Maxillary anterior porcelain crowns: ingredients for optimum aesthetics, Part III.
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A time- and labor-saving indirect method for fabricating temporary restorations that features removable dies (coined the indirect working die technique), is introduced and described. It takes advantage of the accuracy of the traditional indirect method, as substantiated in the literature, but employs new methods and uses materials in a novel way.
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The removal of tooth structure during preparation results in varying degrees of pulpal hyperemia. The ability of the pulpal tissue to respond either by recovery or degeneration depends in part upon the adequacy and fit of the provisional restoration. The response of the gingival tissue also depends on a large degree on the success of the temporary coverage. Provisional restorations are commonly given less attention and importance thereby biologic, mechanical, and esthetic considerations are not adequately met. Since a provisional restoration must be made or improvised during the same appointment in which the abutment teeth are prepared, costly chairside time most often leads to an unacceptable restoration. Failures such as color instability, color incompatibility, inappropriate anatomic contours, fractures, occlusal disharmony, changes in tooth position, gingival inflammation, and unhealthy periodontal conditions are usually encountered. A technique of fabricating an exacting provisional restoration with compliance to optimum quality is presented.