Across diverse cultures, the practice of restoring lost tooth structure has endured through generations. It is widely understood that merely undergoing quality endodontic therapy is not sufficient to fully restore a severely weakened tooth with pulpal disease. Equally crucial is ensuring post-endodontic restoration followed by quality prosthetic rehabilitation. In instances where a tooth is extensively damaged, utilizing a post becomes the preferred course of action post endodontic treatment to preserve the core. The gold standard for the treatment of a severely compromised tooth is recognized as a cast post and core. In this case study, a previously treated maxillary first molar, which had a dislodged fiber post and core along with a porcelain-fused-to-metal (PFM) crown, underwent retreatment with a split cast metal post and core followed by a PFM crown.
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Srivastava et al. (2024) studied this question.
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