Compression-formed plastic shells for temporary splints.
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Successful crown and bridgework relies heavily upon the precise use of temporary restorations. It is the importance of this stage in crown and bridgework, perhaps more than any other, that is so often underestimated. This article reviews the materials currently available for temporary restorations and assesses the various methods of construction.
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It is well known that guided soft tissue healing with a provisional restoration is essential to obtain optimal anterior esthetics in the implant prosthesis. What is not well known is how to transfer a record of beautiful anatomically healed tissue to the laboratory. With the advent of emergence profile healing abutments and corresponding impression copings, there has been a dramatic improvement over the original 4.0-mm diameter design. This is a great improvement, however, it still does not accurately transfer a record of anatomically healed tissue, which is often triangularly shaped, to the laboratory, because the impression coping is a round cylinder. This article explains how to fabricate a "custom impression coping" that is an exact record of anatomically healed tissue for accurate duplication. This technique is significant because it allows an even closer replication of the natural dentition.
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All-ceramic restorations have gained patient acceptance and are increasingly being used in aesthetic appearance-related restorations. This case report of a single anterior crown matching natural dentition utilizes some of the new special-effect ceramic powders designed for use with the layering technique. These powders help to properly replicate incisal, mamelon, and gingival areas. The clinical procedure is described, using photographs of the case to illustrate the steps involved.
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This short report offers solutions for three common clinical problems. Based on their experience, the authors suggest using a "spoon" type partial denture for the temporary replacement of maxillary anterior teeth. The denture is unique in that it has no clasps and does not contact the marginal gingiva. Also, conventional posterior curets have been modified by lengthening the shanks 5 mm while retaining the original dimensions of the working tip in order to reach relatively inaccessible areas more easily. Finally, to increase the utility of Orban knives in making primary inverse bevel flap incisions, the blade has been lengthened by 5 mm.
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This article reviews the methods currently used for making provisional restorations for endosseous dental implants. With the requirements for osseointegration in mind, a simple and aesthetic alternative is suggested. The clinical and laboratory stages for the fabrication of the prosthesis are outlined.
A fast, accurate, and simple technique for fabricating custom templates used to construct customized acrylic resin temporary crowns and fixed partial dentures has been presented. Acrylic resins are used directly on the diagnostic cast to restore single tooth contours, secure pontics to the cast, and to contour edentulous areas. Duplicate casts and impressions are not needed. Acrylic resins prove superior to wax and other materials for constructing custom templates because they will not distort or melt under the heat and pressure of the thermal vacuum machine. Thus, the template is accurate and free of melted residue on the inner template surface.
This study compared the effect that shrinkage of four brands of temporary crown and fixed partial denture resins has on the marginal fit of crowns made from them. Under the conditions of this study, crowns made from Coldpac had marginal discrepancies approximately four times larger than those made from Scutan. Crowns made from Snap and Trim had marginal discrepancies approximately two times larger than those made from Scutan.
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