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Post and Core Selection — NDEB AFK MCQ

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HardEndodonticsPost and Core SelectionNDEB AFK

A root canal treated tooth 11 with minimal remaining coronal tooth structure (less than 2 mm ferrule) requires restoration. What is the most appropriate post and core system?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DCustom cast post and core

With minimal remaining coronal tooth structure (<2 mm ferrule), a custom cast post and core provides optimal adaptation to the canal morphology and maximum support for the final crown. The ferrule effect (a 1.5-2 mm collar of sound dentin above the core margin engaged by the crown) is the single most important factor in the biomechanical success of a post-and-core restoration. A fibre post with composite core is preferred when more tooth structure remains (≥2 mm ferrule).

Reference: Shillingburg – Fundamentals of Fixed Prosthodontics, 4th ed., 2012