What is Post and Core?

3d render of tooth in gums with dental root canal posts

Maintaining a healthy smile is crucial for both oral health and self-confidence. Unfortunately, teeth can become damaged or decayed, posing challenges for restoration. This is where dental post and core treatment comes into play. Dental post and core treatment is a specialized procedure designed to restore severely damaged teeth by providing stability and support for a final restoration. In this blog, we will delve into the world of post and core treatment, exploring its purpose, procedure, benefits, and considerations. Whether you are facing a dental restoration or simply curious about the process, join us as we unravel the importance and intricacies of dental post and core treatment.

Understanding Post and Core

Dental post and core treatment is an advanced dental procedure employed to rehabilitate teeth that have suffered significant damage or decay, leaving them with inadequate natural structure to support a traditional restoration. This treatment involves the placement of a post into the root canal of the affected tooth, followed by the application of a core material to rebuild the tooth structure. The post, typically made of metal or fiber-reinforced material, serves as an anchor, providing stability and support within the root canal. The core material, carefully shaped and sculpted, acts as a foundation for the final restoration, such as a crown or bridge. Dental post and core treatment not only restores the functionality of the compromised tooth but also enhances its appearance, allowing patients to regain their natural smile and enjoy improved oral health.

When Post and Core is Needed

Post and core treatment is typically needed in cases where a tooth has suffered significant damage or decay, leaving it with insufficient natural structure to support a traditional dental restoration. Some common situations that may require post and core treatment include:

  1. Severe Tooth Decay: When a tooth has extensive decay, it may result in significant loss of tooth structure. In such cases, post and core treatment may be necessary to rebuild the tooth and provide a stable foundation for a crown.
  2. Fractured or Broken Teeth: Teeth that have experienced fractures or breaks may require post and core treatment. The procedure helps reinforce the tooth and prevent further damage, allowing for the placement of a crown to restore its appearance and function.
  3. Endodontic Treatment: After undergoing root canal therapy, a tooth may become weakened due to the removal of infected or damaged pulp. Post and core treatment can strengthen the tooth and enable the placement of a crown, ensuring its long-term functionality.
  4. Tooth Wear or Erosion: Teeth that have undergone significant wear or erosion, either due to aging, bruxism (teeth grinding), or acid erosion, may benefit from post and core treatment. This procedure helps restore the lost tooth structure and provides a solid foundation for a crown.
  5. Large Restorations or Failed Fillings: When a tooth has large existing restorations or previous fillings that have failed, it may require post and core treatment. The procedure helps reinforce the tooth structure and allows for the placement of a new restoration to ensure its longevity.

It is important to consult with a dentist to determine if post and core treatment is necessary for your specific dental condition. A thorough examination and assessment will help identify the most suitable treatment plan to restore your tooth’s health and functionality.

The Steps of Post and Core

The steps of post and core treatment may vary slightly depending on the specific case and the dentist’s approach. However, the following are the general steps involved in post and core treatment:

  1. Assessment and Diagnosis: The dentist will thoroughly examine the damaged tooth, considering factors such as the extent of damage, remaining tooth structure, and the patient’s oral health. This assessment helps determine if post and core treatment is the appropriate solution.
  2. Tooth Preparation: Before starting the post and core procedure, the tooth is prepared by removing any remaining decay or damaged structure. The dentist will shape the tooth to create space for the post and ensure a proper fit.
  3. Post Placement: A post, typically made of metal or fiber-reinforced material, is carefully selected and inserted into the root canal of the prepared tooth. The post provides stability and support for the subsequent core and final restoration.
  4. Core Building: After the post is securely placed, the dentist builds up a core material around it. The core material, often a composite resin or dental cement, is shaped and sculpted to create a solid foundation for the final restoration.
  5. Final Restoration: Once the core material has properly set, a final restoration, such as a crown or bridge, is fabricated and placed over the core. The restoration is custom-made to match the shape, size, and color of the surrounding teeth, ensuring a natural appearance.

It is important to note that the post and core treatment may require multiple dental visits. Between each step, the dentist may need to allow time for the tooth and surrounding tissues to heal and for the materials to set properly. Additionally, the patient will receive instructions on post-treatment care and oral hygiene practices to maintain the longevity and success of the restoration.


Proper care and maintenance are essential after undergoing post and core treatment to ensure the longevity and success of the restoration. Here are some important guidelines to follow:

  1. Practice Good Oral Hygiene: Maintain a regular oral hygiene routine by brushing your teeth at least twice a day with a soft-bristle toothbrush and fluoride toothpaste. Additionally, floss daily to clean between the teeth and around the restoration. Proper oral hygiene helps prevent plaque buildup and reduces the risk of decay or gum disease.
  2. Be Gentle with Your Tooth: Avoid excessive biting or chewing on hard objects, as this can put unnecessary stress on the restoration. Be mindful of your eating habits and try to avoid sticky or hard foods that could potentially dislodge or damage the restoration.
  3. Attend Regular Dental Check-ups: Schedule routine dental check-ups and cleanings to allow your dentist to monitor the post and core restoration. Regular visits enable early detection of any issues or concerns and allow for timely intervention or adjustments if needed.
  4. Report Any Discomfort or Irregularities: If you experience any pain, sensitivity, or discomfort in the treated tooth or notice any abnormalities with the restoration, contact your dentist promptly. Early detection and intervention can prevent further complications and ensure proper functioning of the restoration.
  5. Maintain Overall Oral Health: Take care of your oral health as a whole. Maintain a balanced diet, limit sugary foods and drinks, and avoid habits such as smoking or excessive alcohol consumption. A healthy lifestyle supports the long-term success of your dental restorations.

Remember, post and core treatment provides a stable foundation for the restoration, but it is still important to care for your teeth and gums to maintain optimal oral health. By following these guidelines and seeking regular dental care, you can ensure the longevity and functionality of your treated tooth and enjoy a healthy and confident smile.

In Conclusion

In the realm of dental restorations, post and core treatment stands as a reliable solution for restoring teeth with significant damage or structural loss. This specialized procedure not only provides stability and support but also helps preserve natural tooth structure and enhances the overall aesthetics and functionality of the treated tooth. By following post-treatment care guidelines and seeking regular dental attention, patients can ensure the longevity and success of their post and core restorations. The transformative power of post and core treatment lies in its ability to restore oral health, improve smile aesthetics, and allow individuals to confidently bite, chew, and speak. Whether it’s repairing a decayed tooth or strengthening a fractured one, post and core treatment offers a promising solution for those seeking a durable and beautiful restoration.

Dr. Sam Sadati wearing black suite portrait

Dr. Sadati possesses extensive experience in all aspects of advanced restorative dentistry, with an emphasis in cosmetic and implant dentistry.  He has attained Accredited Fellow status in the American Academy of Cosmetic Dentistry (AACD), the most rigorous, demanding credentialing process in the world. He is the only AACD Accredited Fellow in South Florida.