What is a Core Build Up?

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core build up

So you need a core build up. What is that exactly? Here’s a quick look at this restorative dental procedure.

Everything You Need to Know About Post and Core Build-ups

A core build up (also called a crown build up or dental build up) is used to restore a missing portion of a tooth, either caused by a fracture or decay, with dental filling material. In other words, this procedure literally builds up the structure of the tooth. Dr. Giaquinto may recommend a core build up when there is not enough tooth left to support a permanent restoration, like a crown or a bridge.

Meanwhile, a post and core build up is used when the volume of the missing tooth is very large and there’s not enough tooth material to support the filling itself. In this case, a small pin, usually made of titanium or carbon fiber, is inserted into the root canal of the tooth. This pin is referred to as a post, and holds the filling, or core, in place. Most often, this procedure is used after a tooth has had a root canal and requires a crown.

What to Expect During a Core Build-up Dental Procedure

Whether you need a post and core or just a core build up, the procedure will be quite similar. In fact, it’s just like getting a common dental filling, except that a larger surface area of the tooth typically needs to be repaired.

First, before the procedure begins, you will receive local anesthesia to ensure you don’t feel any pain. Next, Dr. Giaquinto will remove any decayed or weakened areas of your tooth. Then, he will prep the tooth to maximize bonding, place the pins if necessary, and build up the tooth using tooth-colored materials called dental composites. Once the filling is in place, a special light will be used to harden the material and the tooth will be shaped and polished to provide a natural look and biting surface. Finally, a crown will be placed on the tooth to complete the restoration.

After the procedure, pain medication is not typically required. However, your mouth may be numb for some time, so we recommend waiting to eat until the numbness wears off to avoid accidentally biting your lip or tongue.

Have any questions about core build ups—if you might need one or what the procedure is like? Don’t hesitate to contact us! We want to make sure you feel confident and comfortable with any dental procedure you may need in our office.


About The Author

Dr. David Giaquinto, DDS

Dentist at Cottonwood Dental

Dentistry is a profession that requires many layers of knowledge and training. My background encompasses three post-grad degrees along with a command of aesthetics and precision. Both of those are necessary when creating the great results that we promise our patients. Being a graduate of the University of New Mexico and Marquette University School of Dentistry has provided me with a launching point for my practice at Cottonwood Dental. My ongoing research… [Read full bio]

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