While they may not be permanent, provisional restorations play an important role in the tooth replacement – and your patients’ confidence.
3M Protemp™ Temporisation Materials combines strength and aesthetics, for temporary crowns and bridges that give everyone confidence.
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Temporary restorations are an indispensable part of the complete crown and bridge restorative procedure, and the roles which a temporary restoration must fulfil have become more demanding over time. In the past, the functional aspects of temporary restoration predominated. However, with recent advancements in restorative dentistry, there is an ever increasing demand placed on aesthetics as well as structural strength.
3M materials and systems provide a simple and clean way to create strong, good-looking provisional restorations. The smooth surface is easy to shine and it supports patients' oral hygiene and gingival health through easy plaque removal.
Easy handling and short setting time. Just wipe with alcohol for a fast, beautiful shine! A smooth, glossy surface enables easy plaque removal to support gingival health. No need to polish or glaze.
3M nanofillers and polymers work together to make Protemp 4 strong, flexible and fast making it suitable for a wide range of applications:
Protemp 4 looks naturally beautiful in any lighting conditions — and holds its color, which is especially important for long-term indications.
Bis-acrylic composite material with 3M nanofiller technology. For reliably strong temporary restorations with splendid aesthetics.
Protemp crown temporisation material is the world’s first single-unit, self-supporting, malleable and light curable composite crown.
These prefabricated stainless steel crowns are manufactured with life-like height, contour and occlusal surface. Pre-crimped at the cervical margin for fast and easy placement.
In a clinical evaluation from the Dental Advisor, 3M Protemp 4 Temporisation Material received:
Using 3M Protemp 4 Temporisation Material
Clinical case by Giovanni Molina Lugo, DDS, Mexico City, Mexico
Using 3M Protemp 4 Temporisation Material
Clinical case by Giovanni Molina Lugo, DDS, Mexico City, Mexico
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Ketac Cem Plus Resin-Modified Glass Ionomer cement offers a perfect mix of convenience and proven clinical performance. With high bond strength and virtually no post-operative sensitivities, it ensures optimum results for routine cementations.
Our innovative A-silicone features an extremely short intra-oral setting time. Active self-warming is the key, a unique chemical reaction developed by 3M.
Polishing and finishing solutions are designed to help you quickly and efficiently achieve a result similar to diamond polishing. Our discs, strips and spirals come in a range of sizes and grits.
Achieve better outcomes – every time, by simplifying and standardising your dental temporization procedures with our research-based recommendations from five leading clinical experts.
Indirect restorative procedures are highly complex. They consist of many different clinical and laboratory steps, and each separate step involves a number of clinical challenges.
That's why 3M has worked with five expert clinicians to develop a consensus for best-practice recommendations in prosthodontic procedures. These are based on the latest scientific research findings and personal long-term experience in clinical environments.
While the importance of temporary dental restorations is often underestimated, they fulfill many different functions which are crucial to the final treatment outcome. They provide interim protection to the underlying tooth structure, function and esthetics. In addition, the provisional restoration can help to condition the gingival tissues prior to making the final impression. If the soft tissue is healthy and well adapted, it will ease the impressioning and cementation procedure, with a positive impact on the treatment outcome including pink and white esthetics. Finally, yet importantly, within complex rehabilitations, the temporary is also used as a basis for the production of the final restoration, a “mock up” allowing for a therapeutic clinical test drive. In order to accomplish these tasks, the selected material should meet certain requirements in terms of marginal quality, mechanical strength, as well as mechanical and dimensional stability.
Four main material options for temporary dental restorations are available:
Crown made of 3M™ Protemp™ Crown Temporization Material.
(Image courtesy of Dr. Paulo Monteiro)
If the pre-existing anatomy of the tooth is available and the temporization period will be completed within one year (usual short-term and long-term temporization), a bis-acrylic resin is the recommended material option using a direct matrix. Bis acrylic materials have high mechanical strength and dimensional stability, superior esthetics, a lower setting temperature and polymerization shrinkage (for a precise fit) as well as better mixing quality as they may be delivered through an automix syringe. In comparison, conventional acrylics offer good fracture resistance and lower cost, but are generally inferior in strength as well as in dimensional stability and more difficult to use. Nowadays, CAD/CAM PMMA is the material of choice for indirect temporary restorations where the highest strength is needed.
If the pre-existing anatomy is not available at the beginning of treatment, there are different options to choose from. Usually, a matrix is produced on the basis of a wax-up and it is recommended to use bis-acrylic. One option available for a single-unit restoration in the posterior region is a pre-formed composite crown (3M™ Protemp™ Crown). This material is an excellent option for single unit crown and partial coverage restorations, where its high strength and moldability is advantageous when more conservative preparations have been made. Again, for any long-term temporization that takes longer than a year, the CAD/CAM procedure using PMMA discs is a viable option.
For dental cementation of the temporary restorations, a temporary cement (e.g. Temp-Bond™ NE, Kerr; 3M™ RelyX™ Temp NE Temporary Cement) is usually applied. Whenever the selected material for the definitive placement of the final restoration is resin cement, a temporary cement that does not contain eugenol is to be used. For long-term temporization, the use of permanent conventional or self-adhesive cements should be taken into consideration.
Material combination recommended by 3M: 3M™ Imprint™ 4 Preliminary Impression Material and 3M™ Protemp™ 4 Temporization Material.
(Image courtesy of Dr. Akit Patel)
The production of temporaries with bis-acrylic resin – e.g. 3M™ Protemp™ 4 Temporization Material – is simple, easy and predictable. In this case, a preliminary impression is used as a matrix, and the provisional restoration is ready within a few minutes
Otherwise, a matrix can be produced in the laboratory based on a wax-up. When using Protemp 4 material, finishing and polishing is not necessary on the buccal or labial surfaces other than to simply wipe the outer surface with alcohol to remove its thin oxygen-inhibition layer. Shaping and occlusal adjustments precede as normal. The following clinical examples reveal how the material may be used to meet specific demands in different clinical situations. The last example shows an alternative temporization option for single teeth – the placement of a self-supporting, malleable, light-curable composite crown.
Substrate: Tooth Indication: Crown Number of restorations: 1-3 Temporization period: Short term
Recommendation: Bis-acrylic / composite resin
Tips The use of retraction cords and / or pastes in this treatment phase will contribute to an enhanced marginal quality of the temporary restoration, which, in turn, will provide favorable soft tissue conditions during impression and cementation.
Syringe around the margins after matrix is filled for optimal marginal imprint.
Intra-orally remove excess from neighboring undercuts whilst setting (wait until clean cuts can be made).
Substrate: Tooth Indication: Bridge Number of restorations: 4 or more Temporization period: Long term
Recommendation: Bis-acrylic / composite resin
Tip To prevent void formation, it is essential to fill from the bottom up and to always keep the mixing tip immersed in the material.
Substrate: Tooth Indication: Crown Number of restorations: 1 Temporization period: Short term
Recommendation: Pre-formed composite crown
The temporization phase plays an important role within the indirect restorative workflow. Bis-acrylic resins have advantages in their strength and esthetics, which make them versatile for most direct temporization procedures. When single-unit posterior restorations are produced, the pre-formed composite crown may also be a suitable option for temporization. In order to produce a temporary with a precise marginal fit that supports the healing and correct contouring of the soft tissues, clinicians should have a dry and well-retracted field. It is therefore recommended to use mechanical and chemical tissue management techniques by means of retraction cords, astringents and / or pastes for effective tissue displacement and hemostasis (margin position dependent).
As in the other procedure steps, standardization is a decisive measure. It brings routine into the selected procedures and helps eliminate potential sources of error.
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