was statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.008).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Comparing the failure load findings, it could be concluded that ferrule-containing endocrown needed greater loads than ordinary endocrown restorations for failure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcde.jcde_277_24","type":"journal-article","created":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T02:00:28Z","timestamp":1720404028000},"page":"730-736","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Comparative evaluation of incorporation of ferrule in premolars endocrown designs to check any alterations in their fracture resistance: A pilot study"],"prefix":"10.4103","volume":"27","author":[{"given":"Progyna Paramita","family":"Pal","sequence":"first","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Awadh Dental College and Hospital, Jamshedpur, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dibyendu","family":"Mazumdar","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swarupananda","family":"Bera","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Awadh Dental College and Hospital, Jamshedpur, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suman","family":"Kar","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Awadh Dental College and Hospital, Jamshedpur, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dristi","family":"Sahay","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Awadh Dental College and Hospital, Jamshedpur, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuntal","family":"Chowdhuri","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7,8]]},"reference":[{"key":"R1-20260507","first-page":"1","article-title":"Classification review of dental adhesive systems: From the IV generation to the universal type","volume":"8","author":"Sofan","year":"2017","journal-title":"Ann Stomatol (Roma)"},{"key":"R2-20260507","doi-asserted-by":"crossref","first-page":"64","DOI":"10.2341\/14-258-L","article-title":"Composite resin core buildups with and without post for the restoration of endodontically treated molars without ferrule","volume":"41","author":"Magne","year":"2016","journal-title":"Oper Dent"},{"key":"R3-20260507","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/S0022-3913(11)60080-2","article-title":"Influence of glass-fiber posts on the fracture resistance and failure pattern of endodontically treated premolars with varying substance loss: An in vitro study","volume":"105","author":"Mangold","year":"2011","journal-title":"J Prosthet Dent"},{"key":"R4-20260507","first-page":"117","article-title":"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)","volume":"39","author":"Dietschi","year":"2008","journal-title":"Quintessence Int"},{"key":"R5-20260507","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.gien.2014.05.007","article-title":"Restoration of the endodontically treated posterior tooth","volume":"28","author":"Polesel","year":"2014","journal-title":"G Ital Endod"},{"key":"R6-20260507","first-page":"83","article-title":"Fabrication of a metal-free ceramic restoration utilizing the monobloc technique","volume":"7","author":"Pissis","year":"1995","journal-title":"Pract Periodontics Aesthet Dent"},{"key":"R7-20260507","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1111\/iej.12847","article-title":"A new classification system for the restoration of root filled teeth","volume":"51","author":"Zarow","year":"2018","journal-title":"Int Endod J"},{"key":"R8-20260507","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jdent.2017.04.009","article-title":"No post-no core approach to restore severely damaged posterior teeth: An up to 10-year retrospective study of documented endocrown cases","volume":"63","author":"Belleflamme","year":"2017","journal-title":"J Dent"},{"key":"R9-20260507","first-page":"99","article-title":"Endocrowns: A clinical report","volume":"39","author":"Lander","year":"2008","journal-title":"Quintessence Int"},{"key":"R10-20260507","first-page":"255","article-title":"Clinical evaluation of adhesively placed Cerec endo-crowns after 2 years \u2013 Preliminary results","volume":"1","author":"Bindl","year":"1999","journal-title":"J Adhes Dent"},{"key":"R11-20260507","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.jdent.2016.07.005","article-title":"Endocrown restorations: A systematic review and meta-analysis","volume":"52","author":"Sedrez-Porto","year":"2016","journal-title":"J Dent"},{"key":"R12-20260507","first-page":"e237","article-title":"Preparation Ferrule Design Effect on Endocrown Failure Resistance","volume":"28","author":"Einhorn","journal-title":"Journal of Prosthodontics"},{"key":"R13-20260507","first-page":"219","article-title":"Survival of ceramic computer-aided design\/manufacturing crowns bonded to preparations with reduced macroretention geometry","volume":"18","author":"Bindl","year":"2005","journal-title":"Int J Prosthodont"},{"key":"R14-20260507","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/S0022-3913(08)60205-X","article-title":"Influence of the type of post and core on in vitro marginal continuity, fracture resistance, and fracture mode of lithia disilicate-based all-ceramic crowns","volume":"100","author":"Forberger","year":"2008","journal-title":"J Prosthet Dent"},{"key":"R15-20260507","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.prosdent.2005.10.019","article-title":"Effect of a crown ferrule on the fracture resistance of endodontically treated teeth restored with prefabricated posts","volume":"95","author":"Pereira","year":"2006","journal-title":"J Prosthet Dent"},{"key":"R16-20260507","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/S0022-3913(09)60159-1","article-title":"Load fatigue of teeth with different ferrule lengths, restored with fiber posts, composite resin cores, and all-ceramic crowns","volume":"102","author":"Ma","year":"2009","journal-title":"J Prosthet Dent"},{"key":"R17-20260507","doi-asserted-by":"crossref","first-page":"130","DOI":"10.2341\/11-105-L","article-title":"Comparison of fracture strength of endocrowns and glass fiber post-retained conventional crowns","volume":"37","author":"Biacchi","year":"2012","journal-title":"Oper Dent"},{"key":"R18-20260507","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1111\/j.1600-0722.2009.00704.x","article-title":"Finite element and Weibull analyses to estimate failure risks in the ceramic endocrown and classical crown for endodontically treated maxillary premolar","volume":"118","author":"Lin","year":"2010","journal-title":"Eur J Oral Sci"},{"key":"R19-20260507","doi-asserted-by":"crossref","first-page":"e309","DOI":"10.1016\/j.dental.2013.09.014","article-title":"3D-Finite element analysis of molars restored with endocrowns and posts during masticatory simulation","volume":"29","author":"Dejak","year":"2013","journal-title":"Dent Mater"},{"key":"R20-20260507","doi-asserted-by":"crossref","first-page":"201","DOI":"10.2341\/13-143-L","article-title":"Fracture resistance and microleakage of endocrowns utilizing three CAD-CAM blocks","volume":"40","author":"El-Damanhoury","year":"2015","journal-title":"Oper Dent"},{"key":"R21-20260507","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1016\/j.dental.2016.01.004","article-title":"Fracture strength, failure type and Weibull characteristics of lithium disilicate and multiphase resin composite endocrowns under axial and lateral forces","volume":"32","author":"Gresnigt","year":"2016","journal-title":"Dent Mater"},{"key":"R22-20260507","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.prosdent.2016.03.025","article-title":"Evaluation of the marginal and internal discrepancies of CAD-CAM endocrowns with different cavity depths: An in vitro study","volume":"117","author":"Shin","year":"2017","journal-title":"J Prosthet Dent"},{"key":"R23-20260507","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/S1991-7902(09)60016-7","article-title":"Fracture resistance and failure modes of CEREC endo-crowns and conventional post and core-supported CEREC crowns","volume":"4","author":"Chang","year":"2009","journal-title":"J Dent Sci"},{"key":"R24-20260507","first-page":"225","article-title":"Fracture resistance of CAD\/CAM fabricated polyetheretherketone (PEEK) endocrowns and post retained crowns with two preparation designs","volume":"9","author":"El-Hefnawy","year":"2022","journal-title":"ADJ"},{"key":"R25-20260507","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1016\/j.prosdent.2014.05.014","article-title":"PEEK surface treatment effects on tensile bond strength to veneering resins","volume":"112","author":"Stawarczyk","year":"2014","journal-title":"J Prosthet Dent"},{"key":"R26-20260507","doi-asserted-by":"crossref","first-page":"464.","DOI":"10.4172\/2161-1122.1000464","article-title":"Fracture resistance of endodontically treated teeth restored with lithium disilicate crowns retained with fiber posts compared to lithium disilicate and cerasmartendocrowns: In vitro study","volume":"7","author":"Al shibri","year":"2017","journal-title":"Dentistry"},{"key":"R27-20260507","doi-asserted-by":"crossref","first-page":"131","DOI":"10.7555\/JBR.32.20170099","article-title":"Effect of restoration technique on resistance to fracture of endodontically treated anterior teeth with flared root canals","volume":"33","author":"Sary","year":"2019","journal-title":"J Biomed Res"},{"key":"R28-20260507","doi-asserted-by":"crossref","first-page":"1373127","DOI":"10.1155\/2017\/7196847","article-title":"Biomechanical evaluation of a tooth restored with high performance polymer PEKK post-core system: A 3D finite element analysis","volume":"2017","author":"Lee","year":"2017","journal-title":"Biomed Res Int"},{"key":"R29-20260507","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/j.sdentj.2019.04.011","article-title":"Assessment of extracting molars and premolars after root canal treatment: A retrospective study","volume":"31","author":"Almasri","year":"2019","journal-title":"Saudi Dent J"},{"key":"R30-20260507","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.jdent.2017.02.007","article-title":"\u201cBiomechanical behavior of endodontically treated premolars using different preparation designs and CAD\/CAM materials.\u201d","volume":"59","author":"Lise","year":"2017","journal-title":"Journal of Dentistry"},{"key":"R31-20260507","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1016\/j.dental.2016.01.002","article-title":"Use of dental adhesives as modeler liquid of resin composites","volume":"32","author":"M\u00fcnchow","year":"2016","journal-title":"Dent Mater"},{"key":"R32-20260507","first-page":"30","article-title":"Effects of modeling liquid\/resin and polishing on the color change of resin composite","author":"Sedrez-Porto","year":"2016","journal-title":"Braz Oral Res"},{"key":"R33-20260507","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.dental.2014.12.010","article-title":"Bulk-fill resin composites: Polymerization properties and extended light curing","volume":"31","author":"Zorzin","year":"2015","journal-title":"Dent Mater"},{"key":"R34-20260507","doi-asserted-by":"crossref","first-page":"721","DOI":"10.14219\/jada.archive.2003.0258","article-title":"Contraction stress of flowable composite materials and their efficacy as stress-relieving layers","volume":"134","author":"Braga","year":"2003","journal-title":"J Am Dent Assoc"},{"key":"R35-20260507","doi-asserted-by":"crossref","first-page":"374","DOI":"10.2341\/13-017-L","article-title":"Polymerization shrinkage stress kinetics and related properties of bulk-fill resin composites","volume":"39","author":"El-Damanhoury","year":"2014","journal-title":"Oper Dent"},{"key":"R36-20260507","doi-asserted-by":"crossref","first-page":"e22.","DOI":"10.1590\/1807-3107bor-2017.vol31.0022","article-title":"Longevity of metal-ceramic crowns cemented with self-adhesive resin cement: A prospective clinical study","volume":"31","author":"Brondani","year":"2017","journal-title":"Braz Oral Res"},{"key":"R37-20260507","doi-asserted-by":"crossref","first-page":"e168","DOI":"10.2341\/15-080-T","article-title":"Multidisciplinary treatment of complicated crown-root fractures: A case study","volume":"41","author":"Stojanac","year":"2016","journal-title":"Oper Dent"},{"key":"R38-20260507","first-page":"328","article-title":"Bruxism and voluntary maximal bite force in young dentate adults","volume":"18","author":"Cosme","year":"2005","journal-title":"Int J Prosthodont"},{"key":"R39-20260507","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1093\/ejo\/cjq097","article-title":"Maximum voluntary molar bite force in subjects with normal occlusion","volume":"33","author":"Varga","year":"2011","journal-title":"Eur J Orthod"},{"key":"R40-20260507","doi-asserted-by":"crossref","DOI":"10.1038\/s41415-020-2279-y","article-title":"Comparing endocrown restorations on permanent molars and premolars: A systematic review and meta analysis","author":"Thomas","year":"2020","journal-title":"Br Dent J Published online"}],"container-title":["Journal of Conservative Dentistry and Endodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/JCDE.JCDE_277_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:26:38Z","timestamp":1786724798000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/JCDE.JCDE_277_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":40,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/jcde.jcde_277_24","relation":{},"ISSN":["2950-4716","2950-4708"],"issn-type":[{"value":"2950-4716","type":"print"},{"value":"2950-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"2024-05-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}}]}}