Endodontically treated teeth as Abutments It has been believed that these teeth always require a post to: - Reinforce the roots - Stabilize the tooth against the forces encountered with a fixed or removable prothesisDowel (post) material Most pulpless teeth need dowel reinforcement. Types oF oo The Cast post and Prefabricated dowels orf posts core , A two-appointment A one-appointment procedure procedurePost selection Most of the literature concerning restoration of endodontically Per Cote Umm om ee eon nL Literature relating to removal of dentin from a root canahin preparation for a metallic post. Trope et al 2013.” te Lees - preparation of the canal weakened the root and decreased its ability to resist forces before insertion of a metal post - the post further increased the risk of fracture. These results explained the data repeated in numerous experiments, where intact pulpless teeth without intraradicular “strengthenmig@ opposed occlusal forces better than teeth “strengthened” |ByA post does not noticeably reduce forces at the margins of a crown and does not cause a more equal distribution or dispersion of forces along the length of the root it is questionable whether a post resolves the special needs of the endodontically treated tooth.=| the modulus of elasticity for dentin is ~20 GPa, the glass fiber post (~54 GPa) would be considered a more fay Material property of the post has been shown to affect the stress distribution. It is more favorable when two substances of com ulus o! ial post in terms of stress h other equivalent or almost near distribution as compared to stainless steel elasticity approximal (~220 GPa) or zirconor rvation of tooth st tae ty onder eo avaiPreparation: For <—— routad teasund tion oa oo cillary that is pl eptable for m TEM aesih ar)Preparation: The circular design is objectionable. It will not IgE gee ole t) In this situation threaded pins can resist ots te AIIdeal Properties of the Dowel: 1. Tapered posts: * Conform better to the shape of the canal. + Have venting quality during cementation) (reduce hydrostatic pressure). But induce wedging effect on the root, | |Ideal Prope! Designs 2. Parallel sit of root perfo apically if ion is perfor nedFlexi Post The “split” in the apical portion of the post permits some flexion to occur during placement.Pretending that posts are used in oir Ci ete nmeer et Cowon badly destructed roots is false The post must terminate at'a,point where (aarititeem rity OTS MPC MMe Demet eT0 molars, posts are placed in roots that have Paget Pretending that large post diameters give better retention and they are less risky m causing vertical root fracture is falseao aaat ot exhibit vertical JMR leas wy nd cores.ao) Tr ee: y different