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Core Build-Ups and Post Placement

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Extra-Coronal Restorations

Part of the book series: BDJ Clinician’s Guides ((BDJCG))

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”.

This chapter is in two parts: The first considers core build-ups in vital teeth as a foundation for extra-coronal restorations. The second part considers the practicalities of engaging with an increasing variety of options for restoring root-treated teeth focusing on core build-ups, the use of posts, and cast posts and cores.

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Author information

Authors and Affiliations

  1. Department of Restorative Dentistry, Charles Clifford Dental Hospital, Sheffield, UK

    Claire Field

  2. Department of Restorative Dentistry, Newcastle University School of Dental Sciences, Newcastle upon Tyne, UK

    Simon Stone, John Whitworth & Robert Wassell

Authors
  1. Claire Field
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  2. Simon Stone
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  3. John Whitworth
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  4. Robert Wassell
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Corresponding author

Correspondence to Claire Field .

Editor information

Editors and Affiliations

  1. Department of Restorative Dentistry, Newcastle University School of Dental Sciences, Newcastle upon Tyne, United Kingdom

    Robert Wassell

  2. Department of Restorative Dentistry, Newcastle University School of Dental Sciences, Newcastle upon Tyne, United Kingdom

    Francis Nohl

  3. Newcastle University School of Dental Sciences, Newcastle upon Tyne, United Kingdom

    Jimmy Steele

  4. Edinburgh Dental Institute, Edinburgh, United Kingdom

    Angus Walls

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Field, C., Stone, S., Whitworth, J., Wassell, R. (2019). Core Build-Ups and Post Placement. In: Wassell, R., Nohl, F., Steele, J., Walls, A. (eds) Extra-Coronal Restorations. BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-319-79093-0_19

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  • DOI: https://doi.org/10.1007/978-3-319-79093-0_19

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