14. Dls Flashcards
means establish for the time being,
interim
it must terminate the finish line and not in the grounds which will cause inflammation
TEMPORARY RESTORATION
→ check anatomy and health of tissue
→ if inflammation is present, the final crown cannot be installed
right away
TEMPORARY RESTORATION
protect pulp for a vital tooth
o if we leave it exposed, patient may feel sensitivity because of dentinal tubules
BIOLOGICAL
→ maintain periodontal health
o overhang and excess cervical areas must be removed to
prevent inflammation
BIOLOGICAL
→ provide occlusal compatibility
o there should be no contacts or interference when the patient bites on it against opposing tooth
BIOLOGICAL
→ maintain tooth position
- tooth is anchored by periodontal ligament
- there might be instances where the tooth will move; once it moves, there will be a hard time inserting crowns or bridges
→ protect against fracture
BIOLOGICAL
resist functional loads
MECHANICAL
→ resist removal forces
o design of reduction
MECHANICAL
→ maintain inter-abutment alignment
*contact areas must be maintained, spaces that are lost must be regained by the temporary restorations and maintain alignment
MECHANICAL
→ easily contourable
→ color compatibility
→ translucency
→ color stability
ESTHETIC
These things will overlap and there is an optimum interim restoration when all are satisfied
ESTHETIC
mold cavity is created by two correlated parts:
*External Surface Form (ESF)
* Tissue Surface Form (TSF)
→ external contour of the crown
→ what you see (anatomy, size, and shape of the temporary
restoration)
EXTERNAL SURFACE FORM
EXTERNAL SURFACE FORM has (2) categories:
o Custom
o Preformed
is a negative reproduction of either the patient’s teeth before preparation or a modified diagnostic cast
CUSTOM
maybe directly obtained with any impression material (irreversible hydrocolloid and silicone are convenient)
CUSTOM
easy accurate reseating done by trimming the thin areas of
impression material (interproximal or gingival margin)
CUSTOM
True or false
various preformed crowns are available commercially
True
→ choose one which will fit the tooth that is to be prepared
→ after restoring the teeth, you can use the vacuum type of template (transparent)
o place cast on a vacuum machine → template
o after reduction of abutments → temporary crowns using template
PREFORMED
→ baseplate wax can be used as it is more convenient and economical but more complicated
→ some people make escape holes so that when injected there are no bubbles
PREFORMED