5 important differences between dental posts and implants which is better

Durability and success Cost and time of treatmentPost And it is better to have a blind or an implant

If your tooth still has a healthy root, using tooth paste and crown is a suitable and more economical option, because in this method the root is preserved and only the damaged crown is reconstructed. But if the tooth is completely lost and the root cannot be repaired, dental implant will be a more permanent and efficient choice.

Losing part or all of the tooth structure is a common problem in dentistry that can affect chewing function, smile beauty, and even overall oral health. In such a situation, it is very important to choose the right treatment method to restore the damaged tooth. The two widely used options in this field are: Post and blind Core) which is used to strengthen the root of the remaining tooth, and dental implant which is a complete replacement for the root and crown of the missing tooth.

Each of these methods has its own advantages, limitations and applications, and depending on the clinical conditions of the patient, one may be preferred over the other. In this article, we are going to carefully examine the differences between dental post and implant, the advantages and disadvantages of each, and the conditions in which the choice of each method is more logical and lasting.

What is the main difference between dental post and implant?

A dental post is a small rod, usually made of metal (such as gold or chromium-cobalt alloy), fiberglass, zirconia, or titanium. This post is used to strengthen a tooth that has become too weak to support a dental crown on its own.

The post placement process is done as follows:

1. Root treatment (if needed): If the pulp (nerve and soft tissue inside the tooth) is damaged or infected, first root treatment (root canal) is performed to drain the pulp.
2. Placement of the post: The dentist creates a small channel in the remaining tooth structure and firmly places and attaches the post.
3. Installation of the veneer: Then a special veneer is made and glued on the post and the rest of the tooth to restore the function and appearance of the tooth.

Toothpaste is a good option for:

• Severely decayed teeth: When a large portion of the tooth crown has been lost due to decay, a post can provide a strong foundation to hold the crown.
• Fractured teeth: If the tooth is vertically fractured but the root is still intact, a post can stabilize the remaining structure and allow for a restoration with veneers.

However, dental posts rely on the remaining tooth structure for support. If the root is compromised or too weak, a different solution might be necessary.

Dental paste requires a sufficient amount of remaining tooth structure to function properly. If the root of the tooth is damaged or too weak, other methods should be considered. www.luckedental.com

A dental implant is a small biocompatible titanium screw that is surgically inserted into the jawbone to act as an artificial tooth root. This strong base can be used to install a variety of restorations such as crowns, bridges or dentures. The implant process is usually done in two stages:

1. Implant planting: In the first step, during a surgery, the dentist places the implant in the edentulous area inside the jawbone. Over time, the surrounding bone fuses with the surface of the implant, which is called osseointegration (fusion of the implant with the bone).
2. Abutment installation and final restoration: After the implant is integrated with the bone, a connecting piece called abutment is connected to it. Finally, a customized crown, bridge, or artificial tooth is installed over the abutment to restore the function and beauty of the tooth.

Dental implants are a good option for:

• Replacing missing single teeth: Implants provide a natural and stable replacement for single teeth without damaging adjacent teeth.
• Supporting several missing teeth: By placing several implants in strategic points of the jaw, bridges can be placed to reconstruct a row of teeth.
• Implant-based artificial teeth: Artificial teeth that are placed on the basis of implants are much more stable and comfortable than the traditional type, and improve chewing performance and increase self-confidence.

To sum up, dental implant is a stable, long-lasting and aesthetic solution to replace lost teeth that helps maintain the health of the jaw bone and rebuild a perfect smile.

Pros and cons of dental posts and implants

Dental post (Post and Core)

Advantages:

• Lower cost: It is much more economical than the implant.
• Time Shorter treatment: is completed in most cases within 2 to 3 sessions.
• Preservation of the natural root of the tooth: If the root is healthy, there is no need for surgery or implant placement.
• Minimal invasion: Because surgery does not involve bone, it is more suitable for patients with special conditions.

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Disadvantages:

• Depending on the health of the root: If the root is weak or broken, the treatment will be ineffective.
• High probability of failure in the long term: Root fracture or falling of the veneer are among the common problems.
• No prevention of bone resorption: Unlike the implant, it does not put pressure on the bone and does not preserve it.
• Need root treatment (routine) Canal): which itself can be a source of infection or failure in the future.

Dental Implant

Advantages:

• Very high durability: If properly cared for, it can last until the end of life.
• Preserving the jaw bone: By transferring chewing force to the bone, it prevents its decay.
• No dependence on adjacent teeth: Unlike a bridge or post, it does not need to rely on other teeth.
• Natural appearance and full function: Completely similar to a natural tooth in terms of beauty and functionality.
• A suitable option for a completely missing tooth: Even if there is no root.

Disadvantages:

• High cost: especially in cases of multiple implants or complex surgeries.
• Longer treatment time: Between 3 to 6 months or more, depending on the bone condition and patient health.
• Surgery required: which may not be suitable for some people with underlying diseases or insufficient bone.
• Possibility of infection or implant rejection: Although rare, it does exist, especially in smokers or with uncontrolled diabetes.

Comparison of dental posts and implants in terms of success and durability

Dental implants:

As one of the most successful tooth replacement treatments, the success rate is about They have 95% to 98%. If the implant is placed correctly by a maxillofacial surgeon or implantologist and the patient takes good care of it (oral hygiene, smoking cessation and regular visits for checkups), it can last more than 20 years or even a lifetime. Implants are resistant to decay and have the same function as natural teeth.

Read more: Ways of restoration Broken tooth

Dental post:

Although it appears to be a faster and less expensive solution, its success depends on several factors; including the quality and length of the remaining root, the success of root canal treatment, the strength of the tooth structure, and the type of post used. On average, post durability is reported to be between 5 and 10 years in the best conditions, and in many cases, there is a need to repeat the treatment or extract the tooth due to the fracture of the root or the fall of the veneer.

Comparison of tooth post and implant in the probability of failure

Post and blind teeth:

One of the main reasons for its failure is the creation of vertical cracks in the root of the tooth, which are often undetectable and are only characterized by severe symptoms such as pain or abscess. These cracks can lead to the complete failure of the tooth and the need to extract it. Also, in cases where the root treatment is not done properly, the accumulation of infection around the root and the lower area can cause serious complications.

Dental implant:

Also, despite the high success rate, it is not free of complications. If the patient is not selected properly (for example, people with uncontrolled diabetes, or weak bones), or if the surgery goes wrong, complications such as infection, peri-implantitis, or even rejection of the implant by the body may occur. However, these problems can be prevented or controlled with careful treatment planning and proper follow-up.

Comparison of dental post and implant in cost and treatment time

Treatment with posts and veneers:

It is usually done in a short period of time; Depending on the condition of the tooth, the treatment can usually be completed within 2 to 3 sessions and within a few weeks. Also, the cost of this method is relatively lower than the implant, and for this reason, it is considered a more economical choice in many cases, especially in government or insurance-oriented medical systems.

Read more: The best implant center in Tehran

Treatment with implants:

It is more time consuming and usually takes between 3 and 6 months. This period includes the implant surgery, the period of bone fusion with the implant (which may take several months depending on the bone density), and then the molding and installation of the final prosthesis. The cost of the implant is also higher due to the use of high-tech materials, surgical expertise and multiple steps. But it should be kept in mind that a longer-lasting implant reduces the possibility of re-treatment and can be more affordable in the long run.

Effect of each method on bone and gum structure

Dental implant:

It is not only a physical replacement for a missing tooth, but also mimics its biological function. By entering the chewing forces into the jaw bone through the implant, the natural growth of the bone is maintained and its degeneration is prevented. This feature is considered an important advantage, especially in the front areas of the jaw where the beauty of the face is important.

Dental post:

Unlike the implant, it is not attached to the jaw bone and does not play a role in maintaining bone density. If the tooth treated with a post is finally extracted, the bone in the area will gradually degenerate and a bone graft may be needed for subsequent replacement with an implant. Also, if the gums around the post and veneer are not well taken care of, there is a possibility of inflammation and infection.

Is it better to post and blind teeth or implants?

Each of these two application methods has its own advantages and limitations, and the final choice should be made based on the clinical conditions of each person, the state of the tooth root, the quality of the jaw bone, the purpose of the treatment, and even the financial budget.

In cases where the tooth root is still healthy, strong and without signs of cracks or inflammation, using a dental post can be a simple, quick and economical solution. In this method, the root treatment is done first and then a reinforcing rod is placed inside the root to hold the artificial crown (cover). This method is successful if a sufficient and healthy part of the tooth is left and the root treatment is done correctly and without complications. For this reason, a dental post is a good option for teeth that are severely damaged but still have the ability to be restored.

Read more: Dental implant price in Tehran

On the other hand, when the root of the tooth is destroyed, broken or already pulled, it is not possible to use a post, and in this case, a dental implant is a much more suitable option. By replacing the lost root, the implant provides a strong and permanent base for installing a veneer or prosthesis. In addition, unlike the post, the implant is placed in the jawbone and by stimulating it, it prevents bone loss; An issue that is very important in terms of beauty, maintaining facial shape and long-term performance. Although treatment with an implant requires more time and a higher cost, in the long run, its success and durability are much higher than dental posts.

Concluding remarks

When choosing between a dental post and an implant, it is not possible to make the same prescription for all patients. Each of these methods has its own advantages, limitations, and applications, and the final choice should be made based on the condition of the tooth root, jawbone health, patient age, financial conditions, and treatment expectations.

If the root of the tooth is still healthy and can be preserved, a dental post can be a quick, low-cost and appropriate option. But in cases where the root has been destroyed or lost, or when the patient is looking for long-term durability, prevention of bone loss and a function close to a natural tooth, a dental implant will undoubtedly be a more preferable choice.

Finally, consultation with a specialist dentist and a complete examination of clinical conditions is the best way to choose a principled and successful treatment; Because what brings the best results for one patient may not be suitable for another patient.

Dr. Shaghaig Parvizi

Amitis Dental Clinic, managed by Dr. Mohammad Parsa and specialized in cosmetic, restorative and implant treatments for more than 15 years, is one of the reputable dental clinics with modern equipment and experienced team in Tehran. This center has provided more than 10,000 successful services to patients, and Amitis Dentistry, in addition to treating domestic patients, has also treated international and foreign patients.

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