Prefabricated Post and Core Material versus Custom-cast Post and Core in a Maxillary First Premolar Tooth: Review of Literature and Management of a Clinical Case

When an abutment tooth is endodontically treated and is intact except for the access opening, the amount of tooth structure remaining after tooth preparation must be carefully assessed. If only a thin peripheral shell of tooth remains after reduction (which occurs frequently in incisors, canines and premolars), a cast post and core should be fabricated. In this article, the use of a prefabricated post and core material versus a custom-cast post and core is reviewed. A clinical management of an improperly restored endodontically treated maxillary first premolar tooth is also presented.