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Provisional Coverage. Chapter 51. Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved. Chapter 51 Lesson 51.1. Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved. Learning Objectives. Pronounce, define, and spell the Key Terms.
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Provisional Coverage Chapter 51 Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Chapter 51Lesson 51.1 Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Learning Objectives • Pronounce, define, and spell the Key Terms. • Discuss the indications for provisional coverage for a crown or fixed-bridge preparation. • Describe the types of provisional coverage. • Discuss the dental assistant’s role in making a provisional crown or bridge. • List home-care instructions for the patient with provisional coverage. Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Provisional Coverage Provisional coverage is a protective covering worn temporarily while a fixed prosthesis is being fabricated in the dental laboratory. Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Purposes of Provisional Coverage • Reduces sensitivity and discomfort of the prepared tooth • Maintains the function and aesthetics of the prepared tooth • Protects the margins of the preparation • Prevents shifting of the adjacent or opposing teeth Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Custom Provisional Coverage • The most versatile provisional coverage for crown and bridge preparations • Can be used for posterior or anterior crowns or bridges. • Provides the best fit • Most natural-looking Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Fig. 51-1 Custom provisional coverage. Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Criteria for Constructing Provisional Coverage • The coverage is aesthetically acceptable to the patient • The contours are similar to those of the natural tooth. • The cervical margin is smooth and fits snugly. • Coverage must not extend below the margin of the preparation. • The occlusal surface is aligned with the occlusal plane of the adjacent teeth. • When cemented, the provisional coverage remains stable, stays in place, and is comfortable for the patient. • The provisional coverage can be easily removed without damage to the tooth or adjacent tissues. Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Preformed Polymer Crowns • Provisional shell-like crowns are designed specifically for premolars and molars. • Shells are made of a polymer material designed with the anatomic features of natural teeth. • Preformed polymer is available for single crowns and bridgework. • Composite resin bonds with preformed crown to preparation. Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Fig. 51-2 Preformed polymer crown. Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Aluminum Crowns • Aluminum crowns are designed specifically for premolars and molars. • Such crowns are available in a range of sizes for posterior teeth. • Surfaces may be anatomic or nonanatomic. • The crown is sized, contoured, and cemented in place. Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Preformed Polycarbonate Crowns • Tooth-colored crowns are selected for anterior teeth, where appearance is important. • Available in a variety of sizes, shapes, and shades. • Easily adapted to margins. • Suitable for short- or longer-term use. Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Fig. 51-4 Preformed polycarbonate crowns. Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Home-Care Instructions for Provisional Coverage • Bite and chew carefully, and avoid sticky foods. • When flossing, do not “pop” the floss in and out of contact. Once the floss is placed below the contact, pull it through. • If the provisional covering is loose or lost, contact the office immediately to have it recemented. Copyright © 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.