Digital Impressions for Customized Post-and-Core Restorations in Deep and Narrow Canals: A Case Report Utilizing Scan Posts.

Background: Traditional impression techniques for customized post-and-core restorations often encounter challenges such as bubble and void formation, requiring a high level of skill from practitioners. Recent advancements in digital technology, particularly intraoral scanners (IOSs), have improved restoration processes, though capturing post spaces with IOS remains problematic due to their deep and narrow nature. Case Presentation: This report details the use of digital impressions for post-and-core restorations in both anterior and posterior teeth. By designing a scan post that conforms to the shape of the post space, accurate data capture of the post space is achieved. The integration of IOS with computer-aided design/computer-aided manufacturing (CAD/CAM) technology enables the creation of post-and-core restorations that precisely fit the root canal morphology. This approach results in a thin and evenly distributed cement layer, thereby reducing the risk of tooth fracture. Conclusion: This technique effectively overcomes the limitations of traditional silicone impressions for customized post-and-core restorations. It offers a viable restoration method for single-rooted teeth and addresses challenges related to acquiring impressions for split cast post-and-cores. However, further laboratory research and clinical trials are necessary to thoroughly evaluate the accuracy and reliability of this method.