Post and Core Dental Restoration in 2025: Cost, Procedure, Candidates, Benefits & Drawbacks
Discover the comprehensive guide to post and core dental restoration in 2025. Learn about candidates, step-by-step procedure, costs, advantages, disadvantages, and how this treatment saves damaged teeth.
Post and core is a vital dental restoration technique commonly performed following a root canal treatment to rebuild and stabilize a tooth that has lost a substantial portion of its internal structure.
When a tooth’s natural foundation is compromised, placing a post and core helps secure a dental crown, which protects the tooth from further damage or infection.
This article will walk you through the entire post and core process, highlight who qualifies for the procedure, and discuss recovery expectations in 2024.
What Is Post and Core?
After a root canal removes the infected pulp tissue—which includes blood vessels, nerves, and connective tissue—from your tooth’s root canal, the remaining tooth often lacks sufficient structure to support a crown.
In such cases, a post and core restoration is essential. The post is inserted into the cleaned root canal space to anchor the core buildup, which reconstructs the missing tooth structure and provides a stable base for the crown.
As Dr. Cindy Roark, DMD MS from Sage Dental explains, "A post functions like a fence post in construction, providing foundational support within the tooth’s root canal to retain the core buildup and crown."
Who Is a Candidate for Post and Core?
Post and core treatment is recommended when more than 50% of the original tooth structure has been lost, especially after root canal therapy has removed the pulp chamber.
The procedure is not necessary if enough natural tooth remains to securely hold a crown without additional support.
How Is the Post and Core Procedure Performed?
According to Dr. Patrick Campbell, DDS, LT, DC, USN from Walter Reed National Military Medical Center, there are two main types of post and core restorations:
- Prefabricated Post and Core: A ready-made unit typically completed in a single dental visit.
- Cast Post and Core: A custom-made, one-piece restoration created in a dental laboratory, often requiring two appointments.
Your dentist will determine the most suitable option based on the extent of damage and your individual dental needs.
Advantages and Disadvantages of Post and Core
Advantages
- Preserves the natural tooth, avoiding extraction and the expenses associated with tooth replacement options.
Disadvantages
- Does not inherently strengthen the tooth structure.
- Posts may sometimes place stress on the tooth, potentially weakening it over time.
Summary
In 2024, post and core remains a crucial restorative dental procedure designed to salvage teeth that have suffered significant internal damage, especially after root canal therapy.
By providing a stable foundation for crowns, post and core restorations protect your natural teeth from further harm and help maintain oral health without the need for extraction.
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