Post Crowns Flashcards

1
Q

what may be used to aid GP removal

A

heat
solvents e.g eucalyptus oil

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2
Q

how much GP should be left in the canal to achieve a good apical seal when prepping for a post

A

4-5mm

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3
Q

what kit may be used to create an indirect post

A

para post system

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4
Q

what should be taken into account when considering a post retained restoration

A
  • amount of supragingival tooth structure
  • position of tooth in the arch
  • opposing dentition
  • length, width and curvature of the roots
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5
Q

name 3 consequences of endo treatment

A

brittleness
loss of proprioception
decreased fracture resistance

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6
Q

what is a post

A

a peg or a pin for fastening an artificial crown or core to a natural tooth root
usually made of metal or fibre

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7
Q

when are posts required to retain an indirect restoration

A

when 3 or more walls of a tooth are missing

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8
Q

what is the optimum and minimum height for a ferrule

A

optimum = 2-3mm coronal dentine
minimum = 1.5mm

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9
Q

what does a ferrule give protection from

A

resists tooth fracture

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10
Q

what are the optimal dimensions for a post

A

1/2 to 2/3 length of root (at least equal to height of crown)
good apical seal (4-5mm)
diameter no more than 1/3 root diameter
placed in straight part of canal

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11
Q

does length and diameter of post increase retention

A

increased length does increase retention
increased diameter does no
diameter should be no more than 1/3 of root diameter

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12
Q

what materials can be used for posts

A

metal - stainless steel, cast metal, titanium
non metal - glass fibre, ceramic fibre

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13
Q

what are the different types of post shapes and textures

A

parallel or tapered
serated, smooth or threaded (screw like)

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14
Q

discuss the cons of cast metal posts

A

cons: direct/ indirect technique requires impressions, lab and extra clinical stages, more room for error

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15
Q

discuss cons of fibre posts

A

cons: difficult to remove upon retreatment

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16
Q

discuss the pros of fibre posts

A

can be placed immediately
low elastic modulus (similar to dentine - absorbs stresses rather than transferring them to tooth)
tooth coloured (aesthetics)
compatible with adhesive systems

17
Q

discuss the pros of cast metal posts

A

pros: conserve tooth tissue in comparison to parallel fibre posts (less perforation risk), custom made, useful in flared canals

18
Q

when should fibre posts not be used

A

if less than 2-3mm supragingival tooth structure
parafunction
deep overbite

19
Q

what is the optimal post design

A

non threaded - avoid installation stresses
parallel sided - avoid wedging forces
cement retained - distribute masticatory forces evenly

20
Q

how much does endodontic treatment decrease proprioception

A

30%