Prep and temp Visit #3
Appointment time
- If subtractive preparation needed then proceed with that first
- Place siltech stent and fabricate additive temporaries (can skip but makes ideal prep easier)
- If changing incisal position or vertical then must do temps and confirm speech and spacing
- Check E and S sound and F and V sound (max incisal edge contact inner vermillion border of lower lip)
- Natural airflow between incisal edges when S sound
- Ensure incisal edge proper position and contacting inner vermillion border for F and V
- Patient can wear this for a short while if wanted to but ideally just ok, photo and begin prep
- Prep 2nd bi to 2nd bi (or to first molar if the first bis are missing)
- Final impressions (if opening vertical then not prepping molars)
- Place posterior Futar D stops from original CR bite and fabricate anterior stop on preps
- Not matter type of temp first step is to check protrusive and eccentrics
- Photos and adjustments made
- Occlusion checked
- Patient like?
- Putty of incisal edge
- Impressions if changes from wax up
Temporize
- Lab fabricated if long span bridges
- Traditional from wax up for normal crown and bridge
- Shrink wrap for veneer or very conservative preps
Lab fabricated temp
- Try on ensure seating
- Reline
Traditional temp
- From wax up
Shrink Wrap Temporary technique if more conservative preps and no major composite BUs
- Gluma on all prepped areas blot dry with cotton ball
- Optibond Fl step 1 and air dry!
- Load siltech with bisacryl Luxatemp Fluorescence. Pressure on buccal of siltech
- Wait 2 minutes and tease off siltech
- Start removal excess immediately
-
1) Mosquito
Diamond- 8392-016 (used to trim interproximal and gingival margins)
2) White Carbide Polisher- H135UF.31.014 #ET9UF (I use this one last)
3) Diamond polisher- 859-014F-FG (used to trim flash, margins, major
changes)
4) Diamond polisher- 859-010F-FG (interproximal, margins)
5) Football carbide (lingual)6) 12 flute carbide
instead of these diamonds maybe - Go around all margins ensure smooth and open IP until superfloss fits
- Use the white carbide polisher and then seal with Luxaglaze permaglaze biscover etc
Patient at home 3 weeks in temps min.
- Decide first week if want any changes
- If laser then rubber tip stimulator is to be used daily in area lasered for the next 3 weeks
- For 2 weeks use hydrogen peroxide in endo syringe with fuzzy tip applicator to flush around temps
- Super floss 2x daily
- Brush normal
- For one week prior insert stop hydrogen peroxide and start CHX 2x daily
Lab
- Fabricate crowns
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