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PROVISIONALESTABLISHED 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
PROVISIONAL RESTORATION
BIOLOGIC REQUIREMENTS
MECHANICAL REQUIREMENTS
ESTHETIC REQUIREMENTS
BIOLOGIC REQUIREMENTS
PROVISIONAL RESTORATION SHOULD PROTECT THE PULP BECAUSE A FRESHLY PREPARED TOOTH WILL HAVE INCREASED SENSITIVITY MAINTAIN PERIODONTAL HEALTH(GOOD MARGINAL FIT)
MECHANICAL REQUIREMENTS
PROVISIONAL RESTORATION SHOULD RESIST FUNCTIONAL LOADS RESIST REMOVAL FORCES 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
BASED ON
..
METHOD OF FABRICATION
DURATION OF USE
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
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 BISACRYL 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,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
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 OVERIMPRESSIONPLASTER 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.