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Are a Tooth Post and Core the Only Way to Save My Tooth?

Dental implant with crown, abutment, and implant screw identified

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?

Dental implant with crown, abutment, and implant screw identified
Dental implant

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.