What Is a Core Build Up?
When you have a tooth which has been ravaged by cavities, you have the option to have a porcelain crown fitted on the said tooth. However, the effectiveness of the said procedure would depend on how much of tooth is left, which will serve to anchor the crown in place.
This poses a problem for teeth which have severely decayed since the dental tissues damaged will all need to be removed. In such cases, a core build up procedure is necessary in order for the crown to be fitted into place.
When is it possible to perform a core build up?
You can only perform a core build-up when the roots of the tooth in question are still intact. If the roots have already been damaged or if the patient is suffering from severe gum disease, then the procedure may not be as effective.
In the case that the root is still healthy and wholly intact, the patient will have to go through a root canal procedure in order to relieve the tooth from interpreting nerve signals and keep it from sensing any more pain. After this procedure is done, the dentist can go through with the core build-up procedure.
How is a core build up done?
Any existing amalgam or dental filling is removed from the tooth in order for the dentist to be able to clean the tooth out and get rid of decayed materials. Afterwards, a glass fiber post is drilled through the back of the tooth’s root and is bonded with the help of a number of adhesive materials. The core can now be built up by the dentist. This can be done by filling in the natural shell of the tooth in order for the crown to have something substantial to hold on and be anchored to.
Does it hurt?
While the procedure involves drilling in a post, with the current state of anesthetics and sedatives, a patient does not have to worry about the prospect of severe pain. While the procedure might cause the patient a degree of discomfort once the anesthesia start to wear off, the pain can be managed with over-the-counter pain relievers.
At the same time, the procedure is not exempted from complications since it is a rather invasive form of treatment. However, as long as the procedure is done by a trained and competent professional, then there should not be anything to worry about with regards to the procedure.