Setyawan Bonifacius, drg. Sp.Pros.

Functions of provisional restorations

1 Comfort dan vitalitas gigi

2 Occlusion & positional stability

3 Fuction

4 Gingival health and contour

1 Aesthetics
5

6 Diagnosis

7 Other practical uses

1
Functions of provisional restorations
 “Provisional restorations have many functions
other than just protection of the prepared tooth”

Here an Svensen gauge is used to assess sufficient tooth reduction to

accommodate the proposed restoration
PROVISIONAL RESTORATION

BIOLOGIC REQUIREMENTS

MECHANICAL REQUIREMENTS

ESTHETIC REQUIREMENTS
Persyaratan provisional restoration

Rosenstiel et.al.
Pulp trauma and exposure of the dentinal
tubules from tooth preparation
Rapikan dan haluskan tepi restorasi
 MECHANICAL REQUIREMENTS

PROVISIONAL RESTORATION SHOULD

 RESIST FUNCTIONAL LOADS
 RESIST REMOVAL FORCES
 MAINTAIN INTERABUTMENT ALIGNMENT
 ESTHETIC REQUIREMENTS…???
• BE EASILY CONTOURABLE
• BE COLOR COMPATIBLE
• BE TRANSLUCENT
• BE COLOR STABLE
 “Harus estetik…?
Nanti malah pasiennya gak balik lagi…
bisa hipertensi kita….”
“Kalau misalkan pasiennya ibu-ibu ini…..?”
The Power of Temporary Restoration
TYPES OF PROVISIONAL RESTORATION
Vacuum-Formed Template
DEPENDING ON THE METHOD OF FABRICATION

CUSTOM MADE
PROVISIONAL RESTORATION

PREFABRICATED
PROVISIONAL RESTORATION
 PREFORMED PROVISIONAL RESTORATION
• Banyak dijual di pasaran
• Tersedia dalam berbagai ukuran
• Dokter gigi memilih sesuai indikasi dan keinginan pasien
• Sebelum dilakukan sementasi, perlu dilakukan modifikasi
adaptasi ke gigi yang dipreparasi
DEPENDING ON THE MATERIAL
AVAILABLE IN PREFORMED
CROWNS
• POLYCARBONATE
• CELLULOSE ACETATE
• ALUMINIUM AND TIN-SILVER
• NICKEL-CHROMIUM
POLYCARBONATE CROWN
CELLULOSE ACETATE
Aluminium anatomic crown
 DEPENDING ON THE DURATION OF
USE
• SHORT TERM TEMPORARY RESTORATION
• LONG TERM TEMPORARY RESTORATION
 DEPENDING ON TECHNIQUE OF
FABRICATION
• PROVISIONAL RESTORATION FABRICATED
USING DIRECT TECHNIQUE
• PROVISIONAL RESTORATION FABRICATED
USING INDIRECT TECHNIQUE
• PROVISIONAL RESTORATION FABRICATED
USING DIRECT-INDIRECT TECHNIQUE
TECHNIQUES FOR CUSTOM
PROVISIONAL RESTORATION
 OVERIMPRESSION FABRICATED PROVISIONAL
CROWN
 TEMPLATE FABRICATED PROVISIONAL FIXED
PARTIAL DENTURE
 TEMPLATE FABRICATED VLC PROVISIONAL
RESTORATION
 SHELL-FABRICATED PROVISIONAL RESTORATION
 OVERIMPRESSION FABRICATED BIS-ACRYL
COMPOSITE CROWN
Petunjuk pemakaian
Sementasi
Examples of resins used for provisional restorations: (a) Polyethyl
methacrylate (powder-liquid presentation); and (b) Bis-acryl
composite (syringe mixed)
 Temp Bond and Temp Bond NE: The modifier (central
tube) can be mixed with Temp Bond Base and Catalyst
to ease crown removal with retentive preparations

• Regular Temp Bond contains eugenol, which can

soften composite cores. Temp Bond NE (shown to
right of photograph) does not contain eugenol and
will avoid this problem
 A familiar polycarbonate shell crown relined with
Trim; and (b) The provisional is carefully trimmed to
help maintain gingival health
 (a) Aluminium shell crowns are convenient, but
suitable only for short term use on posterior teeth;
and (b) Crimping of the crown margins will improve
retention and fit
 (a) A commonly used matrix is an alginate
impression of the unprepared tooth; and (b)
The flash must be removed and the linked
provisionals trimmed prior to cementation
• Where aesthetic or occlusal changes are proposed,
provisional crowns can be formed in the mouth with
laboratory-made matrices: (a) A putty or alginate matrix can
be formed directly on the wax-up (remember to soak cast
first); and (b) A vacuum formed matrix can also be made, but
on a stone duplicate of the wax-up to prevent the wax from
melting (matrix shown prior to trimming)
• Metal and acrylic provisionals used in the occlusal
reconstruction of a bruxist: (a) A relined NiCr shell at tooth
LL7 (37) where the previous acrylic provisional crown had
fractured repeatedly; and (b) The upper arch has acrylic heat
cured onto beaded metal copings in an attempt to improve
fracture resistance – however a good bond between metal
and acrylic is needed for success
• Where the resulting provisional restoration would be too
thin, the inside of the alginate matrix can be trimmed to give
a greater bulk of resin
• Provisional restorations and gingival embrasures: (a) No
gingival embrasure space provided between the maxillary
incisors; (b) Bleeding from the resulting gingival
inflammation prevented impressions being recorded; and (c)
Patients maintain gingival health best where there are open
gingival embrasures (as shown in this provisional bridge) to
allow toothbrush penetration interproximally; and (d)
Gingival embrasures under linked provisionals need to be
opened out with a flame shaped bur
• Crowns and other extra-coronal restorations:
Provisional restorations
• R W Wassell1, G St. George2, R P Ingledew3 & J
G Steele4
• British Dental Journal 192, 619 - 630 (2002)
Published online: 15 June 2002 |
doi:10.1038/sj.bdj.4801443