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Post and Core

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Post & Core: Giving Broken Teeth a Second Chance

A post and core rebuilds the missing tooth structure with a sturdy composite base, giving the crown a strong new foundation. The post, sometimes called a pin, is like dental rebar that reinforces the base and anchors it to the tooth root.

When teeth break, they often leave behind a sturdy root but very little tooth structure. Putting a crown on the tooth would make it functional again, but what is the crown supposed to be anchored to…?

Post and Core rebuilds the missing structure

Saving Root Canal Teeth

Teeth that have had root canals are particularly vulnerable if they break because of their hollow roots. A post and core anchors into these roots, molds to the shell of the tooth and reinforces what is left of the natural tooth.

Post and Core saves the root Canal

Does EVERY Crown Need it?

No, not every crown or bridge needs a post and core because not every crown is rebuilding a broken tooth. Crowns that are repairing cracked teeth, large cavities or replacing overly large fillings do not typically need a post and core. Broken teeth, particularly broken root canal teeth, usually do need a post and core in order to rebuild missing tooth structure and anchor a crown.

Build-ups: When A Post is Too Much But the Tooth Core is Damaged

Sometimes a tooth loses a lot of tooth structure to a big cavity, but still doesn’t need a post. What then? If there isn’t enough tooth structure left to support a crown and the tooth clearly doesn’t need a post, then a build-up will do the trick. Building up the tooth with composite fills in what is needed to give a strong base for the crown.

What If A Tooth Needs A Post & Core But Doesn’t Get One?

Sometimes people don’t want a post and core because it adds to the cost of the crown and seems like another add-onservice. However, if a tooth needs a post and core and doesn’t get one, that beautiful new crown isn’t going to last very long and neither will the tooth anchoring it. It would be like building a house without a foundation.

If a crown doesn’t have proper support and anchoring, the forces of chewing will weaken its grip on the tooth opening access for bacteria to creep inside. Before long, the tooth is either going to be a hot mess of decay under the crown or it is going to break again deep inside. Either way, the decayed tooth stub is rarely repairable at that point and has to be pulled.

Let’s Get to the Core of Things!

When a dentist considers repairing a broken down tooth, the following things have to be looked at:

  • Is the tooth mobile? If a tooth is loose, that means that periodontal disease has destroyed the bone around the root. Adding a Post & Core with a crown to a mobile tooth simply means that the crown, post and core will all come out in one piece when the tooth falls out in the near future.
  • Does the tooth hurt? If the tooth is hurting or hurts to touch, it’s a sign that there are other issues that need to be resolved before investing money in restoring it.
  • Is the tooth broken off below the gumline? Restoring a tooth with only a tiny portion of root left is not going to succeed and is a waste of money. For a tooth broken below the gumline, a bridge, a partial or an implant is going to be the way to go.
  • Does the tooth have active gum disease or abscesses? Gum disease and abscesses kill the bone around the tooth, cause mobility and will ultimately cause the failure of the post & core and crown. Deal with the infection first and then restore the tooth.
  • Has the tooth had endodontic treatment? For a full post and core that extends into the tooth root, the tooth must have had successful endodontic treatment. This isn’t necessary for build-ups, but is a must for a successful post and core. ?
repairing a broken tooth post and core

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High Level of Care

I came to Alamo Dental Health because of Groupon but will be making them "my dentist" because of the level of care. The doctor and staff were thorough and professional; I felt they cared for me as a person and a patient. After dentist hopping for the last two years I am glad to have found Alamo Dental Health. I highly recommend them!

Missy H.

Alamo Dental Health
5
2019-03-19T19:23:06-05:00

Missy H.

I came to Alamo Dental Health because of Groupon but will be making them "my dentist" because of the level of care. The doctor and staff were thorough and professional; I felt they cared for me as a person and a patient. After dentist hopping for the last two years I am glad to have found Alamo Dental Health. I highly recommend them!

Straightforward and Knowledgable

Dr. Bec was very friendly and answered all my questions in a straightforward manner, so it was one of the few times I didn't feel awkward about asking about my dental concerns. The staff was very friendly also.
I would highly recommend giving this place a try if you are on the hunt (like I was) for a new dentist.

Janessa Z.

Alamo Dental Health
5
2019-03-19T19:26:12-05:00

Janessa Z.

Dr. Bec was very friendly and answered all my questions in a straightforward manner, so it was one of the few times I didn't feel awkward about asking about my dental concerns. The staff was very friendly also. I would highly recommend giving this place a try if you are on the hunt (like I was) for a new dentist.

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Had both upper and lower all-on-4 fixtures done. Dr. Bec and his staff are extremely professional and friendly. Best dental experience I've ever had and worth every penny.

Allen

Alamo Dental Health
5
2019-03-19T19:19:28-05:00

Allen

Had both upper and lower all-on-4 fixtures done. Dr. Bec and his staff are extremely professional and friendly. Best dental experience I've ever had and worth every penny.

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Dr Bec and his staff are Awesome. Dr. Bec's patience and understanding help the patient relax prior to to procedure. Friendly and courteous service always.

Irma Y.

Alamo Dental Health
5
2019-03-19T19:24:25-05:00

Irma Y.

Dr Bec and his staff are Awesome. Dr. Bec's patience and understanding help the patient relax prior to to procedure. Friendly and courteous service always.

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I'd like to recommend Dr. John Bec and his entire staff for one of the best patient experiences that I've ever had. I was in for an emergency with an acute pain on my teeth and they treated me immediately. I was also impressed with the systematization of their processes, which I'm sure, contributed to the excellent service. 2 thumbs up for these knowledgeable and nice people!

Maria B.

Alamo Dental Health
5
2019-02-06T21:53:59-06:00

Maria B.

I'd like to recommend Dr. John Bec and his entire staff for one of the best patient experiences that I've ever had. I was in for an emergency with an acute pain on my teeth and they treated me immediately. I was also impressed with the systematization of their processes, which I'm sure, contributed to the excellent service. 2 thumbs up for these knowledgeable and nice people!

Enjoyable Experience

My first time to have dental work done outside of a traditional cleaning. Dr. Beck's professionalism and expertise made it a very enjoyable experience. His front desk staff is always welcoming to each patient. I highly recommend for all dental necessities.

Dr. B Pounds

Alamo Dental Health
5
2019-03-19T19:25:28-05:00

Dr. B Pounds

My first time to have dental work done outside of a traditional cleaning. Dr. Beck's professionalism and expertise made it a very enjoyable experience. His front desk staff is always welcoming to each patient. I highly recommend for all dental necessities.

They Truly Care

Dr Bec truly cares about his patients. I am treated like family, which is something you do not experience much anymore. I would never consider going anywhere else.

Steve A.

Alamo Dental Health
5
2019-03-19T19:15:23-05:00

Steve A.

Dr Bec truly cares about his patients. I am treated like family, which is something you do not experience much anymore. I would never consider going anywhere else.

Awesome Friendly Staff

Awesome friendly staff. Everything was explained step by step. Katie and Alex made me feel comfortable they made sure all my questions were answered. Dr Bec, the best dentist I have ever had. I will highly recommend this awesome place to friends and family.

Amalia R.

Alamo Dental Health
5
2019-03-19T19:21:53-05:00

Amalia R.

Awesome friendly staff. Everything was explained step by step. Katie and Alex made me feel comfortable they made sure all my questions were answered. Dr Bec, the best dentist I have ever had. I will highly recommend this awesome place to friends and family.

Friendly and Caring

Dr. Bec and everyone else at this office are both friendly and caring! I had major problems and required my upper teeth to be pulled and implants to be installed along with an attached upper denture to be fitted. It was quite a process and they took care of me from beginning to end with no complaints from me! They were incredible and I have nothing but good things to say about all of them! Dr Bec will be my dentist for life! Thank you all very much for the smile you gave back to me!

David M.

Alamo Dental Health
5
2019-03-19T19:22:26-05:00

David M.

Dr. Bec and everyone else at this office are both friendly and caring! I had major problems and required my upper teeth to be pulled and implants to be installed along with an attached upper denture to be fitted. It was quite a process and they took care of me from beginning to end with no complaints from me! They were incredible and I have nothing but good things to say about all of them! Dr Bec will be my dentist for life! Thank you all very much for the smile you gave back to me!

Extremely Friendly Staff

Extremely friendly staff! I went in for an exam and cleaning. I am very pleased with my experience from start to finish. Liz did the cleaning on my teeth. I have anxiety around cleanings, she made sure I was comfortable the entire time. She kept a conversation going, it completely eased my anxiety. Thank you!

Jamie J.

Alamo Dental Health
5
2019-03-19T19:20:09-05:00

Jamie J.

Extremely friendly staff! I went in for an exam and cleaning. I am very pleased with my experience from start to finish. Liz did the cleaning on my teeth. I have anxiety around cleanings, she made sure I was comfortable the entire time. She kept a conversation going, it completely eased my anxiety. Thank you!
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