The Journal of the American Dental Association
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J Am Dent Assoc, Vol 139, No 3, 245.
© 2008 American Dental Association

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LETTERS

Post and Core

Whereas Dr. Bahadir Ersu and Dr. Senay Canay presented a unique method in their November JADA case report, "An Alternative Post-and-Core Method for Patients With Limited Interarch Space" ( JADA 2007;138[11]:1464–1467[Abstract/Free Full Text] ), I must take exception to items in their conclusion.

First, where there is limited interarch space, you would not want to erupt the teeth because you would lose whatever is gained in tooth eruption to tooth preparation in order to acquire adequate interarch clearance for your restorative material.

Second, I take exception to the comment that crown-lengthening techniques typically produce other problems. The tooth shown had adequate bone support and at least two millimeters of tooth structure showing above the tissues. Repositioning these tissues another two millimeters apically would have given adequate retention for a conventional crown.

I fear that the method shown with the large post makes the tooth much more likely to fracture than simply covering it with a proper crown.



Richard E. Levitt, DMD, Assistant Clinical Professor

Department of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia



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