A great deal of time has been put in by the dentist to understand and bring excellency in creating temporary restorations which is a very artistic and creative side of restorative dentistry. These temporaries are natural looking, also called provisional restorations or “temps”. They have undergone a lot of changes over the past few year, there is a slight difference between the temporaries used.
One is used in limited situations while some are used for the natural functioning of teeth known as “customized” temporary restorations. These restorations allow you to preview exactly how the final veneer or crown will function and look like before the final restoration is made. The dentist get the exact idea about the shape, size, color, function and feel for fabricating he permanent restoration.
Why do you Need Dental Temporaries?
Temporaries are an important part for any bite correction or improving smile but besides that it solves various other purpose that is good for your oral health. It protects the teeth that is made for final restoration and even cover exposed dentins that prevent plaque buildup, tooth cavity, pulp problems and tooth sensitivity. It protects the gum tissues and prevents unwanted movement of tooth making it easy for the patient to speak and eat properly.
It also acts has a test drive for he restoration and the smile makeover procedure that dentist save a lot of time. They do not have to work on the blueprint for final restoration and there are no more any needs of remakes.
When do you Need Temporaries?
If you choose to undergo any dental treatment, temporary restoration is used to cover the prepared teeth and it acts as a protection and aesthetics while the final restoration gets ready and is placed. These restorations are used when you get bridges, crowns, onlays, inlays or porcelain veneers made for yourself and even when you get your partial or complete dentures removed.
It is quite important to make use of temporaries when treating multiple teeth and there are chances of cosmetic changes and occlusal(bites). Dealing with temporary ones is quite easy as they are made of acrylic resin whereas the permanent ones are fabricated with ceramic, metal or a mix of metal-ceramic.
Duration of Wearing Temporary Restoration
The length of time for which you need to wear these provisional varies for a few days to several weeks. It is for days in case of a simple procedure like a single crown and can extend up to several weeks in case of veneers, inlays and onlays. It can be advised for several months for very complex cases like full mouth reconstruction. If the dentist makes use of CAD/CAM technology the permanent restoration can be made and adjusted in a single sitting eliminating the idea of temporaries.
Temporaries are Made of
Temporaries are made of different materials and it is chosen by the dentist depending upon the treatment plan and the duration for which the temporaries would be worn. They are generally made of pre-formed crowns( metal or plastic), light-cured or self-cured resins, cement or resin composites.
Temporaries that are laboratory formed are made of cast metal, heat cured acrylic and self-cured resin. Acrylic or polycarbonate are used to make plastic shells where as the metal ones are of stainless steel, nickel chromium or aluminum and basically used for teeth at the back.
Every material has their own features and preferred because they are strong, very natural looking, have color stability, wear resistant and the best of all is that the material available are easily adjustable. Good temporaries can be made of it that can be custom designed according to the shape and size of patient’s gum line and fixed accordingly.
Making of Temporaries
Temporary restorations are either made through direct or indirect technique. In the first one the the dentist makes it chairside which means in the mouth. And in the indirect one, impression of the mouth is taken and the temporaries are made in the laboratory that is outside the mouth.
If the temporaries is for a longer duration then the laboratory fabricated one is considered best because of its higher strength and discoloration. It also assists the dentists in giving an accurate idea because of its resemblance to the final restoration that will the patient be comfortable with the similar fit, shape or design.
If the permanent restoration is to be created at an offsite laboratory, an impression or a digital image of patient’s teeth is taken. This helps in the construction of three dimensional wax model which is made depending upon the restoration or the smile makeover need.
The wax up is further improved by the dentist if there are any issues with the look, contour and shape. Following approval, the design for final restoration is prepared. Here the dentists makes the temporaries out of the waxed model and fix them with provisional cement. Any and every kind of change can be made keeping in mind the requirement of the patient.
Placing Temporaries and Removals
Temporaries need to be fixed properly because if they come out it could change position and can also effect the positioning of final restoration.
If any how the temporaries come out, try putting it back in place or take assistance of your dentists to get it fixed and re-cemented. They are attached using provisional cement, these temporary cement have soft consistency and the modifier that comes along helps in loosening the cement at the time of removal.
How much do Temporaries Cost?
There are no charges as such related to temporaries because it is an important part of various dental procedures. The cost depends of numerous factors and the most important of all is how the temporaries got fabricated, the material used and the amount of adjustment made after the material was fabricated because it involves cost and labor.
All this will make a difference on the longevity of the temporaries, the duration, positing etc makes a lot of difference and all this is kept in mind while calculating the cost. It is important to discuss the cost at least an estimated can be give and generally the cost of the procedure is not included in dental insurance.