When is Core Buildup Necessary when Having Dental Crowns?

Question

In your opinion, who qualifies to have 'core buildup' when having dental crowns on the top front teeth? What is involved in the procedure of having 'core buildup'? How exactly is 'core buildup' carried out? When is it necessary to do 'core buildup' or 'include any pins'? How does a patient know if 'core buildup' procedure has been carried out? Thank you in advance for replying. All your help and info and honest feedback is very much appreciated.

John Whittemore, DDS · Answer

This must be assessed on a case by case basis.  It's all about having enough structural integrity and a smooth path of insertion for the crown.  At times a post may be used as part of the core buildup, if the tooth has had a root canal.  The hollowed out root canaled tooth can be more prone to fracture.  As one of the other docs here stated, the essential piece of this question is, you must trust that your dentist is making these decisions in YOUR best interest.  If you do not have that trust, you may not be with the right dentist.  Trust is the key to any relationship, but especially one with a health care provider.  If you don't trust your dentist, find another one by asking friends you trust if they are extremely impressed with their dentist.  If you find someone who is really passionate in recommending their dentist, perhaps you should try them.  But don't allow this investigation to slow down your treatment too much, as dentistry can get more complex and expensive quickly when neglected.  Best wishes!

Kevin Coughlin, DMD · Answer

When the height and width of the tooth along with strength of the remaining tooth which will receive the crown is inadequate. You should have enough sound tooth some when the crown is cement on the prep their is enough retention. Good Luck

	 

	 

	Kevin Coughlin DMD, MBA, MAGD    CEO Baystate Dental PC.

Jay Neuhaus, DDS · Answer

When there is insufficient solid tooth structure to design a properly contoured and correct thickness crown, then a core buildup is necessary. You should have a trusting relationship with your dentist, to believe him when he says he is doing something. You could always ask him to take an X-ray and point out to you on the X-ray the core build-up BEFORE he places the crown.

George Koutsoukos, DDS · Answer

To answer your questions...you qualify for this procedure, if a lot of your tooth structure has been destroyed by decay or the tooth is very weak and the tooth is so compromised that the crown will not last.  The tooth structure is filled with some form of composite, like Photo Core.  It is necessary to use pins or posts to strengthen the tooth with a build up especially after a root canal when it seems week and unstable. The patient should always know ahead of time what the procedure and why it is needed and what would happen if you did not have this particular procedure.  You would not want the crown to fail. Make sure your dentist answers all of your questions up front. Your are paying for them...not him!

Adnan Saleem, DMD · Answer

Core build up is usually needed after root canal treatment due to missing tooth structure after treatment. Core build up looks like white filling replacing the temporary filling placed after root canal treatment or decay excavation. It helps to strengthen the tooth. We usually do core build up and crown preparation together to save time and appointment for patient. Core build up is same as doing filling but if done with crown then it will be part of crown procedure.

When is Core Buildup Necessary when Having Dental Crowns?

Answers (7)

Answer: To NLightener regarding Core Buildups, Necessary or Not?

Answer: To NLightener regarding Core Buildups, Necessary or Not?

Answer: Need core build up when missing significant tooth portion

Answer: Need core build up when missing significant tooth portion

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Everything you need to know about Dental Crown

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When is Core Buildup Necessary when Having Dental Crowns?

Answers (7)

Answer: To NLightener regarding Core Buildups, Necessary or Not?

Answer: To NLightener regarding Core Buildups, Necessary or Not?

Answer: Need core build up when missing significant tooth portion

Answer: Need core build up when missing significant tooth portion

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Recommended reading

Everything you need to know about Dental Crown

Our mission is to create a world where every investment in modern beauty is Worth It.