An upper jaw with seven dental implants and a provisional temporary teeth bridge being placed. There is a dental implant in the #9 position still waiting for a second stage connection following osseointegration.
How to pictures – Eggshell technique for making a full arch temporary – provisional – dental bridge. Full arch maxillary dental implants are seen in the photo on the left. An alginate impression was taken of the patient’s prior bridge. Acrylic liquid & powder were painted – eggshell thin – inside the alginate impression. After it hardened it can be relined first with hard acrylic to get a closer fit and then soft denture reline material. The lab can work out final parallelism for a new hard acrylic temporary after initial healing.
Fabrication of a lab-processed 11 teeth temporary provisional dental bridge as part of a Smile Makeover on a phobic Wall Street executive. Total treatment time was about nine hours in two visits during one business week: Monday (four hours) and Friday (five hours). This patient hid his dental condition for over a decade by never smiling.
In the first row of photos, note that the teeth bite was over-closed due to a prior history of an eating disorder, now controlled, and a current tooth clenching grinding habit.
An Oral Surgery consultation with panoramic x-ray (second row) was performed prior to treatment to evaluate opening the bite.
The third row shows x-rays taken after the Endodontist completed eight root canals on the first day on tooth #’s: 6 – 11 and 14, 15.
The fourth row shows the lab-processed 11 unit (11 teeth) temporary dental bridge and the cast gold post and cores (with Kaitlyn loops) for the root canal treated teeth.
The fifth row shows the cast gold post and cores cemented.
The sixth row shows the lab-processed provisional teeth bridge in place after Oral Surgery extraction of tooth #’s: 3 – 5 and 12, crown lengthening gum surgery was performed on tooth #’s: 6 – 11, and a distal wedge was performed on #15.
The patient will have a final porcelain-metal bridge made after the gums heal. Dental implants may also be placed in the upper right posterior. A bite plate is also necessary to try to mitigate the force of tooth grinding. Referral for pharmacological management of anxiety is also worthwhile.
A simple temporary for teeth veneers can be made using a clear acrylic stent that is relined with Luxatemp, which doesn’t cure exothermically. The second photo shows half of the provisional removed.
How to pictures show temporary crown fabrication on an upper central incisor using an ion crown form. Photos 1) & 2) Dental crown preparation – drilling. Photo 3) The ion crown guide is used to pick a #8 crown form that best approximates the mesio-distal diameter needed. Photo 4) The inciso-gingival length of the chosen crown form is reduced from the gingival side and then checked for fit over the crown preparation. Photos 5) and 6) The crown form ready for reline. Note Vaseline on the labial surface to prevent reline acrylic from sticking to the polished surface of the ion crown form. Photo 7) Gingival view of the crown form after initial removal from the tooth and before final carving. Photo 8) The cemented provisional crown form. Again note that Vaseline is on the labial surface to prevent temporary cement from marring the surface.
Full mouth smile makeover on a dental phobia fear patient. Before and After photos of the initial visit. This patient had been wearing a very old, broken temporary teeth bridge; she had been recementing it herself daily for years. The “after” photo shows a new lab processed temporary provisional teeth bridge placed later that same day.
Second stage dental implant surgery following osseointegration. Uncovering the first stage dental implant abutments. Weak teeth #7 and 10 were left in the otherwise edentulous maxilla to help retain a fixed provisional temporary teeth bridge while four upper dental implants osseointegrated. These two teeth will now be extracted and a new provisonal temporary teeth bridge will be made while these remaining dental implants osseointegrate over the next four months. This sequence allows the patient to always have a fixed temporary dental bridge rather than a removable denture while the osseointegration occurs.
When performing oral rehabilitation dental reconstruction on a dental phobia anxiety patient it is important to give them a dramatic initial change as quickly and painlessly as possible. This will typically involve full mouth dental laboratory processed temporary teeth crowns and/or bridges. These temporary teeth crowns are made out of acrylic plastic and are easily adjusted. This allows the dentist to begin creating in the provisionals the desired cosmetic dentistry final result. For this smile makeover patient 20 temporary provisional teeth caps, 14 root canals and 6 teeth extractions were completed in one visit.
Smile makeover involving 19 teeth on a dental anxiety phobia patient – before and after pictures. The top right photo shows the patient’s smile after temporary provisional teeth crowns were placed in both jaws during one office visit. The bottom right photo shows the patient 15 weeks later following full mouth reconstruction involving 7 teeth extractions, 8 root canals and composite cores, full mouth root planing and then periodontal gum surgery and 19 units of dental crowns bridgework over 8 abutments.
Crown lengthening periodontal gum surgery is performed to gain more tooth structure from below the gums. A barrier must be placed after this surgery is completed to prevent the gum from regrowing where it is not desired. This barrier is most commonly periodontal dressing placed by the Periodontist. Thereafter the temporary provisional teeth crown becomes the barrier, which needs to be lengthened by the dentist when the periodontal dressing is removed. Text below image reads “Temporary Crown.”
How to pictures show after crown lengthening gum surgery, suture removal and dental crown preparation drilling. Temporary acrylic crowns extend to cover the entire exposed tooth root. There is now a lot of tooth crown margin exposed above the gums because crown margins should not end on a core. After the temporary provisional crown is placed wait at least 6 weeks before taking a final impression for porcelain dental crowns.
Six dental implants in an edentulous mandible lower jaw. The temporary provisional crowns are placed over the dental implants during wound healing. Temporary crowns may also be called temps, temporary caps or provisionals.
Smile makeover involving full mouth temporary provisionals in a 40 year old male, married jeweler.
This patient had a very severe fear of dentistry so our goal was to recreate a handsome smile with temporary crowns as quickly and painlessly as possible. These before and after photos were completed in four days. More dentistry is still needed. This patient then referred his wife to us for a similar oral rehabilitation.
Full mouth dental reconstruction of a phobia patient. Treat the fear, and then the teeth are easy. 20 temporary caps, 14 root canals and 6 teeth extractions. Treatment time: 1 visit. Smile makeover cosmetic dentistry requires a skill handling plastic because the temporary provisional teeth crowns are made of acrylic and they are the first major initial result a patient will see. It is important to get that right.
How to pictures of a mini smile makeover of the upper front teeth. Photos 1) – 2) Initial visit. Note the broken lateral incisor tooth and the palatal location of the adjacent supernumerary tooth. 3) Close up photo. 4) X-ray. 5) The same tooth after electrosurgery and initial tooth preparation. 6) Placement of the temporary tooth crown on the lateral incisor. Note that acrylic of the provisional crown was extended from the temporary on the lateral to the supernumerary tooth to provide initial stability of the temporary until root canal therapy and a cast post and core could be placed. 7) Radiograph of the final root canal therapy, cast post and core and dental crown on the lateral incisor. 8) Final result. This series shows a novel use of a supernumerary tooth to help retain a temporary crown on an adjacent tooth before the sumpernumerary tooth was extracted.