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A4 I N DUST RY N EWS Dental Tribune U.S. Edition | November 2017 Rethinking provisionals The many advantages of premade custom temporaries By Steven Barrett, DDS As a partner and clinical director of a large private group practice, I often speak of modern dentistry’s esthetic possibili- ties. Our practice highly prioritizes work- ing with committed laboratories, using quality materials and focusing on predict- able processes. BioTemps® Provisionals consistently help our doctors materialize the esthetic vision we create for our pa- tients. Rethinking hrovisionals When working with new dentists, I empha- size that temporaries are as critical to the success of their case as their crown prepa- rations and impression quality. To be successful, cosmetically minded dentists need to visualize esthetic pos- sibilities for patients. If that vision firmly incorporates smile-design fundamentals and highly detailed products and pro- cesses, they are setting themselves up for predictable final outcomes. More than a temhorary After I started using BioTemps Provision- als about 18 years ago, I instantly noticed several things. These custom-made tem- poraries were far better than any I could AD make from any acrylic or bis-acryl materi- al. With custom-made BioTemps, I can in- clude esthetic changes, choose custom shades, deliver a much stronger tem- porary (using fiber or wire reinforce- ment), reduce chair time and, if relined and trimmed properly, ensure the pa- tient’s soft tissue will be in great shape at the seating appointment. I can also make the arch form more ideal, precisely add or reduce tooth length, create ovate pontics, and even add pink acrylic if needed. I often do a composite mock-up chair- side to help the patient and me visualize the changes that I would like to make. Many dentists often overlook this simple process. Photographs and/or the mock-up study model are then sent to the lab to aid in BioTemps fabrication. And I can even mark the model and simulate potential gingivectomy or crown lengthening sites. Patient hresentation I detail benefits of BioTemps to patients, emphasizing how vital they are to success. I typically start by explaining the neces- sity of a custom temporary. Then I show the patient a presentation model with Bio- Temps and explain how I will customize the shade — and I assure the patient that the temporaries will not discolor. GNYDM BOOTH NO. 5001 with temporary crowns, I want them to know these temporaries are made using a vastly superior process. Smile makeovers For cases involving esthetic changes, I ex- plain to the patient how BioTemps allow me to create the best smile possible for them. I use BioTemps as a model for the fi- nal restorations, and if needed, I can make changes while the patient is wearing the temporaries. Once the temporaries are ex- actly as the patient desires, I ask the lab to duplicate them in the final restoration. Extractions, esthetic emergencies While BioTemps are a part of my typi- cal extraction treatment plan, convinc- ing patients of post-extraction benefits is not difficult. I explain to them that with BioTemps, they will never have to walk around with a missing tooth or worry that the temporary will break. I will match the temporary color to the natural, surround- ing teeth. Due to many patients’ bad experiences For cases in which a patient needs to have ‘With custom-made Bio- Temps, I can include esthetic changes, choose custom shades, deliver a much stronger temporary (using fiber or wire reinforcement), reduce chair time and ... ensure the patient’s soft tissue will be in great shape at the seating appointment.’ Photo/Provided by Glidewell Dental an anterior tooth removed immediately, I extract the tooth and make an acrylic tem- porary chairside. At the end of the appoint- ment, I take impressions to order a custom BioTemps provisional. Ten days later, I re- place the chairside acrylic temporary with a BioTemps provisional. Conclusion In addition to being ideal for multi-unit esthetic cases, extraction cases or cases involving an entire quadrant, BioTemps work well for single-unit anterior cases. Many of my patients have benefited from a custom anterior temporary because they were public speakers or actors, they were getting married — or they just needed a custom shade for that single tooth. Regardless of your experience level, pre- made custom temporaries like BioTemps Provisionals can be an integral part of your restorative protocol. Incorporating BioTemps as a transitional tool within your office will lead to predictable results, happy patients and more confidence for your entire team.