Post core being used as an abutment tooth for pulpless tooth whose crown tooth substance is considerably damaged is indispensable. Its construction generally depends on indirect methods. There are two constructing techniques: to take wax pattern on an indirect working model using plaster in accordance with the normal method, and to invest wax pattern together with working model prepared by using die-investment (die-investing technique). The former has such demerits as to be difficult in wax pattern taking, the abutment tooth root canal being too narrow and long in shape to see directly, and wax pattern is liable to be deformed and damaged when it is taken out of the root canal. Contrarily the latter requiring no wax manipulation in the root canal, having the merit of improving the demerits of the former, is advantageous in the post core constructing technique.
But in the present die-investing technique, the dimensional accuracy of the cast products is much influenced by the dimensional change in process of constructing working models, as it shows properties quite contrary to those of the conventional cast investment; large in setting expansion and small in thermal expansion. Consequently it is necessary to make out the phases of the dimensional change of working models, in case the die-investing technique is applied to the construction of post cores.
We have hither to performed studies on models for outer cast products, using model investment, but no report has ever been published with regard to post cores, inner cast products, to be adapted in the root canal, and we consider it necessary to examine in order to construct post cores having preferable adaptability.
The author, to find out the post core construting technique, taking advantage of the merit of die-investing technique, choosing upper left incisal, canine and second premolar as experimental objects, examines the effects of the difference in the impression technique and the special liquid concentration on the adaptability of post cores prepared for the respective abutment teeth. The results are as follows:
1. Difference in impression materials
In the case of silicone impression technique, as compared with in the case of agar-alginate combined impression technique, post cores showing a tendency to be large in the upper-lower, bucco-lingual and mesio-distal directions, preferable adaptability can be expected.
2. Difference in special liquid concentration
Post cores show a tendency to be small in the upper-lower, bucco-lingual and mesio-distal directions in case the special liquid concentration is small.
3. Difference in abutment tooth positions Some difference in the adaptability of post cores in the bucco-lingual and mesio-distal directions can be seen in the cases of incisal and canine, but there is little difference of it in both directions in the case of second premolar.
4. Clinically, it is suggested that post cores having preferable adaptability can be obtained: by silicone impession technique with 50% special liquid used in the case of incisal abutment tooth; by agar-alginate combined impression technique with 100% special liquid used in the case of canine abutment tooth ; and by silicone impression technique with 100% and 50% special liquid and by agaralginate combined impression technique with 100% special liquid used in the case of second premolar abutment tooth.
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