Currently used systems of dental posts for endodontic treatment

Abstract

An advanced stage of a tooth decay promotes an extremely damaged tooth that needs endodontic treatment to be restored. When satisfactory coronal tooth structure remains, an artificial crown can be placed without a post. On the other hand, the treatment of seriously damaged teeth often require an endodontic post. The main reason for using post is to enable rebuilding of the tooth structure prior to crown restoration. Dentists believe that endodontic posts provide a stable and solid restoration of the tooth, as well as providing strengthening of the tooth root, which constitutes the solid basis for a dental crown restoration. However, some authors reported that the strength of the tooth is directly related to the remaining dentin, and because of that, an endodontic treatment can present a higher risk of biomechanical failure. A number of different materials have been used for the manufacturing of dental posts. The fundamental posts requirements include high tensile strength, high fatigue resistance to occlusal and shear loading and a good distribution of the forces affecting the tooth root. The purpose of this article is to review the current literature and identify the various characteristics of a dental post, as well as some principles on the endodontic treatment for tooth decay.