Core Buildups
A core buildup is a restorative procedure that rebuilds the internal structure of a tooth that has lost significant volume due to decay, fracture, or the removal of old restorations. When a tooth does not have enough remaining structure to support a dental crown on its own, a core buildup creates a solid, stable foundation that the crown can be placed over. It is an essential intermediate step that preserves the tooth and enables a successful final restoration.
At Bensonhurst Dental Care, core buildups are performed by Dr. Marina Rubinshtein as part of a coordinated treatment plan. The procedure involves removing any remaining decay or compromised material and then rebuilding the tooth's core using a high-strength composite or resin-modified material. The rebuilt core is shaped to provide ideal support and retention for the crown that will follow. In cases where the tooth has been treated with a root canal and very little natural structure remains above the gumline, a post and core restoration may be needed to provide additional internal support before the buildup.
The quality of a core buildup directly affects the longevity and success of the crown placed over it. A well-executed buildup distributes the forces of chewing evenly across the tooth, reduces the risk of crown failure, and helps the final restoration last as long as possible. Dr. Marina's experience in both restorative and cosmetic dentistry ensures that each buildup is executed with the same level of care and precision applied to the most visible treatments in the practice.
Frequently Asked Questions
When is a core buildup needed?
A core buildup is needed when a tooth has lost enough structure that a crown cannot be placed directly. This commonly occurs after the removal of large areas of decay, the replacement of old or failing restorations, or following root canal treatment that has left the tooth hollowed out.
Is a core buildup the same as a filling?
While both use similar materials, they serve different purposes. A filling is a standalone restoration that repairs a cavity. A core buildup reconstructs the internal foundation of a tooth specifically to support a crown. It is part of a larger treatment plan rather than a final restoration on its own.
Does the core buildup add an extra appointment?
In most cases, the core buildup is completed during the same appointment as the crown preparation, so it does not add a separate visit. The tooth is built up, prepared, and impressed all in one session.
How long does a core buildup last?
A core buildup is designed to last as long as the crown it supports. With proper oral hygiene and regular dental visits, the combined restoration can serve the patient well for many years.
