Professional Documents
Culture Documents
provisional restoration
provisional restoration
RESTORATION IN FIXED
PARTIAL DENTURES
CONTENTS
• Introduction
• Definition of provisional restorations.
• Requirements of provisional restoration.
• Classification of provisional restoration.
• Fabrication Techniques.
• Provisional Cements
• Provisional restorations in laminates and Implant dentistry
• Limitations of provisional restorations
• Recent advances in provisionalization
• Conclusion
• References.
INTRODUCTION
• The word provisional means established for the time being, pending a permanent
arrangement.
INTERIM PROSTHESIS - A fixed or removable dental prosthesis, designed to enhance
esthetics, stabilization and/or function for a limited period of time, after which it is to be
replaced by a definitive dental prosthesis. - GPT 9
BIOLOGIC
1.Pulpal protection
2.Periodontal health
3.Occlusal
compatibility & tooth
position
4.Prevention of enamel
fracture.
4
MECHANICAL
3. Location of fabrication
Chair-side fabricated.
Laboratory fabricated.
5. Type of material used:
Metal provisional restoration
Aluminium
Nickel-chromium
Tin-silver
Resin based provisional restoration
Cellulose acetate
Polycarbonate resin
Poly-methyl methacrylate
Poly-ethyl methacrylate
Microfilled composite
Urethane dimethacrylate
Bis -acryl composite
Method of Fabrication
Prefabricated/ Preformed.
Custom made.
Prefabricated/ Preformed crowns
Tooth-shaped shells of various materials.
Most crown forms need some modification, eg:axial recontouring, occlusal adjustment, relining.
They can be cemented directly onto the prepared teeth.
Available in various tooth sizes and shapes.
ADVANTAGES DISADVANTAGES
Less time Rarely satisfies the
consuming. requirement of contours.
• •
Advantages:
1. Esthetics
2. Readily available
3. Save chair-side time
CELLULOSE ACETATE:
1. These crown forms are much less malleable and ductile than the
aluminium crown forms, thus they are harder wearing and are less likely to
deform under load.
2. They are usually not refined but trimmed using crown shears until their
fit approximates to the prepared tooth and luted using a glass ionomer or
polycarboxylate cement.
3. The success rate is very high and these crowns are useful to maintain
the space that may be lost when a deciduous tooth is lost prematurely.
Tin silver alloy crowns:
•
Direct technique.
•
Indirect technique.
•
Indirect - Direct technique
DIRECT TECHNIQUE
The prepared teeth and tissues directly provide the tissue form
for the provisional restoration.
Disadvantages :
- Potential tissue trauma from the polymerizing
resin, and
- Inherently poor marginal fit.
1. No contact of monomer
with the prepared tooth
or gingiva.
2. Avoids subjecting a
prepared tooth from the
heat created from
polymerization.
3. Marginal fit is better.
4. Comfortable to the
patient.
Advantage:
When a fixed partial denture made for a patient the provisional restoration
should be in the form of a fixed partial dentuare rather than individual crowns.
In the anterior region it will provide better cosmetic result & even in the
posterior region the provisional fixed partial denture will better stabilize the
teeth & the patient gets accustomed to having a tooth in the edentulous space
again.
TEMPLATE FABRICATED VLC CURED PROVISIONAL
RESTORATION
MATERIALS
• The most common materials used for custom interim-fixed restorations are several types of acrylic
resins such as:
• Polymethyl Methacrylate (PMMA) Resin, (Duralay)
• Polyethyl Methacrylate (PEMA) Resin, (Slintine)
• Polyvinyl Methacrylate Resin, (Trim)
• Bis-acryl Composite Resin(Protemp 4)
• Vinyl Ethyl Methacrylate (Snap)
• Butyl Methacrylate(Temp Plus)
• Visible Light-cured Urethane Dimethacrylates.(Revotech LC)
PRESENTLY AVAILABLE PROVISIONAL LUTING CEMENTS
Adequate retention
Easy cleanup
• High Strengh
• Excellent retention
• Better esthetics
• Easy Cleanup
• Ex. Systemp.Link(Ivoclar Vivadent),
Temp Bond Clear(Kerr), ImProve (Noble
Biocare)
Maya zalkind, DMD," and nira hochman, DDS , laminate veneer provisional restorations: A clinical report, The Journal of Prosthetic
Dentistry, February, Volume 77 Number2 1997,
W. DAN SNEED, DMD, MAT, MHS JAMES S. KNIGHT, DDS , Simple Technique to Fabricate Provisional Restorations for Porcelain Veneers , J
Esthet Restor Dent 13:115-119, 2001
W. DAN SNEED, DMD, MAT, MHS JAMES S. KNIGHT, DDS , Simple Technique to Fabricate Provisional Restorations for Porcelain Veneers , J Esthet Restor
Dent 13:115-119, 2001
Celin Arce, DDS, MS, FACP, Predictable techniques for single provisional ,dentaleconomics..com
Provisional Restorations For Implants
• Challenging roadblocks to implant treatment is the patient’s
perception of the temporization.
RohitRaghavan, Shajahan P A, NeenaKunjumon, Provisionals In Dentistry – From Past To Recent Advances , International Journal Dental and Medical
Sciences Research ,Volume 2, Issue 6 (June- 2018), PP 01-06
Temp Tab Thermoplastic CAD-CAMPMMA
Matrix Wafers Provisionals
Limitations of provisional restorations
1. Lack of inherent strength-Provisional restorations fracture in long span bridges
2. Poor marginal adaptation- This inherent deficiency is difficult to improve upon.
provisional restorations infers adequate margins at its best
3. Color instability- this is apparent when the provisional restorations are placed for
longer duration.
4. Poor wear properties- teeth will drift or torque if heavy occlusal forces are used.
5. Detectable odor emission- this is undeniable as the resins are porous.
6. Inadequate bonding characteristics-eugenol cements are incompatible with methyl
methacrylate resins
• The three factors that are responsible for achieving quality provisional restorations are
time, proper materials and technique
CONCLUSION
• Although interim restorations are usually intented for short term use
& then discarded, they can be made to provide pleasing esthetics,
adequate support & good protection for teeth while maintaining
periodontal health.