TEMPORARY RESTORATIONS. Dr. Mercedes Linninger Professor assistant SE Faculty of Dentistry Department of Prostodontics
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1 TEMPORARY RESTORATIONS Dr. Mercedes Linninger Professor assistant SE Faculty of Dentistry Department of Prostodontics
2 DEFINITION OF TEMPORARY APPLIANCE The appliance, what is made before the permanent restorations and patient wears till the fixation or insertation of brand new, permanent prosthesis.
3 CLASSIFICATION OF TEMPORARY RESTORATIONS Classification by the time of construction Immediate Immediately at the chair after extraction or tooth preparation Interime Needs time to construct it after extraction or preparations Classification by the type of restoration Fixed restorations Crown Bridge Cored appliance Removable restorations RPD CD
4 INDICATIONS OF MAKING TEMPORARY RESTORATIONS: Preventive Of immediate functional disorders (estetics, mastication, phonation) Of consequences ( prepared tooth, tooth migration, changes of marginal gingiva ) Diagnostical First step of esthetical rstorative treatment previous controll (eg. closing of diasthema) Therapeutic Occlusal disorders Periodontal demages (eg. splinting)
5 IMMEDIATE CONSEQUENSES OF TOOTH LOSS Masticatory deffects Phonation Aesthetics
6 DESTRUCTION OF MASTICATORY SYSTEM: Loosing teeth Functional stability is damaging Occlusal trauma GI complains
7 PHONETIC DISORDERS Depends on the type of lost tooth Front region: Only one missing tooth causes disorder One missing molar tooth does not cause Missing of complete molar quadrant causes lateral lisping
8 LEASION OF ESTHETIC FUNCTION Psychical effect of tooth extraction depreciation Destruction in the carreer, connections Failing of life-quality
9 PREVENTION OF CONSEQUENCES: Prevention of prepared tooth from Mechanical-, heat-, chemical-, osmotic-, and bacterial stimuli Prevention of migration or elongation of the prepared or remaining teeth Keeping habitual occluson Place-keeping function
10 DIAGNOSTIC TOOL Previous controll: closing diasthema Axial corrections Phonetical corrections Esthetical rehabilitation
11 THERAPEUTIC TOOL Occlusal disorders Bite-lifting (expanding of OVD) Only with fixed appliance Periodontaly damaged teeth Splinting
12 CARACTERISTICS OF TEMPORARY APPLIANCES Generals: guarantees the mastication esthetical and psychical restoration increasing right phonation keeping habitual occlusal vertical dimension
13 CARACTERISTICS OF TEMPORARY APPLIANCES Fixed temporary prosthesises: Protection of prepared tooth Prevention of migration and elongation Protection of periodontal tissues (marginal integrity)
14 POSSIBILITIES OF CONSTUCTING TEMPORARY RESTORATIONS Direct Indirect methods
15 DIRECT METHODS: Prefabricated elements Celluloid-, or acrylic crowns Alumina crowns Prosthesis teeth Own tooth Reparations of removed fixed appliances By previous impression ( Scutan-method )
16 CELLULOID, OR ACRYLIC CROWNS
17 TEMPORARY VENEER/ CROWN MADE FROM PROSTHESIS-TOOTH
18 TEMPORARY VENEER MADE FROM PROSTHESIS-TOOTH
19 USING OWN TOOTH AS TEMPORARY APPLIENCE
20 REPARATION OF PREVIOUS APPLIENCE
21 BY PREVIOUS IMPRESSION (BEFORE PREPARATION)
22 BY PREVIOUS IMPRESSION (BEFORE PREPARATION)
23 BY PREVIOUS IMPRESSION (BEFORE PREPARATION)
24 DEEP DRAWN FOIL:
25 INDIRECT METHODS Deepdrawing method After impression made temporary restoration Before the preparation take impressions (prec-sit, antagonistic, key) The technician makes by ideal preparation
26 DEEPDRAWING SEMI-INDIRECT TECHNIQUE:
27 LIGHT-CURING RESIN TEMPORARY RESTORATION
28
29
30
31
32 BY USING IDEALLY PREPARED CAST
33 WP-NRM AEH1UE TV7JBV0
34 THANK YOU! Pic: Budapestdental
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