Temporary restorations: the key to success
For dentists who have recently completed training, temporary restorations are often not considered an important part of treatment, but rather are a simple temporary solution between obtaining an impression and before fixing the final restorations. This is due to the fact that dental training takes place on the example of one tooth, where the requirements for temporary restorations are limited and relatively simplified. However, with the advent of experience more and more complex clinical cases appear in which the need and importance of high-quality temporary restorations becomes essential. They enable the dentist to control the treatment process and allow you to carry out individual procedures and stages of treatment. This facilitates the treatment process, and allows it to be carried out in small stages. In complex clinical cases, neglect of temporary restorations can lead to a situation getting out of control, adding stress to the doctor and patient, and, ultimately, leading to premature failure of the final restorations. The purpose of this article is to discuss the importance of temporary restorations and highlight the necessary concepts, methods and materials.
Describe the advantages of good temporary restorations and the disadvantages of poor temporary restorations.
Identify various methods and protocols for the manufacture of temporary crowns.
Demonstrate how good temporary crowns can help improve the quality of treatment.
Describe the advantages and qualities of acrylic plastic for the manufacture of temporary crowns.
The trend towards minimally invasive dentistry reduces dependence on traditional temporary crowns and bridge prostheses. Unfortunately, there are still a large number of patients with damaged and / or excessively restored dentition, which go beyond the scope of adhesive dentistry. The management of such clinical cases is highly dependent on temporary restorations, and the more complex the clinical situation, the more important it is to use temporary restorations. If a dentist wants to move from single-tooth dentistry to treating more complex cases, he must learn how to make high-quality temporary restorations.
Best friend or worst enemy?
Temporary restorations can be either the dentist’s best friend or the worst enemy. High-quality temporary restorations are aesthetic, have good marginal fit, are comfortable and stable. They become the key to success, while poor temporary restorations can add stress and unpredictability to treatment (Figs. 1 and 2).
1. They give the dentist the opportunity to devote the necessary amount of time to each clinical stage. Short deadlines can lead to a decrease in the quality of treatment.
2. They allow you to visualize the expected result. This allows the dentist and patient to pay attention to aspects that they are not happy with, thereby helping the dental technician and preventing unexpected results.
3. Temporary restorations with good marginal fit form the optimal soft tissue condition necessary for high-quality prints. Without this, prints are usually unpredictable and compromised in quality, which jeopardizes the final quality of the fit of the restorations.
4. They allow you to make informed decisions. Only after removal of existing restorations does the dentist have a complete picture of the condition of the tooth. The dentist then has time between appointments to consider options. Some of these decisions can be made primarily by the dentist; for example, what type of crown or pin structure to use, or whether to replace the restoration of the stump. Other solutions will require careful consideration by the patient without a lack of time, such as whether to save or remove a tooth.
5. They also give the specialist enough time to make the final crowns. Skilled professionals who are proud of their work and make high demands on the level of their work take time to achieve these results, which in turn means that temporary restorations can remain in the mouth for a long period of time.
6. Aesthetic temporary restorations increase the expectations of the patient and the dentist and encourage the technician to achieve an aesthetic result superior to temporary restorations.