Name of the Procedure:

Post and Core in Addition to Crown (HCPCS Code: D2952)

Summary

A post and core procedure is a dental treatment aimed at rebuilding and strengthening a tooth that has been significantly damaged. This treatment is often done in preparation for placing a crown—a protective cap. The post provides a foundation for the core buildup, reinforcing the tooth structure to support the new crown.

Purpose

• Medical Conditions: The procedure addresses teeth that are severely decayed, fractured, or otherwise structurally compromised, particularly after a root canal.
• Goals: The primary objective is to restore the tooth's functionality and integrity, ensuring it can support a dental crown and function properly in chewing and biting.

Indications

• Severe tooth decay or damage
• Post-root canal treatment where the tooth has lost considerable structure
• Weak tooth base needing reinforcement to support a crown

Preparation

• Pre-Procedure Instructions: Patients may need to follow standard dental hygiene practices and avoid eating or drinking for a few hours before the procedure, depending on the anesthesia used.
• Diagnostic Tests: X-rays or 3D imaging are usually required to assess the extent of tooth damage and to plan the treatment accurately.

Procedure Description

1. Anesthesia: Local anesthesia will be administered to numb the affected area.
2. Post Placement: A post, often made of metal or fiber, is inserted into the tooth's root canal.
3. Core Build-Up: A core material is applied around the post to rebuild the tooth's structure, creating a stable foundation for the crown.
4. Crown Preparation: The tooth is then shaped to fit the crown, which will be placed during a follow-up appointment.

Tools and Equipment: Dental drill, posts (metal or fiber), core material (resin or composite), X-ray machines for imaging.

Duration

The procedure typically takes about 45 minutes to an hour.

Setting

The procedure is performed in a dental office or clinic.

Personnel

• Dentist: Usually a general dentist or an endodontist.
• Dental Assistant: Assists the dentist with the procedure.
• Anesthesiologist: Not typically required, as local anesthesia is commonly used.

Risks and Complications

• Common Risks: Sensitivity, minor discomfort, or infection.
• Rare Risks: Post or core failure, damage to adjacent teeth, issues with anesthesia.

Benefits

• Expected Benefits: Restores tooth functionality, prevents further tooth decay or damage, and prepares the tooth for a permanent crown.
• Realization Time: Benefits are usually evident immediately post-procedure, with full restoration upon crown placement.

Recovery

• Post-Procedure Care: Patients should avoid chewing on hard foods and maintain good oral hygiene.
• Recovery Time: Generally, minimal downtime; discomfort typically resolves within a few days.
• Follow-Up: A follow-up visit is required to place the crown.

Alternatives

• Other Options: Extraction followed by a dental implant or bridge.
• Comparative Pros and Cons: An implant can be more costly and time-consuming but doesn't affect adjacent teeth; a bridge might not provide the same stability as a post and core-supported crown.

Patient Experience

• During Procedure: Minimal discomfort is expected due to local anesthesia.
• After Procedure: Minor swelling or sensitivity may occur, managed with over-the-counter pain medications. Patients can generally return to normal activities shortly after.