SDEO Posts Flashcards

1
Q

Consequences of endodontic tx tooth

A

Loss of proprioception - reduced by 30%

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2
Q

Function of a post

A

Fitted into prepped RC
Retains the core

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3
Q

You have a cavity with:
Minimal access cavity
4 intact walls
Do you require a post?

A

No

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4
Q

You have a cavity with:
Loss of 1 wall
MO/DO cavity
Do you require a post?

A

No

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5
Q

You have a cavity with:
Loss of 2 walls
MO/DO cavity
Do you require a post?

A

No

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6
Q

You have a cavity with:
Loss of 3 walls
Do you require a post?

A

Yes

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7
Q

You have a cavity with:
No walls remaining
Do you require a post?

A

Yes

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8
Q

Ideal ferrule mm

A

2-3mm

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9
Q

Minimum ferrule

A

1.5mm coronal dentine

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10
Q

Function of ferrule

A

Prevents root fracture

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11
Q

Name 3 forces that may cause root fractures

A
  1. Functional lever forces
  2. Lateral forces during post insertion
  3. Wedging effect of tapered posts
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12
Q

List the optimal post dimensions

A

1:1 crown: post ratio
Least 1/2 of post in root
1.5mm ferrule minimum
4-5mm GP present
No more than 3rd width at narrowest point
Placed in straight portion of canal

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13
Q

Name the different types of posts

A

Prefabricated (metal)
Custom made (direct or indirect)

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14
Q

Examples of post materials

A

SS
Titanium
Co/Cr
Gold

Ceramic (aluminia/zirconia)
Fibre (glass/carbon)

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15
Q

What are the features of an ideal post

A

Parallel (avoids wedging)
Non threaded (avoids stress)
Cement retained (buffer to dissipate masticatory forces)

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16
Q

Name 1 advantages and 1 disadvantage of a threaded post

A

ADV: increased retention
DISADV: stress –> root fracture

17
Q

Advantages of a cast metal post

A

Reduced risk of perforation compared to parallel sided fibre post

Custom made: follow canal shape

Useful in flared canals

18
Q

Disadvantages of a cast metal post

A

Impression required - lab + extra stages so more room for error + contamination

19
Q

Advantages of a fibre post

A

Can be placed immediately

Low elastic modulus: dissipates stress over tooth

Tooth coloured

Compatible with current adhesive systems

20
Q

Disadvantage of a fibre post + ceramic

A

Difficult to remove upon re-tx
Fibre = radiolucent on xray, Metal = radiopaque

21
Q

Disadvantages of a metal post

A

Poor aesthetics
Root fracture
Corrosion

22
Q

Common mode of failure for a cast and fibre post

A

CAST - root fracture

FIBRE - debond at post cement interface, recurrent caries

23
Q

Compare the types of cement used for posts

A

Adhesive resin
- Greater retention + strength
- Premature setting –> incomplete seating

GI
- Easy to retrieve + F releasing
- Requires weeks to reach max strength

RMGI
- F releasing
- Absorbs water + expands