[Temporary splints with aluminum and acrylic caps].
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A technique that forms an abutment crown to fit into an existing clasp of a removable partial denture by relining an acrylic resin pattern is described. The outer contour of the pattern is made within an irreversible hydrocolloid impression by use of Duralay autopolymerizing acrylic resin applied with precision dispensers. The pattern is formed before tooth preparation and is made approximately 0.4 mm thick. After tooth preparation, the shell pattern is relined with the same autopolymerizing resin and the existing removable partial denture is fitted over it. The gross pattern is trimmed and the margins refined on a die made from an elastomer impression. The refined pattern is cast and finished, avoiding reduction of the contours established. A second crown is similarly formed in tooth-colored autopolymerizing acrylic resin. It serves as a provisional restoration that allows the patient to wear the removable partial denture while the laboratory procedures are performed.
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Temporary restorations are very important during the construction of final restorations. The success of the final restoration often depends on a well-made temporary. This article reviews the requirements, materials, and techniques available to the profession for temporary restorations.
A provisional restorative material must be strong enough to resist fracture during function. This study tested five autopolymerizing provisional resin materials under conditions that related the stresses acting on them to those acting on a fixed partial denture. The highest values for fracture resistance were displayed by Snap poly(ethyl methacrylate) material. However, two of the 11 samples of this material displayed markedly lower values for fracture resistance. This finding warrants further investigation, because inconsistency had clinical implications. In decreasing order, the fracture resistance of the other materials was as follows: the poly(methyl methacrylate) materials, Caulk temporary bridge resin and G-C Unifast temporary resin; the composite material, Protemp; and the epimine material, Scutan.