Name of the Procedure:

CORE BUILD-UP (D2950)
Common names: Core build-up, foundational dental restoration
Technical terms: Dental core build-up, post and core restoration

Summary

A core build-up procedure involves rebuilding the structure of a tooth to restore its strength and prepare it for a crown. This is often necessary when a tooth has been significantly damaged or decayed and requires additional support to retain a crown securely.

Purpose

A core build-up addresses:

• Severe tooth decay or damage.
• Tooth fractures.
• Structural loss due to previous restorations. The goal is to restore the tooth's shape and stability, facilitating the placement of a crown and ensuring its long-term durability.

Indications

• Large areas of tooth decay that compromise tooth structure.
• Broken or fractured teeth.
• Prior removal of a large filling that has left insufficient tooth structure.
• Teeth that have undergone root canal treatment.

Preparation

• No fasting required.
• Patients should inform their dentist of any medications or medical conditions.
• X-rays or other imaging may be performed to assess the extent of tooth damage.

Procedure Description

1. Anesthesia: Local anesthesia is administered to numb the affected area.
2. Decay Removal: Any decayed portions of the tooth are removed.
3. Build-Up Material: Resin composite or other suitable materials are used to reconstruct the tooth's core.
4. Shaping: The material is shaped and contoured to mimic the tooth's natural structure.
5. Curing: If using a composite material, it is hardened with a special curing light.
6. Final Adjustments: The rebuilt core is polished and adjusted for proper bite alignment.

Duration

The procedure typically takes about 30 to 60 minutes, depending on the complexity of the case.

Setting

• Dental office or clinic.
• Outpatient setting.

Personnel

• Dentist (General or Restorative Specialist).
• Dental Assistant.

Risks and Complications

• Common: Minor pain or sensitivity, discomfort in the treated area.
• Rare: Infection, failure of the core build-up, damage to the adjacent teeth or gum tissue.

Benefits

• Restores tooth integrity and functionality.
• Provides a stable foundation for a crown.
• Enhances the tooth's appearance and prolongs its lifespan.

Recovery

• Resume normal activities immediately after the procedure.
• Avoid chewing on hard foods with the treated tooth until the crown is placed.
• Follow-up appointment within a few weeks to place the crown.

Alternatives

• Direct filling: Suitable for less extensive damage but may not provide sufficient support.
• Root canal treatment with no core: If the tooth's structure is adequate.
• Tooth extraction: Considered if the tooth cannot be saved by a core build-up.

Patient Experience

• During: Minimal discomfort due to local anesthesia.
• After: Mild sensitivity and discomfort that typically resolves within a few days.
• Pain management includes over-the-counter pain relievers and avoiding extreme temperatures in food and beverages.