Re: Fibre Posts

I agree mostly with Joel. However, each case should be evaluated closely.
If getting the margin past the core material margin requires extensive tooth
removal, then "skip it". However, I would say this applies for any filling
material which you absolutely know is in good condition and well sealed. If
you placed an amalgam core 3 weeks before, and you know it will cut away
lots of tooth getting the margin of your FGC past it, then make a good
judgment call.

I take it one step further and make the core part of the restoration and
bond the entire thing in place.

--
~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
.....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here. Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
.......................
"Joel M. Eichen" <joeleichen@xxxxxxxxx> wrote in message
news:42553042_3@xxxxxxxxxxxxxxx
>
> "StovePipe" <stove99pipeTRA@xxxxxxxxxxx> wrote in message
> news:1gumeur.19oqyc1hkgaiyN%stove99pipeTRA@xxxxxxxxxxxxxx
>> NOYB <noyb@xxxxxxxx> wrote:
>>
>> > the method of post and core technique may not be as
>> > significant as the placement of full coverage cast-gold crown
> restorations
>> > with sound design and placement of margins beyond the buildup
> restoration.
>>
>> Sounds to me like what we were always admonished to do in Dent School:
>> the finish line must always be on sound TOOTH structure... even if one
>> part of that structure is a proximal box goin' way down to the bone...
>> SP
>>
>
> R E P L Y
>
>
> I am not sure that is true today. When restorations were cemented it was
> absolutely required. Let's say there is a restoration that is bonded in
> place, and it is absolutely solid with no decay under it.
>
> Why end the crown margin BELOW the restoration?
>
> Oh its good to end on solid tooth but is it absolutely essential? Maybe
> not.
> If the crown design further weakens the tooth in trying to accomplish
> that,
> what is gained?
>
>
>
> Joel
>
>
>
>
>> In another post you said that if the crown breaks off at the gumline,
>> you extract it and do implant/bridge. If the tooth snaps off at the
>> gumline, why don't you just do a bit of crown lengthening, make your
>> ferrule prep ( or don't ) and place a fiber post?
>> Thanks
>> SP
>> --
>> Finally: take out the TRASHH
>
>


.

Relevant Pages

  • Re: What to do? Root canal or not?
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