Split Post and Core: A systematic approach to restore grossly decayed teeth.

A grossly decayed tooth sometime poses difficulty in fabrication of FDP, The post core is often required to gain support from the remaining tooth structure, In a multirooted tooth where more then one root were used as support the path of insertion of post is difficult, in those cases a custom split post and core has to be fabricated. This case report describes a simple and scientific multidisciplinary approach towards management of grossly decayed tooth. The technique seems to be effective for extensively damaged teeth that lack sufficient tooth structure to create an adequate ferrule of 1.5 to 2 mm for the final crown.

Restoring esthetics by immediately loaded implant placement.

The replacement of a single missing anterior tooth with an implant-supported crown is a demanding therapy. This report describes a treatment in which an anterior maxillary implant was immediately restored with a provisional restoration. During the provisional phase, an optimal emergence profile was created by adjusting the provisional restoration. An impression was made with an individually fabricated impression post for an accurate reproduction of the established emergence profile and, finally, a screw-retained all-ceramic crown was placed. By implementing this protocol, an optimal definitive result could be achieved, together with immediate patient satisfaction.