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Post and core reconstruction for fixed prosthodontic restoration

S J Paul1, P Schärer

  • 1Section of Removable Prosthodontics, UCLA School of Dentistry 90024-1668, USA.

Practical Periodontics and Aesthetic Dentistry : PPAD
|June 1, 1997
PubMed
Summary

For substantial tooth structure loss, bonded posts offer a viable direct restoration method. Material choice between ceramic zirconium or titanium posts depends on aesthetic needs, with cast posts declining.

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Area of Science:

  • Restorative Dentistry
  • Prosthodontics
  • Dental Materials Science

Background:

  • Substantial loss of tooth structure from decay or prior restorations necessitates core reconstruction or post and core procedures for abutment teeth in fixed prosthodontics.
  • Extensive dentin defects, particularly in endodontically treated teeth, require robust support for core materials.

Observation:

  • Direct procedures utilizing bonded posts are effective for restoring tooth structure.
  • The selection between light-conducting all-ceramic zirconium and titanium posts is dictated by aesthetic considerations.
  • Indirect cast post and core techniques are becoming less frequently indicated for prosthodontic reconstructions.

Findings:

  • This review examines historical and contemporary post and core materials and techniques.
  • It discusses indications for core reconstruction in vital teeth and post and core applications for pulpless teeth.

Implications:

  • Understanding current post and core materials and techniques is crucial for effective prosthodontic treatment planning.
  • Aesthetic demands influence the choice of post material, highlighting the importance of material science in restorative dentistry.
  • The shift away from cast posts suggests evolving clinical preferences and material advancements.

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