CAST POST A DIMINISHING LEGACY – REVIEW

In modern dental practice, the conservative approach to treating severely carious teeth has largely replaced extraction with endodontic therapy, allowing these teeth to serve as long-term functional components. Advances in restorative techniques have shifted from anecdotal methods to evidence-based practices, emphasizing the importance of proper post-endodontic restoration. The strength of pulpless teeth, altered by endodontic treatment, can be signicantly enhanced through strategic restoration. Criteria for selecting appropriate materials and techniques include the amount of remaining tooth structure, anatomical considerations, and functional demands. Custom-cast posts, historically favored for their adaptability, are now often supplemented by ber posts due to their ease of use and effective performance. Restoration procedures must carefully address the risks of post dislodgment and root fractures, with meticulous attention to cleaning, tting, and cementation. Success in restoring endodontically treated teeth relies on preserving as much healthy dentin as possible and using well-tting, durable restorations.