With advances in modern dentistry, it’s not inconceivable that many people may live their entire lives without ever needing a filling or a crown. However, even with the best oral hygiene and regular visits to the dentist, at some point in your life you may need a crown, especially if a tooth has been damaged due to a fracture. Or, your teeth may be damaged due to decay. Or, perhaps existing dental work has simply started to wear out. Regardless of the cause, you’re in need of a crown.
If there isn’t enough tooth left to support the crown, which is essentially a sort of “hat” for the damaged tooth, a core build up may be required, and you may be wondering about the process.
Core build up process
Core build ups can be done with or without using a pin-retained restoration. The most common materials used would be composite or amalgam. In severe cases (in teeth with significant tooth structure loss), a post may be needed, in which case a root canal would be done. The post is then inserted into the devitalized canal, creating support for the surrounding material. Sometimes, if the damage is very severe, this is not practical, and the patient may have to consider having the tooth extracted, and then possible have bridge work manufactured or implants done.
Once the build up is completed, a mold is taken and sent to a dental lab. The patient is fitted with a temporary crown. Once the lab has manufactured the permanent crown, the patient returns to the dentist to have the temporary crown taken off and the permanent one fitted and placed. With state of the art modern techniques and materials, there is every reason for the patient to feel confident that the new work will remain in place for a significant period of time, pending good home care and regular dental visits of course.