Dental Provisional Coverage Overview

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Questions and Answers

What is the primary purpose of provisional coverage?

  • To replace missing teeth permanently
  • To perform root canal treatment
  • To protect the prepared tooth until a permanent restoration is placed (correct)
  • To whiten surrounding teeth

For how long do patients typically wear provisional crowns or bridges?

  • 6 months to 1 year
  • 1 week to 2 weeks
  • 2 weeks to 1 month (correct)
  • 1 month to 3 months

Which type of provisional coverage requires more time and customization during the preparation?

  • Prefabricated provisional
  • Custom provisional (correct)
  • Emergency provisional
  • Temporary cover

What material is used in polycarbonate crowns?

<p>Polycarbonate (C)</p> Signup and view all the answers

Which type of provisional is specifically designed for anterior and posterior preparations?

<p>Custom provisional (D)</p> Signup and view all the answers

What is the role of cellulose acetate in provisional coverage?

<p>To serve as a carrier for the provisional material (C)</p> Signup and view all the answers

Which provisional material is available for all tooth types and is a thin clear shell?

<p>Cellulose acetate (A)</p> Signup and view all the answers

What must be done with aluminum and tin crowns when contouring the gingival margin?

<p>Special care must be taken due to their thinness. (C)</p> Signup and view all the answers

What is the primary concern when using stainless steel crowns for primary posterior teeth?

<p>Strength of the crown (C)</p> Signup and view all the answers

What is the maximum allowed space between the crown margin and the finish line of the preparation for provisional coverage?

<p>0.5 mm (A)</p> Signup and view all the answers

What type of impression is commonly used for holding the provisional material?

<p>Alginate impression (A)</p> Signup and view all the answers

What is a key recommendation when mixing powder/liquid materials?

<p>Sprinkle the powder over the liquid (B)</p> Signup and view all the answers

Which of the following materials is considered a type of light-polymerized material?

<p>LuxaFlow (B)</p> Signup and view all the answers

What is a benefit of light-cured provisional materials?

<p>Decreased shrinkage (C)</p> Signup and view all the answers

What is the setting time for the provisional polymer crown resin used in the preformed crown technique?

<p>90 seconds (D)</p> Signup and view all the answers

What type of materials are bisacrylic composites and bis-GMA?

<p>Paste and paste materials (B)</p> Signup and view all the answers

What is the function of the preformed crown method?

<p>To provide a shell-like crown for provisional coverage (A)</p> Signup and view all the answers

Which material should be avoided when making provisional crowns due to its significant exothermic reaction?

<p>Powder/liquid formulations (B)</p> Signup and view all the answers

Flashcards

Provisional Coverage

Temporary restoration used to protect prepared teeth while a permanent restoration is made.

Custom Provisional

Individually made provisional crown or bridge for each patient.

Prefabricated Provisional

Pre-made crown or bridge available for single-unit teeth.

Polycarbonate Crowns

Prefabricated crowns used for front teeth, offering a natural look.

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Polymer Shell Crowns

Prefabricated crowns filled with composite resin, common for back teeth.

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Cellulose Acetate Shells

Thin, clear shells to hold provisional material.

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Criteria for Provisionals

Aesthetic acceptance, proper contour, margin fit, and occlusal alignment.

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Alginate Impression

A common impression technique used for making provisional trays.

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Baseplate Wax Impression

Impression method using baseplate wax for creating provisional trays.

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Vacuum-formed Tray

Provisional tray formed using vacuum-forming technique for better fit.

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Silicone Putty Impression

Impression technique using silicone putty for creating provisional trays.

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Powder/liquid Materials

Provisional materials set in 5-6 minutes by combining powder and liquid.

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Paste/Paste Materials

Provisional materials dispensed from syringes and mixed automatically.

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Light-polymerized Materials

Provisional materials with low shrinkage and fast setting, with less odor.

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Preformed Crown Method

Method using prefabricated crowns eliminating preliminary impressions.

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Methyl methacrylate

A type of powder/liquid provisional material.

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Ethyl methacrylate resin

A type of powder/liquid provisional material.

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Bisacrylic composites

A type of paste/paste provisional material.

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Bis-GMA acrylic provisional resin

A type of paste/paste provisional material.

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LuxaFlow

A type of light-polymerized provisional material.

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Study Notes

Provisional Coverage

  • A temporary crown or bridge used to protect prepared teeth while the permanent restoration is being made
  • Restores function and keeps patients comfortable during the waiting period
  • Typically worn for 2 weeks to 1 month, but can be longer for complex cases

Types of Provisional Coverage

  • Custom provisional: Made individually for each patient, typically used for crowns and bridges
  • Prefabricated provisional: Pre-made crowns or bridges, available for single-unit teeth

Materials used for Prefabricated Provisionals

  • Polycarbonate crowns: Natural appearance, available for incisors, canines, and premolars
  • Polymer shell crowns: Filled with composite resin, designed for molars
  • Cellulose acetate shells: Thin, clear, used to carry provisional material
  • Aluminum and tin crowns: Thin, cylindrical or anatomical shells for posterior teeth
  • Stainless steel crowns: Used for primary teeth when color-matching is not a primary concern

Criteria for Fabricated Provisional Crowns and Bridges

  • Esthetically acceptable
  • Contoured similar to natural teeth, with good interproximal contacts and alignment
  • Smooth cervical margin fitting snugly to the preparation
  • Not extending below the preparation margin
  • Occlusal surface aligned with the occlusal plane of adjacent teeth

Common Types of Provisional Trays or Molds:

  • Alginate impression
  • Baseplate wax impression
  • Vacuum-formed tray
  • Silicone putty impression

Materials for Provisional Coverage:

  • Powder/liquid materials: Set in 5-6 minutes, mix by adding powder to liquid to minimize air bubbles
    • Examples: Methyl methacrylate, Ethyl methacrylate resin
  • Paste and paste materials: Dispensed from syringes or cartridges and mixed through an automix tip
    • Examples: Bisacrylic composites, Bis-GMA acrylic provisional resin
  • Light-polymerized materials: Less shrinkage, faster setting time, less toxic odor
    • Example: LuxaFlow

Preformed Crown Method

  • Uses prefabricated shell-like crowns of various sizes
  • Crowns are made from polymer or polycarbonate material with anatomical features
  • Eliminates the need for a preliminary impression or thermoplastic tray
  • Resin and shell bond together for strength and optimal margins

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