Remake Provisional Answers
1. Why do we have to make the provisional?
- We have to make the provisional:
(a) When the implant has primary stability.
(b) also to achieve the best esthetic ( beautiful ) result.
2. What do you expect to see when he returns?
(a) We may expect to see that the papillae are not in place.
(b) also possible to see little drifting of adjacent tooth if any.
3. What do you prepare for the remake?
- Preparations as a whole for remaking:
- Temporary crown forms
- # 2 cord, is it necessary?
- acrylic resin, which one?
- acrylic bur
- articulating paper
- shade
- temporary cement
- cementing instruments
- 2/2
- cotton rolls. Anything missing? Why do you think that temp is
off?
By Suniti....
1. After temporary crown fabrication:
After trimming the margin of the crown form
aggressively. Make sure that there is plenty
clearance between just inserted abutment and the
opposing arch. Reline the crown form with acrylic
of matching shade, trim the margin and polish. Add
acrylic to loose contact area if necessary.
When the
provisional is seated the interdental papilla should be
kept in its normal position. Use an articulating
paper to check that there is no contact when the patient
bites down and grinds. Direct vision should reveal
that there is clearance between the temporary crown and
the opposing occlusal cusp.
Remove the
cord, finish temp bond cementation and remove excess
cement thoroughly.
2. Why the crown is off?
- It's because the temporary crown didn't have enough
needed space inbetween the temporary crown and the
opposing tooth cusp when he bites down and grinds teeth.
Suniti....
Further update:
- # 2 cord, is it necessary?
No, but thinner cord instead.
-
acrylic resin, which one?
Matching with the shade of the patients natural
tooth shade.
Suniti....
Return to
Remake
Xin Wei, DDS, PhD, MS 1st edition 09/13/2013, last revision
09/15/2013