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Article: Volume 41 Number 5 Page 386 - June 2014

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  Dent Update 2014; 41: 386-394

Restorative dentistry:  ‘The Last Post?’: Assessment of the Failing Post-Retained Crown

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Abstract: Failure of a post-retained restoration can provide a challenge to the general dental practitioner (GDP) in terms of diagnosis, treatment planning and communication with the patient. The cause of failure must be identified, and a thorough assessment of the restoration, remaining tooth and its functional and aesthetic demands carried out in order to plan treatment to provide the most reliable result.

Clinical relevance: This article discusses the assessment of failing post-retained crowns, with discussion of reasons for failure, thereby assisting the GDP in decision-making and treatment planning for such teeth.

Author notes: Hannah P Beddis, BChD(Hons) (Leeds), MJDF RCS(Eng), Specialty Registrar in Restorative Dentistry, Leeds Dental Institute, Clarendon Way, Leeds LS2 9LU, Nnaemeka Okechukwu, BDS, MDentSci (Leeds), General Dental Practitioner, Abuja, Nigeria and Brian R Nattress, BChD, PhD, MRD RCS, FDS RCS(Edin), Consultant in Restorative Dentistry, Leeds Dental Institute, Clarendon Way, Leeds LS2 9LU, UK.

Objective: To describe the assessment of a tooth with a failing post-retained crown, with discussion of causes of failure, in order to facilitate treatment planning.