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Conservative Dentistry & Endodontics

Core Build-Up with Lab Post

Restoring Severely Damaged Teeth

5 min readRH Dental Care
Summary

Core build-up with a custom lab post reinforces a severely compromised tooth after root canal treatment, creating the strong internal foundation needed to support a long-lasting crown.

Core Build-Up with Lab Post is a specialized dental procedure involving the placement of a custom-made post inside the root canal to reinforce the tooth's core, followed by building up the tooth's structure using composite or other restorative materials.

When is It Needed?

  • Have undergone root canal treatment and lack sufficient structure to support a crown.
  • Are severely weakened or fractured.
  • Require additional reinforcement for long-term durability.
  • Have minimal natural tooth structure remaining above the gumline.

Procedure: Step-by-Step

  1. 1Diagnosis and Preparation: The dentist conducts a thorough examination including X-rays.
  2. 2Placement of the Lab Post: A custom-made lab post is fabricated and inserted into the prepared canal and bonded using strong adhesive materials.
  3. 3Core Build-Up: Composite resin or other suitable materials are layered around the post to rebuild the tooth's core structure.
  4. 4Crown Placement: A crown is fabricated and cemented over the restored tooth.

Materials Used

  • Lab Post Materials: Metal (stainless steel, titanium) for durability; Fiber-reinforced posts for aesthetics and biocompatibility.
  • Core Build-Up Materials: Composite Resin — tooth-colored and versatile; Glass Ionomer — good adhesion with fluoride release.

Benefits

  • Enhanced Strength: Reinforces weak teeth, making them durable and functional.
  • Improved Stability: Provides a strong foundation for crowns or bridges.
  • Longevity: Increases the lifespan of the restored tooth by preventing fractures.
  • Natural Appearance: Restores the tooth's original shape and aesthetic appeal.

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