Post and Core - Post Space and Associated Length of Post

Post Space and Associated Length of Post

In post and core fabrication, it is desirable that the post descend at least two third of the length of root canal (or not less than the height of the crown) in order to provide sufficient retention.

Basically, it is important to leave at least 4 mm of gutta percha at the apex of the root canal, even at the expense of a longer post, because it is within the apical 4 mm of the root canal that the apical delta anastomose with the exterior surface of the root. Should these lateral canals not be blocked with the gutta percha and the cement used to place the gutta percha, the chances of microleakage and percolation of microbes are greatly increased, thereby increasing the likelihood of an endodontic failure.

It is not necessarily the length of the post within the root canal that provides for retention of the core, and thus the eventual crown, but rather the length of post that will exist within root structure that exists within surrounding bone. If the post is 16 mm long, but only extends 4 mm into root structure that is surrounded by solid bone, the restoration will have a poor prognosis. This consideration of crown-to-root ratio is essential when evaluating the tooth for a crown-lengthening procedure.

In the picture at right, the two teeth on the extreme left and right are the ones under discussion. The two teeth in the middle have been endodontically treated, but do not have post and cores.

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