A new design for post and core restorations implementing positive locking
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Ernst-Jürgen Richter
Abstract
The design of a post and core restoration is a trade-off between a series of requirements to achieve stability of the post itself, the surrounding root dentine and the joint between tooth and post, while maintaining a sufficient apical seal of the remaining root canal filling. Post and core restoration systems come in a variety of different designs and dimensions, where each has its specific strength and weakness. With the exception of threaded versions, posts normally rely on either chemical and/or frictional locking between the post and the remaining root. Failure due to fatigue of the joint or root fracture due to overloading of the dentine is a frequent failure mode, especially for posts anchoring removable prostheses. Perforation of the root in an attempt to maximize the post length is a main cause for failure, too. A new design is proposed which uses a short but large diameter post. The risk of decementation is reduced by positive locking. A cavity with an undercut is prepared into the root, into which the post is fitted. Once joined, the post cannot be separated from the tooth without destruction of either the root or the post. The principle of the new design uses preparation tools and a post which is spread at the bottom. A cylindrically prepared hole is re-shaped to a defined inverse taper with the wider diameter at the bottom of the hole. A cylindrical post is inserted and spread at the bottom to a matching shape after placement. A first in vitro test of the stability showed that the positive locking provides at least as good extraction resistance as conventional post without the critical reliance on the luting/bonding agent.
©2008 by Walter de Gruyter Berlin New York
Articles in the same Issue
- Guest editorial
- Biomechanics and biomaterials in oral rehabilitation and dental treatment
- Mini review
- Bone quality, quantity and metabolism in terms of dental implantation
- Research articles
- Finite element representation of bone substitute remodelling in the jaw bone
- The biomaterial influences the ossification after sinus floor elevation using tissue-engineered bone grafts
- O-phospho-l-serine: a modulator of bone healing in calcium-phosphate cements
- A new design for post and core restorations implementing positive locking
- Mechanical loading of orthodontic miniscrews – significance and problems: an experimental study
- Effect of load angulation and crown shape on forces acting on post and core restored teeth: an in vitro study
- Failure analysis of a new post-and-core restoration system using the finite element method
- The influence of the root cross-section on the stress distribution in teeth restored with a positive-locking post and core design: a finite element study
- Reproducibility of electronic tooth colour measurements
Articles in the same Issue
- Guest editorial
- Biomechanics and biomaterials in oral rehabilitation and dental treatment
- Mini review
- Bone quality, quantity and metabolism in terms of dental implantation
- Research articles
- Finite element representation of bone substitute remodelling in the jaw bone
- The biomaterial influences the ossification after sinus floor elevation using tissue-engineered bone grafts
- O-phospho-l-serine: a modulator of bone healing in calcium-phosphate cements
- A new design for post and core restorations implementing positive locking
- Mechanical loading of orthodontic miniscrews – significance and problems: an experimental study
- Effect of load angulation and crown shape on forces acting on post and core restored teeth: an in vitro study
- Failure analysis of a new post-and-core restoration system using the finite element method
- The influence of the root cross-section on the stress distribution in teeth restored with a positive-locking post and core design: a finite element study
- Reproducibility of electronic tooth colour measurements
