Course Objectives (2 Credits)
This presentation covers the use of laboratory-fabricated provisionals treatment planning (number of teeth, abutments, pontics, tissue levels, keeping or opening the bite), tooth preparation, fitting and cementing temporaries, and provides practice tips about shade selection, filling out the prescription, and using temporaries as a guide for laser remodeling of soft and hard tissue. Several cases are utilized to illustrate the adjustment, placement and finishing of a laboratory-fabricated provisional restoration. Practitioners that complete the presentation will learn the following:
- Provisional basics, 101: accomplishing enough reduction, prescribing, fitting, relining, adjusting, cementing.
- Troubleshooting tips on seating multiple unit temporaries.
- Using temporaries as a healing matrix to promote gingival health.
- Tips on creating an ovate pontic receptor site.
- Preserving the papilla by opening up embrasures and cleaning up cement.
- Whether to splint temporaries and where to break into segments.
- Establishing and capturing a new bite relationship.
- Sequential tooth-prepping and relining of temporaries by segmenting a case.
- Use of temporaries as a guide for soft tissue and osseous re-contouring.
- Use of temporaries, after final adjustments, as a template for permanent restorations.
Commonly encountered dental challenges are highlighted for several cases, and obtaining desired esthetic and functional results using laboratory-fabricated temporaries is demonstrated. From planning to executing a case, all of the necessary steps, few optional approaches, and many practice tips, are provided to help practitioners use temporaries more effectively to achieve desired clinical results.
Beginning with a brief understanding of laboratory-fabricated temporaries, the basics of fitting and cementing them serve as a backdrop for a productive discussion of many practice techniques, e.g., a review of the reverse preparation technique or use of a clear suck-down splint to achieve enough reduction, removing old restorations, bonding a buildup in place for uniform thickness the temporary reline material, restoring and capturing a new bite relationship and a demonstration of useful instruments. Shown also is how temporaries are used to create an ideal pontic receptor site, achieve desired tissue levels, and promote gingival healing.
CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.