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- DOI 10.18231/j.aprd.2025.032
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CrossMark
Rehabilitation of badly broken-down maxillary anterior with custom cast post and core
- Author Details:
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Rajat Shukla *
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Rohit Kochhar
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Manju Kumari
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Mansi Punjabi
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Navneet Kaur
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Deepika Shukla
Rajat Shukla *
Rohit Kochhar
Manju Kumari
Mansi Punjabi
Navneet Kaur
Deepika Shukla
To rehabilitate the coronal portion of the anterior teeth, which had been fractured, is one of the major issues faced by endodontists. This leads to various problems, including the functional, psychological, and aesthetic appearance of the patient, and it is also a serious challenge for the placement of a permanent prosthesis over the concerned region.
Post and core come out to be a tremendous option considering the tooth which is badly broken down, and it also facilitates the deployment of a crown over it. There are different categories of post systems available in modern dentistry.
The post is typically made from metal or other durable materials, and the core is shaped to form the foundation for a final crown.
Cast post and core is a promising approach when dealing with a weakened tooth that lost its strength due to either extensive caries or traumatic injuries.
Keywords: Aesthetic rehabilitation, Cast post and core, Post and core, Pattern resin, Anterior tooth rehabilitation.
References
- Fernandes AS, Dessai GS. Factors affecting the fracture resistance of post-core reconstructed teeth: a review. Int J Prosthodont. 2001;14(4):355–63.
- Creugers NH, Mentink AG, Fokkinga WA, Kreulen CM. 5-year follow-up of a prospective clinical study on various types of core restorations. Int J Prosthodont. 2005;18(1):34–9.
- Pereira JR, Valle AL, Shiratori FK, Ghizoni JS, Melo MP. Influence of intraradicular post and crown ferrule on the fracture strength of endodontically treated teeth. Braz Dent J. 2009;20(4):297–302.
- Balkenhol M, Wöstmann B, Rein C, Ferger P. Survival time of cast post and cores: a 10-year retrospective study. J Dent. 2007;35(1):50–8.
- Mohammadi N, Kahnamoii MA, Yeganeh PK, Navimipour EJ. Effect of fiber post and cusp coverage on fracture resistance of endodontically treated maxillary premolars directly restored with composite resin. J Endod. 2009;35(10):1428–32.
- Gómez-Polo M, Llidó B, Rivero A, Rio JD, Celemin A. A 10-year retrospective study of the survival rate of teeth restored with metal prefabricated posts versus cast metal posts and cores. J Dent. 2010;38(11):916-20.
- Tjan AH, Whang SB. Resistance to root fracture of dowel channels with various thicknesses of buccal dentin walls. J Prosthet Dent. 1985;53(4):496–500.
- Barkhordar RA, Radke R, Abbasi J. Effect of metal collars on resistance of endodontically treated teeth to root fracture. J Prosthet Dent. 1989;61(6):676–8.
- Sorensen JA, Engelman MJ. Ferrule design and fracture resistance of endodontically treated teeth. J Prosthet Dent. 1990;63(5):529–36.
- Raedel M, Fiedler C, Jacoby S, Boening KW. Survival of teeth treated with cast post and cores: A retrospective analysis over an observation period of up to 19.5 years. J Prosthet Dent. 2015;114(1):40–5. Shukla et al./ IP Annals of Prosthodontics and Restorative Dentistry 2025;11(2):167-171 171
- Tsintsadze N, Margvelashvili-Malament M, Natto ZS, Ferrari M. Comparing survival rates of endodontically treated teeth restored either with glass-fiber-reinforced or metal posts: A systematic review and meta-analyses. J Prosthet Dent. 2024;131(4):567–78.
- McLean A. Criteria for the predictably restorable endodontically treated tooth. J Can Dent Assoc. 1998;64(9):652–6.
- Sukhija U, Rassawet R. A review on post and core. J Dent Sci. 2020;7(3):51-6.
- Santos-Filho PCF. Influence of ferrule, post system, and length on biomechanical behavior of endodontically treated anterior teeth. JOE. 2014;40(1):1–6.
- Choudhary S, Begum Z, Choudhary P, Tripathi S. Comparative evaluation of retention of prefabricated and conventional cast post: An in vitro study. J Int Soc Prev Community Dent. 2014;4(2):87–91.