RESUMEN
BACKGROUND: The management of non-vital teeth includes endodontic treatment and restoration followed by post and core restoration in selected cases. The present study was conducted to compare the indirect cast post, and core buildup with direct composite post build up in patients. MATERIALS AND METHODS: The present study was conducted on 128 teeth of 82 patients. The success rate over 3 years was evaluated clinically and radiographically by observing caries, tooth mobility, probing depth, periapical pathology, and root fractures. RESULTS: Group I consisted of 16 incisors, 20 canines, 22 premolars, and six molars while group II had 17 incisors, 14 canines, 25 premolars, and eight molars. The difference was statistical non-significant (p-0.1). Forty-four teeth in group I and 42 teeth in group II utilized composite cement, whereas 18 teeth in group I and 16 teeth in group II used GIC and zinc phosphate was used in two teeth in group I and six teeth in group II. The difference was statistical ly significant (p< 0.05). Four teeth in group I and 8 in group II were lost. One tooth in group I and two teeth in group II showed root fracture and three teeth in group I and six teeth in group II showed periapical pathology. The difference was statistically significant (p-0.01). Most common type of complication was probing depth > 4 mm, caries, tooth mobility, and root fracture. The difference was non- significant (p-0.31). CONCLUSION: Both composite post buildup and cast gold post and core build-up exhibited similar properties. CLINICAL SIGNIFICANCE: Both composite post buildup and cast gold post and core build-up exhibited similar properties hence either of the methods can be used in post core build up.