Post Placement
18/05/2025
Fellow
Warning: Undefined variable $post in /var/www/vhosts/styleitaliano-endodontics.org/endodontics.styleitaliano.org/wp-content/plugins/oxygen/component-framework/components/classes/code-block.class.php(133) : eval()'d code on line 2
Warning: Attempt to read property "ID" on null in /var/www/vhosts/styleitaliano-endodontics.org/endodontics.styleitaliano.org/wp-content/plugins/oxygen/component-framework/components/classes/code-block.class.php(133) : eval()'d code on line 2
The placement of an endodontic post is a practice that is becoming less and less common due to the evolution of adhesive techniques (1). However, in some cases it is absolutely essential due to certain clinical situations (2). Correct adhesive procedures on the endodontically treated tooth are the key to the long-term success of our post-endodontic restoration(3).
Fig. 1
The root canal, given the scarce presence of dentinal tubules and the poor quality of the endocanal dentine, represents a very difficult space in which to consolidate a good adhesion. The correct adhesive approach to this space can really make the difference in terms of the longevity of the prosthetic restoration (4).
In fact, the adhesive stability of the post, together with the respect of the concept of prosthodontic ferrule, plays a decisive role in the post-endodontic phase.
Initial situation
Fig. 2
Cavity cleaning with ultrasonic tips
Fig. 3
Cavity cleaned
Fig. 4
Matrix Placement
Fig. 5
Sandblasting
Fig. 6
Etching
Fig. 7
Adhesive
Fig. 8
Cement Placement
Fig. 9
Post Placement
Fig. 10
Build Up
Fig. 11
Build Up
Fig. 12
Build Up
Fig. 13
Final Prep
Fig. 14
Dr. Andrea Pittaluga, graduated in 2015 from the Alfonso X El Sabio University in Villanueva de la
Canada (Madrid) with the thesis "Anatomical and surgical revision of the sinus lift".
In 2016 he began working in dental practices in Milan and its province and attended postgraduate
courses with the best Italian professionals and speakers. Among these, the names of Dr. Federico
Ferraris, Dr. Stefano Gracis, Dr. Prof. Fabio Gorni and Dr. Prof. Tiziano Testori stand out.
From 2017 to 2018 he attended the Oral Surgery department of San Raffaele directed by Prof.
Raffaele Vinci (rector Dr. Prof. E. Gherlone).
Starting from 2019, he carries out tutoring activities in the post-graduate courses of Dr. Prof. Fabio
Gorni in orthograde, microscopic and surgical clinical endodontics. In the same period he was the
director of the dentistry department of the Auxological Institute of Milan.
Speaker in Italy and abroad, "Lecturer" at the Lake Como Institute, Fellow Member of Styleitaliano
Endodontic, Co-Author of the book "Tooth or Implant? The recovery or replacement of heavily
compromised natural teeth” by Edra (2023).
He currently dedicates himself exclusively to private practice, working as a specialist in
microscopic endodontics in the private practice of Dr. M. Imelio, as a specialist in conservative
dentistry, endodontics and prosthetics in the practice of Dr. Prof. Tiziano Testori and in his private
practice located in Sesto San Giovanni.
Conclusions
A correct protocols can be essential to the long-term success of both our endodontic and prosthodontic therapies (5)
Bibliography
1. Reeh ES, Messer HH, Douglas WH. Reduction in tooth sti ness as a result of endodontic and restorative procedures. J Endod. 1989;15(11):512–6.
2. Soares IMV, Crozeta BM, Pereira RD, Silva RG, da Cruz-Filho AM. In uence of endodontic sealers with di erent chemical compositions on bond strength of the resin cement/glass ber post junction to root dentin. Clin Oral Investig. 2020;24(10):3417–23.
3. Yuanli H, Juan W, Mengzhen J, Xuan C, Kaixin X, Xueqin Y, Xin Q, Hantao H, Yuan G, Ling Z. The e ect of two endodontic sealers and interval before post- preparation and cementation on the bond strength of ber posts. Clin Oral Investig. 2021;25(11):6211–7.
4. Carrilho E, Cardoso M, Marques Ferreira M, Marto CM, Paula A, Coelho AS. 10-MDP based Dental adhesives: Adhesive Interface characterization and Adhesive Stability-A systematic review. Mater (Basel) 2019, 12(5).32.
5. Özcan E, Çetin AR, Tunçdemir AR, Ülker M. The e ect of luting cement thicknesses on the push-out bond strength of the ber posts. Acta Odontol Scand. 2013;71(3–4):703–9.
