Proper cementation of a fiber post is essential to ensure a stable, lasting restoration. Follow these detailed steps for effective cementation.
Preparing the Post
- Clean the Post Surface: Start by cleaning the post with a cotton pellet soaked in alcohol to remove any contaminants.
- Apply Silane Agent: Coat the post with multiple layers of a silane agent to enhance bonding, then gently air-dry to evaporate any solvents.
Bonding Procedures on the Tooth Surface
- Protect Adjacent Teeth: Place a Mylar strip around adjacent teeth to avoid accidental contact with phosphoric acid.
- Etching the Root Canal:
- Apply phosphoric acid at the full depth of the root canal to ensure thorough etching and minimize air bubbles.
- Make sure to etch all areas that will receive adhesive, cement, and composite resin for the core build-up.
- Rinse and Dry:
- Rinse the canal thoroughly to remove all acid remnants, using irrigation tips if needed to reach full depth.
- Use absorbent paper points to remove excess moisture, ensuring the canal is dry but not desiccated.
Adhesive Application
- Apply Dual-Cure Adhesive: Use a micro-brush to apply a dual-cure adhesive to the dental substrate, covering the entire bonding area and the post surface.
- Volatilize Solvents: Use a gentle air jet to evaporate solvents.
- Remove Excess Adhesive: Use absorbent paper points to remove any adhesive surplus and ensure even distribution.
Cement Application
- Apply Dual Resin Cement:
- Using a syringe or lentulo drills, apply the resin cement to the canal walls.
- Apply cement to the post and insert it quickly to the full depth to avoid premature polymerization, which could hinder full seating of the post.
- Positioning the Post: Place the post into the canal and apply digital pressure to secure it at the predetermined height.
- Light Cure: Remove any unpolymerized cement, then light-cure to set the cement fully.
Core Build-Up
Once the post is cemented, construct the core build-up by incrementally adding light-cured composite or using another preferred technique. This core build-up supports the final restoration.
a video demonstration explaining the full procedure
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