Before my dental appointment last week, I had not heard of a post and core. My dentist says it will save my tooth. I thought a root canal protects a tooth, and I am trying to understand why I might need the extra step. My dentist’s explanation does not make sense. Why would I need a post and core, and what could happen if I decline it? – Thank you. Roderick from Newark, NJ
Roderick,
Thank you for your question.
Your dentist recommends a post and core to preserve your tooth
What Are a Dental Post and Core?
A dental post is a small rod that helps your tooth support a core. A core is a dental filling material for building your tooth to support a dental crown. Dentists use a post and core to strengthen a weak tooth after root canal treatment.
Why Would a Dentist Recommend a Post and Core?
A dentist may recommend a post and core if you lack enough healthy tooth structure to support a dental crown. Sometimes, a dentist must remove so much tooth decay or damage that little structure remains for cementing on a dental crown. A dentist will complete these steps:
- Perform root canal therapy to remove tooth decay and infection
- Insert one or two posts into the tooth
- Fill in the tooth with dental material
- Use dental bonding to shape the crown of the tooth
- Bond the dental crown to the rebuilt tooth
Will You Use a Your Tooth If You Decline a Post and Core?
If you decline a post and core, you may lose your tooth for these reasons:
- Without a post and core, your weak tooth may not be able to support a dental crown in the long term.
- If your tooth further weakens, your dentist must remove it.
- Replacing a missing tooth is expensive. You can expect to pay $3,000 to $5,000 for a dental implant and crown.
If you are unsure about your dentist’s treatment recommendation for a post and core, you may get a second opinion from an advanced cosmetic dentist. Delaying a post and core can create more concerns with your tooth and result in costly treatment.
Dr. Duane Delaune, a Metairie, Louisiana, cosmetic dentist, sponsors this post.