REVIEW PAPER
Comparison of custom-made metal alloy, zirconia, fiber-reinforced
composite and polyether ether ketone post-and-core restorations
– review of literature
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Zakład Protetyki Stomatologicznej, Uniwersytet Medyczny w Łodzi, Polska
Submission date: 2025-06-27
Final revision date: 2025-07-28
Acceptance date: 2025-09-18
Publication date: 2025-09-18
Corresponding author
Paulina Sadowska
Zakład Protetyki Stomatologicznej, Uniwersytet Medyczny w Łodzi, Pomorska 251, 92-213, Łódź, Polska
Prosthodontics 2025;75(3):235-245
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ABSTRACT
The aim of this study is to review the
literature on custom-made post-and-core
restorations fabricated from various materials
and application of various techniques. The
properties and applications of posts made from
metal alloys, zirconia oxide ceramics, fiberreinforced
composites and the most recent
PEEK material are discussed. The technologies
used for manufacturing these posts, as well
as the cementation methods appropriate for
each material, have been analysed. Scientific
studies indicate that teeth restored with custommade
posts exhibit greater durability and better
anatomical fit compared to standard prefabricated
solutions. The most superior mechanical and
clinical properties are demonstrated by posts
made of zirconia oxide ceramics and metal
alloys, which are characterized by high strength
and long-term stability. Posts made of fiberreinforced
composites offer favourable flexibility and aesthetics but show lower resistance to
loading. PEEK is a biocompatible and modern
material; however, its weak retention to cements
and comparably lower stiffness limit its use
in prosthetics. The development of CAD/CAM
technology enables more precise, faster, and more
predictable fabrication of custom-made posts,
which may significantly improve the outcomes of
prosthetic treatment.