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TEMPORIZATION OR PROVISIONAL RESTORATION. PROVISIONAL- ESTABLISHED FOR TIME BEING,PENDING A PERMANENT ARRANGEMENT. PROVISIONAL- ESTABLISHED FOR TIME BEING,PENDING.

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Presentation on theme: "TEMPORIZATION OR PROVISIONAL RESTORATION. PROVISIONAL- ESTABLISHED FOR TIME BEING,PENDING A PERMANENT ARRANGEMENT. PROVISIONAL- ESTABLISHED FOR TIME BEING,PENDING."— Presentation transcript:

1 TEMPORIZATION OR PROVISIONAL RESTORATION

2 PROVISIONAL- ESTABLISHED FOR TIME BEING,PENDING A PERMANENT ARRANGEMENT. PROVISIONAL- ESTABLISHED FOR TIME BEING,PENDING A PERMANENT ARRANGEMENT. AFTER TOOTH PREPARATION TEMPORARY PROTECTIVE OR FUNCTIONAL RESTORATION IS FABRICATED OVER THE PREPARED TOOTH TO BE USED UNTIL FABRICATION OF FINAL PROSTHESIS AFTER TOOTH PREPARATION TEMPORARY PROTECTIVE OR FUNCTIONAL RESTORATION IS FABRICATED OVER THE PREPARED TOOTH TO BE USED UNTIL FABRICATION OF FINAL PROSTHESIS

3 IDEAL IDEAL REQUIREMENTS OF PROVISIONAL RESTORATION

4 PROVISIONAL RESTORATION BIOLOGIC REQUIREMENTS MECHANICAL REQUIREMENTS ESTHETIC REQUIREMENTS

5 BIOLOGIC REQUIREMENTS PROVISIONAL RESTORATION SHOULD PROTECT THE PULP BECAUSE A FRESHLY PREPARED TOOTH WILL HAVE INCREASED SENSITIVITY PROTECT THE PULP BECAUSE A FRESHLY PREPARED TOOTH WILL HAVE INCREASED SENSITIVITY MAINTAIN PERIODONTAL HEALTH(GOOD MARGINAL FIT) MAINTAIN PERIODONTAL HEALTH(GOOD MARGINAL FIT)

6 BE OCCLUSALLY BE OCCLUSALLY COMPATIBLE COMPATIBLE PROTECT AGAINST FRACTURE PROTECT AGAINST FRACTURE

7 MECHANICAL REQUIREMENTS PROVISIONAL RESTORATION SHOULD RESIST FUNCTIONAL LOADS RESIST FUNCTIONAL LOADS RESIST REMOVAL FORCES RESIST REMOVAL FORCES MAINTAIN INTERABUTMENT ALIGNMENT MAINTAIN INTERABUTMENT ALIGNMENT

8 ESTHETIC REQUIREMENTS PROVISIONAL RESTORATION SHOULD BE EASILY CONTOURABLE BE EASILY CONTOURABLE BE COLOR COMPATIBLE BE COLOR COMPATIBLE BE TRANSLUCENT BE TRANSLUCENT BE COLOR STABLE BE COLOR STABLE

9 INDICATION A LONG SPAN POSTERIOR FPD A LONG SPAN POSTERIOR FPD PROLONGED TREATMENT TIME PROLONGED TREATMENT TIME PATIENT UNABLE TO AVOID EXCESSIVE FORCES ON THE PROSTHESIS PATIENT UNABLE TO AVOID EXCESSIVE FORCES ON THE PROSTHESIS ABOVE AVERAGE MASTICATORY MUSCLE STRENGTH ABOVE AVERAGE MASTICATORY MUSCLE STRENGTH HISTORY OF FREQUENT BREAKAGE HISTORY OF FREQUENT BREAKAGE

10 TYPES OF PROVISIONAL RESTORATION

11 TYPE OF PROVISIONAL RESTORATION BASED ON.. METHOD OF FABRICATION MATERIALS AVAILABLE IN PREFORMED CROWNS TYPE OF MATERIAL USED DURATION OF USE TECHNIQUE FOR FABRICATION

12 DEPENDING ON THE METHOD OF FABRICATION

13 CUSTOM MADE PROVISIONAL RESTORATION CUSTOM MADE PROVISIONAL RESTORATION PREFABRICATED PROVISIONAL RESTORATION PREFABRICATED PROVISIONAL RESTORATION

14 CUSTOM MADE PROVISIONAL RESTORATION THIS RESTORATION IS FABRICATED TO REPRODUCE THE ORIGINAL CONTOURS OF THE TOOTH THIS RESTORATION IS FABRICATED TO REPRODUCE THE ORIGINAL CONTOURS OF THE TOOTH AN IMPRESSION OF THE PREPARED TOOTH IS MADE AND A CAST IS POURED AN IMPRESSION OF THE PREPARED TOOTH IS MADE AND A CAST IS POURED PREPARED TOOTH ON THE CAST IS WAXED UP AND CARVED TO REPRODUCE THE ORIGINAL CONTOURS PREPARED TOOTH ON THE CAST IS WAXED UP AND CARVED TO REPRODUCE THE ORIGINAL CONTOURS

15 PREFORMED PROVISIONAL RESTORATION THESE ARE COMMERCIALLY AVAILABLE PREFABRICATED CROWNS THESE ARE COMMERCIALLY AVAILABLE PREFABRICATED CROWNS AVAILABLE IN VARIOUS SIZES AVAILABLE IN VARIOUS SIZES OPERATOR CHOOSES THE BEST ONE SUIT TO THE PATIENT OPERATOR CHOOSES THE BEST ONE SUIT TO THE PATIENT BEFORE CEMENTATION THESE CROWNS ARE SLIGHTLY ALTERED AND MODIFIED TO FIT THE TOOTH BEFORE CEMENTATION THESE CROWNS ARE SLIGHTLY ALTERED AND MODIFIED TO FIT THE TOOTH

16 DEPENDING ON THE MATERIAL AVAILABLE IN PREFORMED CROWNS

17 POLYCARBONATE POLYCARBONATE CELLULOSE ACETATE CELLULOSE ACETATE ALUMINIUM AND TIN-SILVER ALUMINIUM AND TIN-SILVER NICKEL-CHROMIUM NICKEL-CHROMIUM

18 DEPENDING ON THE TYPE OF MATERIAL USED

19 RESIN BASED PROVISIONAL RESTORATION RESIN BASED PROVISIONAL RESTORATION CELLULOSE ACETATE CELLULOSE ACETATE POLYCARBONATE POLYCARBONATE POLY-METHYL METHACRYLATE POLY-METHYL METHACRYLATE POLY-R METHACRYLATE POLY-R METHACRYLATE MICROFILLED COMPOSITE MICROFILLED COMPOSITE URETHANE DIMETHACRYLATE URETHANE DIMETHACRYLATE METAL PROVISIONAL RESTORATION METAL PROVISIONAL RESTORATION ALUMINIUM ALUMINIUM NICKEL-CHROMIUM NICKEL-CHROMIUM TIN-SILVER TIN-SILVER

20 DEPENDING ON THE DURATION OF USE

21 SHORT TERM TEMPORARY RESTORATION SHORT TERM TEMPORARY RESTORATION LONG TERM TEMPORARY RESTORATION LONG TERM TEMPORARY RESTORATION

22 DEPENDING ON TECHNIQUE OF FABRICATION

23 PROVISIONAL RESTORATION FABRICATED USING DIRECT TECHNIQUE PROVISIONAL RESTORATION FABRICATED USING DIRECT TECHNIQUE PROVISIONAL RESTORATION FABRICATED USING INDIRECT TECHNIQUE PROVISIONAL RESTORATION FABRICATED USING INDIRECT TECHNIQUE PROVISIONAL RESTORATION FABRICATED USING DIRECT-INDIRECT TECHNIQUE PROVISIONAL RESTORATION FABRICATED USING DIRECT-INDIRECT TECHNIQUE

24 TECHNIQUES FOR CUSTOM PROVISIONAL RESTORATION

25 OVERIMPRESSION FABRICATED PROVISIONAL CROWN OVERIMPRESSION FABRICATED PROVISIONAL CROWN TEMPLATE FABRICATED PROVISIONAL FIXED PARTIAL DENTURE TEMPLATE FABRICATED PROVISIONAL FIXED PARTIAL DENTURE TEMPLATE FABRICATED VLC PROVISIONAL RESTORATION TEMPLATE FABRICATED VLC PROVISIONAL RESTORATION SHELL-FABRICATED PROVISIONAL RESTORATION SHELL-FABRICATED PROVISIONAL RESTORATION OVERIMPRESSION FABRICATED BIS- ACRYL COMPOSITE CROWN OVERIMPRESSION FABRICATED BIS- ACRYL COMPOSITE CROWN

26 OVERIMPRESSION FABRICATED PROVISIONAL CROWN OVERIMPRESSION FABRICATED PROVISIONAL CROWN

27 1.COMMONLY DONE WITH ALGINATE IMPRESSION MATERIAL 2.OVERIMPRESSION CAN BE MADE FROM THE PATIENTS MOUTH OR FROM THE DIAGNOSTIC CAST. 3.WHEN THE ALGINATE HAS SET OVERIMPRESSION IS REMOVED AND CHECKED FOR COMPLETENESS.

28 4.THIN FLASHES OF IMPRESSION MATERIAL THAT REPLICATE THE GINGIVAL CREVICE ARE REMOVED TO INSURE THAT NO IMPEDIMENT TO THE COMPLETE SEATING OF THE CAST INTO THE OVERIMPRESSION LATER. 5.IMPRESSION IS THEN WRAPPED IN A WET PAPER TOWEL AND PLACED IN A ZIPLOCK PLASTIC BAG FOR LATER USE.

29 6.WHEN THE TOOTH PREPARATION IS COMPLETED,ANOTHE R QUADRANT IMPRESSION IS MADE WITH ALGINATE 7.THIS IMPRESSION IS THEN POURED WITH A THIN MIX OF QUICK SETTING PLASTER. 8.THEN TRY TRIMMED QUICK SET PLASTER CAST IN THE OVERIMPRESION TO MAKE SURE THAT IT WILL SEAT COMPLETELY

30 9.COAT THE PREPARED TOOTH AND ADJACENT AREAS OF THE CAST LIBERALLY WITH A TIN FOIL SUBSTITUTE SEPERATING MEDIUM 10.MIX TOOTH COLORED ACRYLIC RESIN IN A DAPPEN DISH WITH A CEMENT SPATULA 11.PLACE THE RESIN IN THE OVERIMPRESSION SO THAT IT COMPLETELY FILLS THE CROWN AREA OF THE TOOTH

31 .. 12.SEAT THE CAST INTO THE OVERIMPRESSION,MAKING SURE THAT THE TEETH ON THE CAST ARE ACCURATELY ALIGNED WITH THE TOOTH IMPRESSION. 13.FORCE USED TO SEAT THE CAST INTO THE ALGINATE IMPRESSION IS CRITICAL.EXCESSIVE FORCE CAN OVERSEAT THE CAST AND UNEVEN FORCE CAN TORQUE THE CAST. 14.ONCE THE CAST HAS BEEN FIRMLY SEATED HOLD THE CAST IN PLACE WITH A LARGE RUBBER BAND

32 15.PLACE THE OVERIMPRESSION- PLASTER CAST ASSEMBLY IN A PLASTER BOWL FULL OF HOT TAP WATER OR APPROX. 5 MIN OR INTO A PRESSURE POT UNDER 20 PSI. 16.WHEN THE RESIN HAS POLYMERISED.REMOVE THE RUBBER BAND TO DISASSEMBLE IT.

33 17.FINALLY THE RESTORATION IS FINISHED,POLISHED AND CEMENTED

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