PDP154 – Post Crowns – Historical Technique or Necessary Solution for Compromised Teeth?

When and why should you use post crowns in contemporary Dentistry? Surely they are a thing of the past? Dr. Dominic Hassall, a restorative consultant, shares valuable insights on restorability and the essential concept of ferrule.



He highlights the significance of restorability and the role of fibre posts in dental procedures, emphasising the ferrule effect in crown and onlay preparations. The ferrule effect ensures predictable outcomes by transmitting occlusal forces through the natural tooth structure, reducing the risk of failure.




https://youtu.be/zQNReIIJCG8
Watch PDP154 on Youtube



Protrusive Dental Pearl: How to Bone Sound for Ovate Pontics -Imagine you have a missing upper lateral incisor, and you want to use an ovate pontic for an aesthetic bridge. To achieve the ideal emergence profile, Jaz demonstrates how to assess gingival thickness using ‘bone sounding’ using a periodontal probe (please see video). This technique helps determine how thick the tissues are overlying the edentulous area and whether an ovate pontic is feasible (or perhaps a connective tissue graft is necessary).



Throughout the episode, Dr. Hassall's expertise shines through, making it a must-listen for dental professionals seeking a comprehensive understanding of restorability and ferrule in restorative dentistry.



Need to Read it? Check out the Full Episode Transcript below!



Highlights of this episode:0:25 - Introduction to Dr. Dominic Hassall1:27 - Bone Sounding Clinical Video6:25 - Dr. Hassall's journey into restorative dentistry9:04 - Function of Post Crowns13:35 - Composite for Nayyar cores18:10 - Assessing restorability23:25 - Impact of ferrule position on treatment outcome30:30 - Advantages and disadvantages of post techniques38:55 - Post Crowns as Bridge Abutments?43:08 - Dr. Hassall's teaching institute details



Dr Hassall gave a discount for his Diploma Course, head over to https://dominic-hassall-training.co.uk/contemporary-restorative-aesthetic-dentistry-online-blended-course-advanced/ and use the code “JAZ10”



Jaz has no financial interest in this product.



If you enjoyed this episode, check How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique







Click below for full episode transcript:



Jaz's Introduction: We are using less and less post crowns now, but is there still a place for them? Now, recently I had Dr. Pasquale Venuti on the show and he had some interesting opinions. He was quite a big advocate of the cast metal post crown in certain scenarios, where today's guest, actually Dr. Dominic Hassall, is well known restorative consultant, has a teaching institute, is a well-established educator, and he's very anti cast post crowns.



[Jaz]He's very pro COMPOSITE FIBER POSTS. So you'll find out today what his views are on that. But we take a big, broader view of all things to do with posts in terms of when we should be placing a post. What about restorability in general? If you're thinking about placing a post, then you are also debating, 'Hmm, is this tooth even savable in the first place?'



We also cover the very foundational concept of the ferrule, which is so, so important when you're considering if you can rescue a tooth or not. And also in terms of the long term outcomes for post crowns in general. Lastly, if you stick all the way to the end, we talk about this real world factor of communicating fees to your patient, because if your patient needs a root canal retreatment, and a post and a new crown, you're kind of in the implant money territory, you know? So this is like a tough thing to help our patients decide which is the best scenario for their tooth.



Hello, Protruserati, I'm Jaz Gulati and welcome back to another Protrusive Dental Podcast episode. Every episode I give you a Protrusive Dental Pearl. Today's Protrusive Dental Pearl before you join the main episode is about bone sounding.



So what is bone sounding? There's a couple different scenarios we can use it,