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Post and Core Fabrication

Post and Core Fabrication

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Published by Saj1985

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Published by: Saj1985 on Sep 21, 2009
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05/31/2013

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CAST POST & CORE
Fabrication Technique
Preoperative condition of the tooth. Tooth maybe fractured and/or contain various amounts of temporary or permanent restorative material.The tooth will probably have temporary (orpermanent) restorative material in the endodonticaccess opening. There may be a cotton pelletunder the temporary.Reduce the tooth axially and incisally. Toothshould receive full reduction commensurate withfinal crown preparation. Preparation of axial andincisal tooth structure facilitates access andmakes gutta percha removal easier. Finalmargination need not be done at this time.
 
Alternate First Step: You may have an exactrecorded measurement of canal length relative toa known landmark (e.g. incisal edge). If you aretotally confident of the measurement (e.g. you
personally
did the endodontic treatment on thistooth) you may remove the gutta percha prior toaxial and incisal reduction (refer to techniquebelow).Be careful not to rely solely on measurement of radiographs (since there is usually amagnification error) or someone else'smeasurements (which may be recorded in error ormay have been made relative to a differentlandmark).Remove
all
old permanent and/or temporaryrestorative material (including material in theaccess opening and pulp chamber). Remove allcaries.Remove any undercuts created by removal of therestorative material and/or caries. Remove anyundercuts from the pulp chamber. All undercutsmust be either removed with a diamond orblocked out with a base (do not use eugenolcontaining material that will inhibit set of acrylic).If undercuts cannot be successfully eliminated, atechnique other than the one described belowmust be employed to fabricate the post/corepattern.
 
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Remove any weak, thin, and/or unsupportedtooth structure. Do not remove any moresound tooth structure than is necessary toaccomplish the above steps.If additional tooth structure has not beenremoved from parts of the incisal edge(beyond the initial reduction), then reduce theincisal in these areas an additional 1.0 mm sothat the entire incisal edge of the tooth willultimately be covered by metal of the castpost/core. Use a shallow contrabevel on theincisal edge.With a hot instrument (Glick heated over aBunsen burner) remove gutta percha from thecoronal portion of the canal to better visualizethe direction of the canal. Experiencedoperators may opt to go directly to removal of gutta percha with a Pesso reamer, but careshould be taken not to get "off-line" andperforate the root.

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