TEMPORIZATION

OR
PROVISIONAL
RESTORATION
 DEFINITION
A fixed prosthesis , designed
to enhance aesthetics and
stabilizes function for a
limited period of time, after
which it is replaced by a
definitive prosthesis
 IDEAL
REQUIREMENTS OF
PROVISIONAL
RESTORATION
PROVISIONAL RESTORATION

BIOLOGIC REQUIREMENTS

MECHANICAL REQUIREMENTS

ESTHETIC REQUIREMENTS
 BIOLOGIC REQUIREMENTS

1. Protect the dental pulp

2. Maintain & contribute to the periodontal health
3. Provide comfortable, functional occlusal
relationship
4. Maintain tooth position
5. Protect remaining tooth structure
 MECHANICAL
REQUIREMENTS

Provisional restoration should

Resist functional loads
Resist removal forces without fracturing
Maintain interabutment alignment
 ESTHETIC REQUIREMENTS

PROVISIONAL
RESTORATION
SHOULD

BE EASILY
CONTOURABLE
 BE COLOR
COMPATIBLE
BE TRANSLUCENT
BE COLOR STABLE
 INDICATION

A LONG SPAN POSTERIOR FPD

PROLONGED TREATMENT TIME
PATIENT UNABLE TO AVOID EXCESSIVE FORCES ON THE
PROSTHESIS
ABOVE AVERAGE MASTICATORY MUSCLE STRENGTH
HISTORY OF FREQUENT BREAKAGE
TYPE OF PROVISIONAL RESTORATION

BASED ON ..
METHOD OF FABRICATION

MATERIALS AVAILABLE IN PREFORMED CROWNS

TYPE OF MATERIAL USED

DURATION OF USE

TECHNIQUE FOR FABRICATION

 ON METHOD OF FABRICATION

• CUSTOM MADE PROVISIONAL RESTORATION

• PREFABRICATED PROVISIONAL RESTORATION
 CUSTOM MADE PROVISIONAL
RESTORATION

• 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
• PREPARED TOOTH ON THE CAST IS WAXED UP AND CARVED TO
REPRODUCE THE ORIGINAL CONTOURS
PREFORMED PROVISIONAL
RESTORATION
• THESE ARE COMMERCIALLY AVAILABLE PREFABRICATED
CROWNS
• AVAILABLE IN VARIOUS SIZES
• OPERATOR CHOOSES THE BEST ONE SUIT TO THE PATIENT
• BEFORE CEMENTATION THESE CROWNS ARE SLIGHTLY
ALTERED AND MODIFIED TO FIT THE TOOTH
 MATERIALS
• POLYCARBONATE
• CELLULOSE ACETATE
• ALUMINIUM AND TIN-SILVER
• NICKEL-CHROMIUM
• RESIN BASED PROVISIONAL RESTORATION
CELLULOSE ACETATE
POLYCARBONATE
POLY-METHYL METHACRYLATE
POLY-R METHACRYLATE
MICROFILLED COMPOSITE
URETHANE DIMETHACRYLATE
• METAL PROVISIONAL RESTORATION
ALUMINIUM
NICKEL-CHROMIUM
TIN-SILVER
• SHORT TERM TEMPORARY RESTORATION
• LONG TERM TEMPORARY RESTORATION
• PROVISIONAL RESTORATION FABRICATED USING DIRECT
TECHNIQUE
• PROVISIONAL RESTORATION FABRICATED USING INDIRECT
TECHNIQUE
• PROVISIONAL RESTORATION FABRICATED USING DIRECT-
INDIRECT TECHNIQUE
 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
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.
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.
6.WHEN THE TOOTH
PREPARATION IS
COMPLETED,ANOTHER
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
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
.
.
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
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.
17.FINALLY THE
RESTORATION IS
FINISHED,POLISHED
AND CEMENTED
THANK U