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 –<br />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. Highlights of this episode:<br />0:25 – Introduction to Dr. Dominic Hassall<br />1:27 – Bone Sounding Clinical Video<br />6:25 – Dr. Hassall’s journey into restorative dentistry<br />9:04 – Function of Post Crowns<br />13:35 – Composite for Nayyar cores<br />18:10 – Assessing restorability<br />23:25 – Impact of ferrule position on treatment outcome<br />30:30 – Advantages and disadvantages of post techniques<br />38:55 – Post Crowns as Bridge Abutments?<br />43:08 – Dr. Hassall’s teaching institute details If you enjoyed this episode, check How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique