Survival rate and failure characteristics of the all metal post and core restoration

ABSTRACT Loss of tooth structure occurs due to caries, endodontic treatment, or fracture caused by trauma; restoring these teeth is difficult task for a clinician. Post and core is an option for teeth when excessive tooth structure is lost and teeth need to be restored with crown and bridge procedure. They can be prefabricated post with composite built up or a one-piece custom-made post. The custom-made cast metal post and core have disadvantage due to their color that imparts grayish hue to overlying ceramic restorations. Masking the metal core can enhance the esthetic of all ceramic restorations that are placed over the cast post and core. A case report is being presented where the metallic core was masked with ceramic built up on labial surface of metal core. How to cite this article Shah NP, Gaikwad AM, Ram SM, Nadgere JB. Masking Conventional Metallic Cast Post for Enhancing Esthetics. J Contemp Dent 2016;6(1):85-89.

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Fracture strength and survival rate of endodontically treated maxillary incisors with approximal cavities after restoration with different post and core systems: an in-vitro study

Journal of Dentistry ◽

10.1016/s0300-5712(01)00038-0 ◽

2001 ◽

Vol 29 (6) ◽

pp. 427-433 ◽

Cited By ~ 130

Author(s):

Guido Heydecke ◽

Frank Butz ◽

Jörg R. Strub

Keyword(s):

Survival Rate ◽

Fracture Strength ◽

In Vitro Study ◽

Vitro Study ◽

Post And Core ◽

Maxillary Incisors

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Removal of metal post and core followed by endodontic retreatment and endodontic surgery of tooth with failed Endodontic Treatment

European Journal of Medical Case Reports ◽

10.24911/ejmcr/2/10 ◽

2018 ◽

pp. 63-67

Author(s):

Aziza Turki ◽

Muthhin Almuthhin

Keyword(s):

Endodontic Treatment ◽

Endodontic Surgery ◽

Post And Core ◽

Removal Of Metal ◽

Endodontic Retreatment ◽

Metal Post

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Split Cast Metal Post and Core

Journal of Orofacial Research ◽

10.5005/jp-journals-10026-1022 ◽

2012 ◽

Vol 2 ◽

pp. 95-98

Author(s):

Devendra Chopra ◽

Naorem Satish Kumar Singh ◽

Parag Nehete

Keyword(s):

Cast Metal ◽

Post And Core ◽

Metal Post

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Evaluation of the fracture resistance of remaining thin-walled roots restored with different post systems

Journal of Research in Dentistry ◽

10.19177/jrd.v1e32013184-191 ◽

2013 ◽

Vol 1 (3) ◽

pp. 184

Author(s):

Luis Gustavo Nunes Dias Pinho ◽

Gustavo Helder Vinholi ◽

Tulio Kalife Coelho ◽

Dimas João Rodrigues Neto ◽

Daiane Cerutti Kopplin ◽

...

Keyword(s):

Glass Fiber ◽

Fracture Strength ◽

Composite Resin ◽

Compressive Loading ◽

Test Machine ◽

Fiber Post ◽

Cast Metal ◽

Glass Fiber Post ◽

Post And Core ◽

Metal Post

The purpose of this work was evaluating the fracture strength of bovine roots weakened experimentally, restored with two different techniques: internal reinforcement of root canal walls with composite resin and a cast metal post and core or anatomic post (glass fiber post associated with composite resin). Thirty bovine lower central incisive were selected and transversally sectioned, remaining 14 mm of root in order to approximate to the human maxillary central incisive. A sequence of standardized wear was used to weak the root until the walls remaining achieved from 0.5 to 0.7 mm of thickness at the cervical edge. Two groups were separated randomly (n=15) in order to test the roots reinforced with composite resin associated with cast metal post and core (CMP), or roots restored with composite resin associated to the glass fiber post (GFP). The test were applied in a Universal Test Machine (EMIC) with tangential compressive loading focused on the lingual face of core in an angle of 135° with the long axis of the tooth at a crosshead speed of 0.5 mm/min until failure occurred. The results showed that the fracture strength of remaining roots with weakened walls was influenced by the restorative technique, and the higher values of strength fractures were observed in the group of roots reinforced by composite resin associated with CMP (p<0.001) when compared to the group of roots restored with anatomic post.

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Alternative Conservative Approach for Tooth Build-Up in Patients with Special Healthcare Needs

International Journal of Innovative Research in Medical Science ◽

10.23958/ijirms/vol06-i09/1193 ◽

2021 ◽

Vol 6 (09) ◽

pp. 616-619

Author(s):

Mayank Kakkar ◽

Vijay Rahul Markonda Patnaik ◽

Shaima Malik ◽

Shilpa Singh ◽

Adela Planerova

Keyword(s):

Visual Analog Scale ◽

Case Series ◽

Chief Complaint ◽

Analog Scale ◽

Core System ◽

Tooth Structure ◽

Cast Metal ◽

Healthcare Needs ◽

Post And Core ◽

Metal Post

Purpose: The success of an artificial crown mainly depends on the biomechanical factors such as bonding capacity of cement between the crown and abutment tooth, and root strength of the abutment tooth. In this case series, we aim to provide insight on the potential use of the cast metal post and cost for patients with intellectual disabilities and severely compromised tooth structure. Material and Methods: The first patient was a 41-year old male with the chief complaint of a dislodged porcelain fused metal (PFM) crown of tooth #20 (mandibular left second bicuspid). The patient was informed about the advantages, disadvantages, and risks of each option. After further consideration and discussion with the parents and the patient, we decided to rebuild the coronal tooth structure with the cast metal post and core and prosthetic restoration with the same crown. Patient satisfaction was measured on the visual analog scale as 10/10. The second case involves a 26-year old female, who presented with a chief complaint of chronic lingering pain on tooth #9. The tooth structure was extensively damaged and un-supportive of the ferrule, therefore, it was decided to build a metal post and core instead of a fiber post. The prosthetic restoration was made with a monolithic zirconia crown and the patient was followed up twice in 6 months and graded the satisfaction as 10/10 on a visual analog scale. Results: The most common type of posts used in dentistry has been cast post and cores in the last decade which generally includes an additional laboratory stage where a custom post is prepared according to the impression taken from the prepared post space. Conclusions: Both the presented cases explain an interesting advantage of restoring a root canal treated tooth with a metal post and core system which implies that in a prefabricated post and core restored tooth failure, a metal post, and core can potentially be the treatment of choice instead of extracting the tooth.

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Penatalaksanaan Perawatan Saluran Akar Pada Gigi 11 dan Restorasi Porcelain Fused to Metal Crown dengan Custom-made Metal Post and Core

Andalas Dental Journal ◽

10.25077/adj.v7i2.155 ◽

2019 ◽

Vol 7 (2) ◽

pp. 75-86

Author(s):

Karina Nabilla ◽

Reni Nofika

Keyword(s):

Dental Caries ◽

Root Canal ◽

Root Canal Treatment ◽

Dull Pain ◽

Custom Made ◽

Dental Hospital ◽

Post And Core ◽

Metal Post

Dental caies almost infected the pulp. The ernomous of cavity need core as the retention. This paper aimed to describe the management of dental caries to final restoration. A woman aged 22 yearscome to Dental Hospital with chief complain a discoloration on her restorated front teeth. Objective examination showed still vital but spontaneous dull pain recorded from patient. Root canal treatment then suggested with custom made post and core porcelain fused to metal crown as a final restoration.

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Alternative conservative approach for tooth build-up in patients with special healthcare needs

Journal of Clinical Images and Medical Case Reports ◽

10.52768/2766-7820/1321 ◽

2021 ◽

Vol 2 (5) ◽

Author(s):

Mayank kakkar ◽

◽

Vijay Rahul Markonda Patnaik ◽

Shaima Malik ◽

Shilpa Singh ◽

...

Keyword(s):

Visual Analog Scale ◽

Case Series ◽

Chief Complaint ◽

Analog Scale ◽

Core System ◽

Tooth Structure ◽

Cast Metal ◽

Healthcare Needs ◽

Post And Core ◽

Metal Post

Purpose: The success of an artificial crown mainly depends on the biomechanical factors such as bonding capacity of cement between the crown and abutment tooth, and root strength of the abutment tooth. In this case series, we aim to provide insight on the potential use of the cast metal post and cost for patients with intellectual disabilities and severely compromised tooth structure. Material and methods: The first patient was a 41-year old male with the chief complaint of a dislodged porcelain fused metal (PFM) crown of tooth #20 (mandibular left second bicuspid). The patient was informed about the advantages, disadvantages, and risks of each option. After further consideration and discussion with the parents and the patient, we decided to rebuild the coronal tooth structure with the cast metal post and core and prosthetic restoration with the same crown. Patient satisfaction was measured on the visual analog scale as 10/10. The second case involves a 26-year old female, who presented with a chief complaint of chronic lingering pain on tooth #9. The tooth structure was extensively damaged and un-supportive of the ferrule, therefore, it was decided to build a metal post and core instead of a fiber post. The prosthetic restoration was made with a monolithic zirconia crown and the patient was followed up twice in 6 months and graded the satisfaction as 10/10 on a visual analog scale. Results: The most common type of posts used in dentistry has been cast post and cores in the last decade which generally includes an additional laboratory stage where a custom post is prepared according to the impression taken from the prepared post space. Conclusions: Both the presented cases explain an interesting advantage of restoring a root canal treated tooth with a metal post and core system which implies that in a prefabricated post and core restored tooth failure, a metal post, and core can potentially be the treatment of choice instead of extracting the tooth. Keywords: post and core; special needs; cast metal post.

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