DuraTemp® Provisionals – The Single Most Important Diagnostic & Treatment Tool

mm Written by Andrew Sedler

Burbank Dental Lab DuraTemps provisionals teeth

DuraTemp Provisionals: The Single Most Important Diagnostic and Treatment Tool

There are very few things a clinician can do that will maximize successful results like using well-designed provisionals. Provisionals are not merely placeholders for the permanent restorations to come, they are one of the most important diagnostic and treatment tools that are available.

According to Terry E. Donovan, DDS, and George C. Cho, DDS, of J Can Dent Associates, "... the restorative dentist must clearly understand the esthetic expectations of the patient, and the patient must understand the inherent limitations of any type of restorative therapy. One often neglected modality at the clinicians' disposal to aid in the communication between the dentist and patient is the provisional restoration." Issue: 1999:65:272-5

At Burbank Dental Lab we get clinician feedback from hundreds of doctors about thousands of cases. There is no question that for restorative and cosmetic cases when provisionals are placed for a trial period of sufficient time to get clinical feedback from the patient, a high success rate of the final restorations is easily attained.

Burbank Dental Lab DuraTemps® provisionals
DuraTemps® Provisionals restorations

Provisionals offer an esthetic and functional prototype for the final restorations, allowing you and the patient to evaluate these aspects:

Functional Aspects of DuraTemp Provisionals

  • Occlusal accuracy
  • Muscle and joint comfort
  • Minimize interferences that cause damage to the restorations

Esthetic & Phonetic Aspects of DuraTemp Provisionals

  • Is the patient happy with the smile design?
  • Do the proportions, midline, cant, tooth position, and length, work in the smile?
  • Are the phonetics hampered in any way?

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Advantages to Lab-Processed DuraTemp Provisionals

Lab Processed vs. Direct Provisionals

When is it advantageous to use lab-processed provisionals, and when is the direct technique the best solution?

Direct Provisional Technique

For anterior veneer cases, direct is the popular choice for many clinicians. The preferred method seems to be:

Lab Processed Provisionals

Once a case gets more complicated, involving restorations beyond the anterior or including full crowns in the treatment, indirect lab-processed provisionals become the standard.

Advantageous Traits of Lab-Processed DuraTemp®

It is essential to make all of the smile design decisions with the patient before wax-up or provisional fabrication. Spending this time on the first records collection appointment gives you and the technicians the tools required to create provisionals that will be your working template for the final ceramics.

Chairside Procedures for Seating Lab-Fabricated Provisionals

Your DuraTemp® provisionals are typically fabricated from pre-op models. The prescribed teeth are reduced 1 mm on all surfaces of the model in the lab. The tissue sites will also be shaped for your prescribed results. This re­duction allows you to seat and reline easily in the mouth after preparation. DuraTemp provisionals are methyl methacrylate-based and require a cold-cure acrylic or bis-acryl to reline.

DuraTemp Seating Directions

Burbank Dental Lab DuraTemps Provisionals directions

DuraTemp

DuraTemps - Burbank Dental Lab

Product Description

DuraTemp® provisionals are laboratory-fabricated provisional restorations that are much more durable and esthetic than traditional chair-side fabricated provisionals,  even rivaling the finished restorations. DuraTemp® provisionals will save you valuable chair-time by streamlining your provisional process and will deliver your patients a prototype smile at the prep appointment. Provisionals can be fabricated for single crowns and multi-units including splinted full-arch bridges. When altering VDO, DuraTemp® provisional are excellent to establish a predetermined ideal vertical prior to prepping any teeth. DuraTemps are very advantageous for immediate extraction cases, allowing you to create the ideal pontic site shaping.

DuraTemp® provisionals can be fabricated from either the pre-operative or prepped models. Many of our clinicians use DuraTemp as a diagnostic outline for the final restorations. You and your patient can pre-approve the length, contours, and shade after seating the DuraTemps. Once you and the patient are satisfied with the provisional’s design modifications, take an impression of the DuraTemp® provisionals in place and send to the lab along with the final prepped impressions. The lab will then use the model of the DuraTemps in place to use as a guideline for the final restorations.

DuraTemp® provisionals increase your profitability by reducing the time you and your staff will spend chair-side fabricating traditional provisionals. DuraTemps allow you and your team to free up more chair-time and be more productive.

DuraTemp® provisionals come backed with a six-month warranty against breakage.

Key Features:

  •  No preparation required; DuraTemp® provisionals can be fabricated from either the pre-operative or prepped models.
  • DuraTemps are stronger and more durable than chairside temps.

Indications for use:

  • Indicated for provisional crowns and splinted bridges
  • Metal substructures recommended for spans greater than three units
  • Immediate smile designs
  • Restoring lost vertical dimension
  • Creating ideal ovate pontics sites

Prep Design

No preparation is needed.

Cementation

  1. Try-In the DuraTemps to verify passive seating and estimate that the occlusion and vertical are correct.
  2. Clean restorations with water and dry after try-in.
  3. Reline with a cold cure acrylic. It is important to block out any undercut in the preps before relining.
  4. Trim excess acrylics from margins.
  5. Polish restorations with pumice and acrylic polishing paste, and then use a light cured glaze such as Palaseal.
  6. Cement using a non-eugenol temporary cement.

In-Lab Turnaround Time 

Lab turnaround time is five (5) working days, with expedited delivery available on request.

ADA Codes

•    D2932 Crown - Prefabricated Resin

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