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Provisional materials are key in the fabrication of temporary fixed restorations to produce a variety of crowns, bridges, and veneers. Although CAD/CAM technology allows for the placement of final restorations in a single visit, provisional materials are still necessary in many circumstances.
No matter which material a clinician decides to use, all provisional materials must preserve and protect the underlying dentition.1 A provisional restoration should seal a tooth while protecting the pulp from bacteria and reducing sensitivity.1 It also maintains the occlusal space and contact points.1
Temporary materials also help seal against bacteria, prevent seepage of intracanal medicaments, insulate pulpal tissue, and reproduce tooth contours.1 Biocompatibility, esthetics, fracture resistance, ease of fabrication, shape and polishability, and a short setting time are all desirable characteristics for provisional materials.2
Traditional temporary materials were manufactured using methyl methacrylate, ethyl methacrylate, or vinyl ethyl methacrylate.2 More modern provisionals are fabricated using bis-acryl materials and CAD/CAM-generated restorations.3 No matter which is used, clinicians have a variety of materials at their disposal. Here, we highlight some of the industry’s provisional materials.
References
VOCO’s Structur family of bis-acrylic provisional crown and bridge materials meet the demands for every clinical temporary situation. Providing strength for short and long-term stability while delivering the esthetics that patients demand, the Structur provisional materials utilize a 1:1 cartridge mix that results in easy application, less waste, and reliable performance. Known for their long-term color stability, high fracture resistance, and high compressive strength, Structur provisional materials are available in several VITA matching shades.
VOCO America
888-658-2584 | vocoamerica.com | infousa@voco.com
Tempit-E is a moisture-activated temporary filling and sealing material with Eugenol. Its palliative eugenol formulation is for temporary filling use, especially in cases of reversible pulpal inflammation. It features anti-inflammatory and local anesthetic effects that help to facilitate pulpal healing. Tempit-E is moisture-activated, sets in 5 minutes, and can expand slightly when set to seal out microleakage and bacterial ingress. It can also be used as a liner in deep preparations. Tempit-E is suitable for general and pediatric applications.
Centrix
800-235-5862 | centrixdental.com
BISCO’s Pro-V Coat is a hydrogel separating agent that allows the clinician to utilize the Immediate Dentin Sealing technique without the risk of the provisional bonding to the tooth structure. The unique proprietary formulation is a water-soluble separating agent that serves to prohibit bonding of the provisional to the adhesive interface and cleans up effortlessly without any residue.
BISCO
800-247-3368 | bisco.com
Optimized for performance, Cling2 is an easy-to-use temporary cement that provides superior adhesion and an excellent marginal seal. Temporaries cemented with Cling2 simply won’t come off until you need them to. When it’s time for removal, the temporary releases easily with minimal clean-up of the preparation. Offering a quick set time of 60 to 90 seconds, Cling2 easily peels off the preparation margins in seconds for chairside efficiency, and its carboxylate resin and non eugenol, zinc oxide-based formula is bacteriostatic for exceptional tissue health and patient comfort. Cling2 is the perfect choice for cementing provisional crowns, bridges, inlays, and onlays.
Clinician’s Choice® Dental Products
800-265-3444 | clinicianschoice.com
Jet Tooth Shade is a self-curing acrylic resin for making color-stable, dimensionally accurate, provisional crown and bridge restorations. It cures in 6 to 9 minutes and delivers the methyl methacrylate hardness that patients desire and the material is easy to trim and polish. Tooth Shade is available in 19 different shades to match most enamels and can be customized further with JetAdjusters, a liquid resin system for custom characterizing and staining provisional crown and bridge. Jet Adjusters will air dry in less than 2 minutes. Jet Tooth Shade is the most durable provisional crown and bridge material on the market. With over 60 years on the market, Jet Tooth Shade stands the test of time.
Lang Dental Mfg. Co., Inc.
800-222-5264 | langdental.com | orders@langdental.com
InstaTemp Max is an automix provisional crown and bridge material that comes in A1, A2, B1, A 3.5, and Bleach shades. It is a 2-component material based on bis-acryl composites that responds to the characteristics most important to dentists: ease of use, ease of fabrication, and ease of placement. In addition, InstaTemp Max also provides ease of fabrication, contour, and polishability, placing it among the best of this class of provisional materials. The InstaTemp Max features a safety cartridge with separate outlets for base and catalyst, preventing cross-contamination and blockage. It has 76g of material, producing an average of 50 units, making it a desirable and economical choice.
Sterngold
800-243-9942 | sterngold.com
Formulated to help create beautiful provisional veneers in minutes, this restorative system is comprised of 2 specially formulated microhybrid composite resins, RSVP-Light and RSVP-Heavy, and a polyvinyl siloxane matrixing, RSVP-Matrix, which facilitates optimal placement, marginal adaptation, and a rapid and predictable esthetic outcome. It allows for hand sculpting to the cervical portion, which avoids gingival inflammation. Other features include highly polishable and esthetic predictability, reduction of marginal flash, accurate representation of case-specific contours, and cement-free retention without etching.
Cosmedent
800-621-6729 | cosmedent.com
This temporary bridge and crown material is an automixed 2-component material based on multi-functional methacrylic esters, Integrity is intended for use as both, a short- and long-term temporary crown and bridge material and it is said to provide fast and strong temporaries with reliable esthetics. Its consistency allows for minimal shrinkage and ease of handling. Integrity is available in 2 delivery systems and 5 shades, including A1, A2, A3.5, B1, and Bleach White.
Dentsply Sirona
844-848-0137 | dentsplysirona.com
UNIFAST LC is an acrylic resin indicated for the fabrication of temporary bridges, crowns, inlays, onlays, splints, and orthodontic plates. It easily makes accurate fitting, esthetic, and highly functional temporary restorations. The curing stages, such as slurry stage, dough-like stage, rubber-like stage, and final cure can be controlled by visible light curing to give unconditional working time. Work as fast or as slow as you want for the accuracy you need. This product can be used with the brush technique. It also works well with mylar crown forms.
GC America
800-323-7063 | gcamerica.com
Tuff-Temp Plus is an impact-resistant rubberized resin that grips the tooth tightly without shrinkage or distortion. It is said to virtually eliminate fractures and debonding and features a high flexural strength without brittleness. Its deflection at break, the key indicator of toughness, is reportedly 50% to 100% greater than bis-acrylics. It produces excellent margins and the light cure option is designed to produce a full-strength restoration on demand.
Pulpdent
617-926-6666 | pulpdent.com
Said to be the first bis-acrylic composite with a new generation of fillers, Protemp Plus utilizes nanotechnology for unparalleled strength and esthetics. Its nanotechnology also creates a smooth surface, allowing clinicians to achieve a high gloss without polishing. This easy-to-clean surface helps keep plaque away and is designed to support gingival health. Protemp Plus is indicated for single- and multi-unit temporaries, including crowns, bridges, inlays and onlays, veneers, and long-term temporization. It is available in 6 shades—A1, A2, A3, A3.5, B3, and Bleach, which provide color stabilization that is particularly important with long-term provisionals.
3M
3m.com