Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN:
1312-773X (Online)
Issue:
2025, vol. 31, issue2
Subject Area:
Dental Medicine
-
DOI:
10.5272/jimab.2025312.6284
Published online: 17 June 2025
Original article
J of IMAB. 2025 Apr-Jun;31(2):6284-6290
USE OF RADICULAR POSTS: A SURVEY AMONG DENTAL PRACTITIONERS
Mila Metodieva-Aleksandrova


, Elka Radeva
,
Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University – Sofia, Bulgaria.
ABSTRACT:
Introduction: Radicular posts are a widely used method for restoring teeth after endodontic treatment, with their application and effectiveness remaining topics of interest and discussion among dental practitioners.
Purpose:To assess the practices, preferences, and clinical reasoning of dental practitioners in Bulgaria regarding the use of radicular posts in the restoration of endodontically treated teeth.
Material/Methods: A cross-sectional survey was conducted in 2024 among 270 dental practitioners with varied clinical experience. The questionnaire evaluated the frequency of use, post type preferences, clinical indications, cementation materials, removal difficulties, and practitioner confidence.
Results: Most respondents (52%) had over 20 years of experience, while 30% had less than 5. The majority (50%) practiced general dentistry. Fiber posts were the preferred esthetic post for 98% of participants, and 88% used prefabricated systems. The ferrule effect was considered important for fracture resistance by 84%. Root fracture (47%) and post debonding (41%) were identified as the most frequent causes of failure. While 67% believed radicular posts improve retention, only 52% thought they reinforce the remaining tooth structure.
Conclusions: Radicular posts continue to be a common clinical solution, especially prefabricated fiber posts. Despite varied opinions, most practitioners recognize their benefits for retention and fracture resistance. These findings highlight the need for ongoing education and clinical studies to optimize post selection and application.
Keywords: CAD/CAM posts, Dental practitioners, Ferrule еffect, Fiber posts, Survey,
- Download FULL TEXT /PDF 2797 KB/
Please cite this article as: Metodieva-Aleksandrova M, Radeva E. Use of Radicular Posts: A Survey Among Dental Practitioners. J of IMAB. 2025 Apr-Jun;31(2):6284-6290. [Crossref - 10.5272/jimab.2025312.6284]
Correspondence to: Mila Metodieva-Aleksandrova, Departmen of Conservative Dentistry, Medical University of Sofia; 1, St. Georgi Sofiiski Blvd., 1431 Sofia, Bulgaria; E-mail: drmilametodieva@gmail.com
REFERENCES:
1. Martins MD, Junqueira RB, de Carvalho RF, Lacerda MFLS, Faé DS, Lemos CAA. Is a fiber post better than a metal post for the restoration of endodontically treated teeth? A systematic review and meta-analysis. J Dent. 2021 Sep;112:103750. [PubMed]
2. Gómez-Polo M, Llidó B, Rivero A, Del Río J, Celemín A. A 10-year retrospective study of the survival rate of teeth restored with metal prefabricated posts versus cast metal posts and cores. J Dent. 2010 Nov;38(11):916-20. [PubMed]
3. Martino N, Truong C, Clark AE, O'Neill E, Hsu SM, Neal D, et al. Retrospective analysis of survival rates of post-and-cores in a dental school setting. J Prosthet Dent. 2020 Mar;123(3):434–441. [PubMed]
4. Barcellos RR, Correia DPD, Farina AP, Mesquita MF, Ferraz CCR, Cecchin D. Fracture resistance of endodontically treated teeth restored with intra-radicular post: The effects of post system and dentine thickness. J Biomech. 2013 Oct 18;46(15):2572-7. [PubMed]
5. Dikbas I, Tanalp J. An overview of clinical studies on fiber post systems. Scientific World Journal. 2013 Oct 23;2013:171380. [PubMed]
6. Sarkis-Onofre R, Fergusson D, Cenci MS, Moher D, Pereira-Cenci T. Performance of post-retained single crowns: A systematic review of related risk factors. J Endod. 2017 Feb;43(2):175-183. [PubMed]
7. Skupien JA, Luz MS, Pereira-Cenci T. Ferrule effect: A meta-analysis. JDR Clin Trans Res. 2016 Apr;1(1):31–39. [PubMed]
8. Batista VE de S, Bitencourt SB, Bastos NA, Pellizzer EP, Goiato MC, dos Santos DM. Influence of the ferrule effect on the failure of fiber-reinforced composite post-and-core restorations: A systematic review and meta-analysis. J Prosthet Dent. 2020 Feb;123(2):239–245. [PubMed]
9. Naumann M, Sterzenbach G, Dietrich T, Bitter K, Frankenberger R, von Stein-Lausnitz M. Dentin-like versus rigid endodontic post: 11-year randomized controlled pilot trial on no-wall to 2-wall defects. J Endod. 2017 Nov;43(11):1770–1775. [PubMed]
10. Karteva EG, Manchorova NA, Vladimirov SB, Keskinova DA. Clinical assessment of endodontically treated teeth, restored with or without radicular posts. Folia Med (Plovdiv). 2018 Jun 1;60(2):291-299. [PubMed]
11. Cui X, Shen Z, Wang X. Esthetic appearances of anatomic contour zirconia crowns made by additive wet deposition and subtractive dry milling: A self-controlled clinical trial. J Prosthet Dent. 2020 Mar;123(3):442–448. [PubMed]
12. Sarkis-Onofre R, Amaral Pinheiro H, Poletto-Neto V, Bergoli CD, Cenci MS, Pereira-Cenci T. Randomized controlled trial comparing glass fiber posts and cast metal posts. J Dent. 2020 May;96:103334. [PubMed]
13. Schmitter M, Rammelsberg P, Gabbert O, Ohlmann B. Influence of clinical baseline findings on the survival of 2 post systems: A randomized clinical trial. Int J Prosthodont. 2007 Mar-Apr;20(2):173-8. [PubMed]
14. Naumann M, Blankenstein F, Dietrich T. Survival of glass fibre reinforced composite post restorations after 2 years—an observational clinical study. J Dent. 2005 Apr;33(4):305–312. [Crossref]
15. Naumann M, Sterzenbach G, Alexandra F, Dietrich T. Randomized controlled clinical pilot trial of titanium vs. glass fiber prefabricated posts: preliminary results after up to 3 years. Int J Prosthodont. 2007 Sep-Oct;20(5):499–503. [PubMed]
16.Soares CJ, Valdivia AD, da Silva GR, Santana FR, Menezes Mde S. Longitudinal clinical evaluation of post systems: a literature review. Braz Dent J. 2012 Apr;23(2):135–140. [PubMed]
17. Sarkis-Onofre R, Pereira-Cenci T, Opdam NJ, Demarco FF. Preference for using posts to restore endodontically treated teeth: findings from a survey with dentists. Braz Oral Res. 2015;29:1-6. [PubMed]
18. Weerapperuma ID, Taylor C, Satterthwaite JD. A survey to compare the use and rationale for selection of intra-radicular posts among dental practitioners. Br Dent J. 2016 Nov 18;221(10):635–638. [PubMed]
19. Shankla K, Sambrook R, Fine P, Blizard R, Leung A. Assessing dentists' knowledge and experience in restoring endodontically treated teeth using post & cores. J Dent. 2021 Nov;114:103815. [PubMed]
Received: 07 January 2025
Published online: 17 June 2025
back to Online Journal