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A post and core crown is a type of dental restoration required where there is an inadequate amount of sound tooth tissue remaining to retain a conventional crown. A post is cemented into a prepared root canal, which retains a core restoration, which retains the final crown. [1] [2]
Crowns are used to improve the strength or appearance of teeth and to halt deterioration. While beneficial to dental health, the procedure and materials can be costly. The most common method of crowning a tooth involves taking a dental impression of a tooth prepared by a dentist, then fabricating the crown outside of the mouth. The crown can ...
Replacement of unaesthetic crowns on the upper central teeth after undergoing crown lengthening and fabrication of new restorations. Crown lengthening is often done in conjunction with a few other expensive and time-consuming dental procedures (e.g. post and core, endodontic treatment) with the ultimate goal of saving the tooth. The prognosis ...
If the tooth, because of its relative lack of exposed tooth structure, also requires crown lengthening, the total combined time, effort, and cost of the various procedures, together with the decreased prognosis because of the combined inherent failure rates of each procedure, might make it more reasonable to have the tooth extracted and opt to ...
They can be used in direct restorations to fill in the cavities created by dental caries and trauma, minor buildup for restoring tooth wear (non-carious tooth surface loss) and filling in small gaps between teeth (labial veneer). Dental composites are also used as indirect restoration to make crowns and inlays in the laboratory.
One of the very old types of post and cores classification is according to their authors and still in some ways it is used. Yet, the main issues with this classification are the repetition of the systems and also the minimum required information about the system is required to be able to recognise a particular post.
Crown lengthening is a technique for increasing crown height of teeth by flap surgery with or without bone surgery. [3] There are two main types: Aesthetic crown lengthening which is performed when a "gummy" smile is an issue for the patient [3] Functional crown lengthening is used to make an unrestorable tooth restorable.
The classical approach is to build up the tooth with a post and core, which have physical properties close to those of natural dentin, utilizing adhesive procedures and placement of full-coverage crowns with a sufficient ferrule, but it was found that excessive amount of teeth removal may cause fracture to the teeth. [4]
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