Core Build-Ups and Post Placement

Abstract

This part of the chapter will emphasise the need to:Distinguish between a core build-up acting simply as a space-filler or forming a substructure for the extra-coronal restoration.Replace existing restorations, so what remains of a tooth can be properly assessed.Be aware of tooth restorability indices, but use your own clinical judgement to decide which teeth can be reliably restored.Decide if the extra-coronal restoration might be better bonded directly to the tooth without a core build-up.Choose an appropriate core build-up material, prepare features in teeth to aid retention and employ appropriate adhesive bonding.Ensure the extra-coronal restoration is extended sufficiently onto sound tooth beyond the core build-up to give a “ferrule effect”.