![]() In addition, accurate photographs of the provisionals that focus on each of these elements can provide the technician with all of the necessary cosmetic information to fabricate the final restorations to perfection. 13,14 When these elements are built into the provisional restorations, a model of the provisionals can be given to the laboratory technician, along with detailed instructions, to serve as a blueprint for the success of the case. Some of the elements of smile design that must be incorporated into the full-arch provisional to assure a good cosmetic outcome are appropriate incisal plane, incisal length, incisal profile, proportion, incisal embrasure spaces, buccal corridors, plane of occlusion, midline, axial inclination, and lip support. Achieving required vertical dimension of occlusionĮach of these objectives must be achieved in order to predictably and routinely manage full-arch cases with ease, preserve the patient's biology, satisfy the patient, and maximize the dentist's profitability.12 The purpose of this article is to identify the objectives for provisional restorations in full-arch cases and provide the clinician with a predictable technique that can be employed by auxiliary personnel to achieve these objectives on a routine basis.Įight objectives for provisionals when treating full-arch cases are: 10,11 In addition, the clinical management of full-arch cases can be simplified considerably using an indirect technique to fabricate provisional restorations. 1-9 Fabrication of provisionals using an indirect technique is a specific protocol that can be useful in achieving success. The biggest cause for failures commonly associated with full-arch treatment is odontogenic infection. Simultaneously, the protocol will not compromise the health of the patient.įull-arch cases require specific treatment protocols to assure predictable long-term clinical success. Utilizing the simple technique described in this article can make full-arch cases enjoyable, predictable, profitable, inexpensive, and great practice builders. The purpose of this article is to identify the objectives for provisional restorations in full-arch cases and to provide the clinician with step-by-step instruction for a predictable technique that can be employed successfully by auxiliary personnel on a routine basis. The clinical management of full-arch cases can be simplified considerably by using an indirect technique to fabricate provisional restorations. Following a proper protocol for fabricating provisional restorations is a key component for success in complex cosmetic and restorative dentistry. ![]()
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