Can I get a stainless steel tooth post replaced with a zirconia or carbon one? My dentist placed the stainless steel post before I fully understood what it would be made of. I prefer a non-metal post. I will likely have another dentist do the work, since my dentist didn’t bother to inform me that it was stainless steel until the work was completed. I would like the post replaced before I receive my permanent crown. Is it removable? – Thanks. Loriann from IL
Loriann,
When a root canal tooth has limited natural structure remaining, a dentist may insert a post in the tooth. A dental post serves two main functions:
- Front teeth and premolars – The post strengthens a tooth against horizontal fractures.
- Molars and other teeth – The post aids retention for the overlying crown.
The post is anchored in the root to hold a composite buildup of the tooth in place, which then supports the crown.
What’s the History of Tooth Posts?
Decades ago, stainless steel was the primary choice for tooth posts. However, research in the 1980s revealed that metal ions, specifically nickel from stainless steel, could leach into the bloodstream. This raised concerns, especially for individuals with nickel sensitivities. As a result, many dental practices shifted to titanium due to its strength and superior biocompatibility.
In the 1990s, new materials like carbon fiber and fiberglass tooth posts emerged. In recent years, zirconia, a strong and biocompatible ceramic, has also become an option for dental posts.
Your dentist may not be using these more contemporary post materials, many of which have been standard for decades.
Can You Get a Tooth Post Removed?
Tooth post and core buildup after root canal treatment
Removing an existing post can be a complex process. Depending on its depth and how well it’s cemented, you may want to consult a root canal specialist (endodontist) or a dentist with extensive experience in these procedures. An ultrasonic tip can be effective for dislodging the post.
If you anticipate or are experiencing a sensitivity reaction to the post, we advise delaying the crown procedure. Placing a crown would make future post removal much more challenging, and it could damage the crown.
Consult a skilled dentist or endodontist to discuss your options.
David Finley, DDS, a Monroe, Louisiana, accredited cosmetic dentist and Academy of General Dentistry Fellow, sponsors this post. Read about how Dr. Finley and his team strive to provide some of the best dental care in Monroe.
