ESTHETIC POSTS

Reference: Lecture + article

hip line
high
 zirconia

Prefabricated Metal Posts and Cast Posts

Morethan
coronal
Have been used successfully for decades but:
of of
toothmissing
- Esthetics? Black color
- Corrosion? High corrosion potential
- Root fractures? High modulus of elasticity
- Bonding? Non adhesive bonding
Firconea soundplast

To retain
adhesive post 9 come
4
lithium To retain
Cone
Crown
Esthetic Posts

• The demand on using other post systems such as ceramic or fiber

reinforced composite posts have increased significantly to solve the
problems of metal posts

(Mutobe, 1995)
 lithium translucent

Ceramic Zirconia Posts

• Partially stabilized zirconium dioxide (ZrO) formed by adding yttrium

oxide (Y2O3)
• High fracture strength
• Good esthetics
• Biocompatability gold
• Radio-Opaque
• Stiff---cause root fracture
physical ductility
É • Difficult to adjust
• Brittle brave
Fudging
• Impossible to remove
bend
OExtraction
Ceramic Zirconia Posts

debondingof
Composite
- Prefabricated Zirconia post + Composite build-up

Fracture resistance?
• Prefabricated Zirconia post + Ceramic core lab

• Fracture resistance ? top hep

Dt Zirconia lithium
Chipping

lithium to
easier
than
drill
zirconia
• Custom made one piece Zirconia post
and core

Commonused
withanterior
 Fiber Reinforced Composite (FRC) Posts

Advantages
1-I Satisfactory survival rates over long follow up periods
2- More biomimetic behavior
3- Less rigid- similar elastic properties to dentin
I 3
4- Less root fractures
5- Simplicity of use
6- No lab steps
7- Possibility of removal
8- Favorable optical properties radiopaque
Fiber Reinforced Composite (FRC) Posts

Disadvantages:
• they require preparation of the root canal to fit the shape of the post,
which causes the loss of dentin and makes the root more vulnerable
to root fracture
• The free space of a larger coronal root canal opening remains filled
only with cement and due to changes during polymerization
shrinkage, this may cause detachment of the luting resin from the
dentin, consequently leading to microleakage
 Composition of FRC Posts

• FRC posts are made of carbon, quartz or

glass fibers, embedded in a matrix of
epoxy or methacrylate resin
• The fibers offer strength and stiffness,
while the polymer matrix transfers loads
to the fibers and also protects them from
the moisture of the oral environment
• Fibers are oriented parallel to the post
longitudinal axis

should
fiberembaded
be
inthelongaxis
matrix
Composition of FRC Posts

• Diameter of fibers ranges between 6 and 15 µm.

• Fiber density, i.e. the number of fibres per mm2
of post cross-sectional surface, varies between
25 and 35 (30–50% of the area is occupied by
fibres)
• The adhesion between quartz or glass fibres and
resin matrix is enhanced by fibre silanization
prior to embedding.
 Shape of FRC POSTS

Parallel
Better
thanTapered

Shape Tapered parallel pointed

More
less
destructive Retentive
Glass and Quartz Fiber Reinforced Posts

• Introduced in 1992
• high volume percentage prestretched silanizated glass- or quartz-
fibers bounded by methacrylate- or epoxy-polymer matrix
• high degree of conversion and highly cross-linked structure that binds
the fibers
• Better translucency
• Better radioopacity
• Better Biomechanical performance
Adhesive Luting of Fiber Posts

• The most frequent failure of fiber post restoration is post debonding

• For glass fiber post cementation light-irradiated dual-cure resin
materials provide the most reliable option
I
Becauselight
willnotreachtothe
 ENDOCROWNS

• An alternative to the post-and-core supported crown,

• Is a monolithic one-piece ceramic bonded restoration
• Mainly for molars
remolar J Bindl and Mörmann, 1999
tAnt
3ondigank lithium disilicate
Post T G betterbonding

easy to adjust Prep

Maitainance
•The main objective is to avoid metal and
achieve an all-ceramic bonded restoration
that is minimally invasive of root canals.
•As the use of root canals for anchoring has
been sited as an important factor in
weakening the tooth.
•The endocrown invades the pulpal
chamber, but not the root canals.
•Endocrowns also maintain the biomechanical
integrity of the compromised structure of non
vital posterior teeth.
•The supragingival position of the cervical
margin preserves the marginal periodontium,
facilitates impression taking and maintains the
solid substance of the remaining tooth.
TOOTH PREPARATION
2mm Occlusal Reduction
donut shape bur

Occlusal
2mm
dount shape

Pulp Champerconical
green
Cylindrical
 TOOTH PREPARATION
Pulp chamber Preparation
Elimination of undercuts
A cylindrical-conical green
diamond bur

divarge
or straight
at least
 TOOTH PREPARATION
Finishing
Removal of irregularities
Fine particles size diamond
bur
• BEFORE AFTER

Retraction
deep
g cord
•Ceramic is milled using computer-aided
techniques or by molding ceramic
materials under pressure.
Ceramic Materials for Endocrowns
Glass-ceramic Such as: lithium disilicates
- biocompatibility and bio-mimicry.
- Bonding to enamel and dentin
 Choice of Bonding materials
- Adhesive resin cements such as self-
Dual
care
adhesive RelyX Unicem or composites
cements such as Variolink are used for
bonding the endocrown to the prepared
tooth.
Longevity and Effectiveness??
Premolars and incisors??
THANK YOU